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Structural and functional neural correlates of sensorimotor deficits in progression of hepatic encephalopathy
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作者 Guanchen Sha Yuefan Liu +5 位作者 Yutong Cao Qi Zhang Yining Zhang Yuanyuan Chen Qiuyun Fan Yue Cheng 《Magnetic Resonance Letters》 2025年第2期1-10,共10页
Hepatic encephalopathy(HE)is a neurological condition that occurs as a complication of liver dysfunction that involves sensorimotor symptoms in addition to cognitive and behavioral changes,particularly in cases of sev... Hepatic encephalopathy(HE)is a neurological condition that occurs as a complication of liver dysfunction that involves sensorimotor symptoms in addition to cognitive and behavioral changes,particularly in cases of severe liver disease or cirrhosis.Previous studies have reported spatially distributed structural and functional abnormalities related to HE,but the exact relationship between the structural and functional alterations with respect to disease progression remains unclear.In this study,we performed surface-based cortical thickness comparisons and functional connectivity(FC)analyses between three cross-sectional groups:healthy controls(HC,N¼51),patients with minimal hepatic en-cephalopathy(MHE,N¼50),patients with overt hepatic encephalopathy(OHE,N¼51).In addition to the distributed cortical thinning that is extensively thought to be associated with cognitive decline in HE,we found significant cortical thickening in the left para-hippocampal gyrus cortex in the OHE group(p<0.001,p¼0.009)as compared to the HC and MHE group respectively,which is further corroborated by the significant correlation between the cortical thickness and digit symbol test(DST)scores.Furthermore,the decreased FC between the right postcentral gyrus and several sensory regions(bilateral somatosensory and visual cortices)was found to be significant in MHE patients as compared to the HC group.Our results revealed cross-sectional structural and functional variations concerning disease progression across different subsystems(e.g.,visual,motor and sensory),providing evidence that can potentially explain the mechanisms underlying the sensorimotor and cognitive deficits related to HE. 展开更多
关键词 Hepatic encephalopathy Surface-based morphometry(SBM) Cortical thickness sensorimotor
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Structural changes in pyramidal cell dendrites and synapses in the unaffected side of the sensorimotor cortex following transcranial magnetic stimulation and rehabilitation training in a rat model of focal cerebral infarct 被引量:2
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作者 Chuanyu Liu Surong Zhou +3 位作者 Xuwen Sun Zhuli Liu Hongliang Wu Yuanwu Mei 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第9期676-680,共5页
Very little is known about the effects of transcranial magnetic stimulation and rehabilitation training on pyramidal cell dendrites and synapses of the contralateral, unaffected sensorimotor cortex in a rat model of f... Very little is known about the effects of transcranial magnetic stimulation and rehabilitation training on pyramidal cell dendrites and synapses of the contralateral, unaffected sensorimotor cortex in a rat model of focal cerebral infarct. The present study was designed to explore the mechanisms underlying improved motor function via transcranial magnetic stimulation and rehabilitation training following cerebral infarction. Results showed that rehabilitation training or transcranial magnetic stimulation alone reduced neurological impairment in rats following cerebral infarction, as well as significantly increased synaptic curvatures and post-synaptic density in the non-injured cerebral hemisphere sensorimotor cortex and narrowed the synapse cleft width. In addition, the percentage of perforated synapses increased. The combination of transcranial magnetic stimulation and rehabilitation resulted in significantly increased total dendritic length, dendritic branching points, and dendritic density in layer V pyramidal cells of the non-injured cerebral hemisphere motor cortex. These results demonstrated that transcranial magnetic stimulation and rehabilitation training altered structural parameters of pyramidal cell dendrites and synapses in the non-injured cerebral hemisphere sensorimotor cortex, thereby improving the ability to compensate for neurological functions in rats following cerebral infarction. 展开更多
关键词 cerebral infarction transcranial magnetic stimulation rehabilitation training sensorimotor cortex pyramidal cell dendrites SYNAPSE neural regeneration
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Non-concomitant cortical structural and functional alterations in sensorimotor areas following incomplete spinal cord injury 被引量:2
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作者 Yu Pan Wei-bei Dou +9 位作者 Yue-heng Wang Hui-wen Luo Yun-xiang Ge Shu-yu Yan Quan Xu Yuan-yuan Tu Yan-qing Xiao Qiong Wu Zhuo-zhao Zheng Hong-liang Zhao 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第12期2059-2066,共8页
Brain plasticity, including anatomical changes and functional reorganization, is the physiological basis of functional recovery after spinal cord injury(SCI). The correlation between brain anatomical changes and fun... Brain plasticity, including anatomical changes and functional reorganization, is the physiological basis of functional recovery after spinal cord injury(SCI). The correlation between brain anatomical changes and functional reorganization after SCI is unclear. This study aimed to explore whether alterations of cortical structure and network function are concomitant in sensorimotor areas after incomplete SCI. Eighteen patients with incomplete SCI(mean age 40.94 ± 14.10 years old; male:female, 7:11) and 18 healthy subjects(37.33 ± 11.79 years old; male:female, 7:11) were studied by resting state functional magnetic resonance imaging. Gray matter volume(GMV) and functional connectivity were used to evaluate cortical structure and network function, respectively. There was no significant alteration of GMV in sensorimotor areas in patients with incomplete SCI compared with healthy subjects. Intra-hemispheric functional connectivity between left primary somatosensory cortex(BA1) and left primary motor cortex(BA4), and left BA1 and left somatosensory association cortex(BA5) was decreased, as well as inter-hemispheric functional connectivity between left BA1 and right BA4, left BA1 and right BA5, and left BA4 and right BA5 in patients with SCI. Functional connectivity between both BA4 areas was also decreased. The decreased functional connectivity between the left BA1 and the right BA4 positively correlated with American Spinal Injury Association sensory score in SCI patients. The results indicate that alterations of cortical anatomical structure and network functional connectivity in sensorimotor areas were non-concomitant in patients with incomplete SCI, indicating the network functional changes in sensorimotor areas may not be dependent on anatomic structure. The strength of functional connectivity within sensorimotor areas could serve as a potential imaging biomarker for assessment and prediction of sensory function in patients with incomplete SCI. This trial was registered with the Chinese Clinical Trial Registry(registration number: Chi CTR-ROC-17013566). 展开更多
关键词 nerve regeneration incomplete spinal cord injury gray matter volume functional connectivity sensorimotor areas functionalmagnetic resonance imaging brain plasticity non-concomitant anatomical structure network imaging biomarker neural regeneration
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Ventromedial Thalamus-Projecting DCN Neurons Modulate Associative Sensorimotor Responses in Mice 被引量:2
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作者 Jie Zhang Hao Chen +7 位作者 Li-Bin Zhang Rong-Rong Li Bin Wang Qian-Hui Zhang Liu-Xia Tong Wei-Wei Zhang Zhong-Xiang Yao Bo Hu 《Neuroscience Bulletin》 SCIE CAS CSCD 2022年第5期459-473,共15页
The deep cerebellar nuclei(DCN)integrate various inputs to the cerebellum and form the final cerebellar outputs critical for associative sensorimotor learning.However,the functional relevance of distinct neuronal subp... The deep cerebellar nuclei(DCN)integrate various inputs to the cerebellum and form the final cerebellar outputs critical for associative sensorimotor learning.However,the functional relevance of distinct neuronal subpopulations within the DCN remains poorly understood.Here,we examined a subpopulation of mouse DCN neurons whose axons specifically project to the ventromedial(Vm)thalamus(DCNVm neurons),and found that these neurons represent a specific subset of DCN units whose activity varies with trace eyeblink conditioning(tEBC),a classical associative sensorimotor learning task.Upon conditioning,the activity of DCNVm neurons signaled the performance of conditioned eyeblink responses(CRs).Optogenetic activation and inhibition of the DCNVm neurons in well-trained mice amplified and diminished the CRs,respectively.Chemogenetic manipulation of the DCNVm neurons had no effects on non-associative motor coordination.Furthermore,optogenetic activation of the DCNVm neurons caused rapid elevated firing activity in the cingulate cortex,a brain area critical for bridging the time gap between sensory stimuli and motor execution during tEBC.Together,our data highlights DCNVm neurons’function and delineates their kinematic parameters that modulate the strength of associative sensorimotor responses. 展开更多
关键词 Deep cerebellar nuclei Ventromedial thalamus Trace eyeblink conditioning sensorimotor learning
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Sensorimotor Self-Learning Model Based on Operant Conditioning for Two-Wheeled Robot 被引量:1
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作者 张晓平 阮晓钢 +1 位作者 肖尧 黄静 《Journal of Shanghai Jiaotong university(Science)》 EI 2017年第2期148-155,共8页
Traditional control methods of two-wheeled robot are usually model-based and require the robot’s precise mathematic model which is hard to get. A sensorimotor self-learning model named SMM TWR is presented in this pa... Traditional control methods of two-wheeled robot are usually model-based and require the robot’s precise mathematic model which is hard to get. A sensorimotor self-learning model named SMM TWR is presented in this paper to handle these problems. The model consists of seven elements: the discrete learning time set, the sensory state set, the motion set, the sensorimotor mapping, the state orientation unit, the learning mechanism and the model’s entropy. The learning mechanism for SMM TWR is designed based on the theory of operant conditioning (OC), and it adjusts the sensorimotor mapping at every learning step. This helps the robot to choose motions. The leaning direction of the mechanism is decided by the state orientation unit. Simulation results show that with the sensorimotor model designed, the robot is endowed the abilities of self-learning and self-organizing, and it can learn the skills to keep itself balance through interacting with the environment. © 2017, Shanghai Jiaotong University and Springer-Verlag Berlin Heidelberg. 展开更多
关键词 two-wheeled robot sensorimotor model SELF-LEARNING operant conditioning(OC)
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Changes in sensorimotor regions of the cerebral cortex in congenital amusia:a case-control study 被引量:1
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作者 Jun-Jie Sun Xue-Qun Pan +4 位作者 Ru Yang Zhi-Shuai Jin Yi-Hui Li Jun Liu Da-Xing Wu 《Neural Regeneration Research》 SCIE CAS CSCD 2021年第3期531-536,共6页
Perceiving pitch is a central function of the human auditory system;congenital amusia is a disorder of pitch perception.The underlying neural mechanisms of congenital amusia have been actively discussed.However,little... Perceiving pitch is a central function of the human auditory system;congenital amusia is a disorder of pitch perception.The underlying neural mechanisms of congenital amusia have been actively discussed.However,little attention has been paid to the changes in the motor rain within congenital amusia.In this case-control study,17 participants with congenital amusia and 14 healthy controls underwent functional magnetic resonance imaging while resting with their eyes closed.A voxel-based degree centrality method was used to identify abnormal functional network centrality by comparing degree centrality values between the congenital amusia group and the healthy control group.We found decreased degree centrality values in the right primary sensorimotor areas in participants with congenital amusia relative to controls,indicating potentially decreased centrality of the corresponding brain regions in the auditory-sensory motor feedback network.We found a significant positive correlation between the degree centrality values and the Montreal Battery of Evaluation of Amusia scores.In conclusion,our study identified novel,hitherto undiscussed candidate brain regions that may partly contribute to or be modulated by congenital amusia.Our evidence supports the view that sensorimotor coupling plays an important role in memory and musical discrimination.The study was approved by the Ethics Committee of the Second Xiangya Hospital,Central South University,China(No.WDX20180101GZ01)on February 9,2019. 展开更多
关键词 congenital amusia degree centrality lifelong impairment local functional connectivity music discrimination primary motor area primary sensorimotor area primary sensory area resting-state functional magnetic resonance imaging voxel-based analysis
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Aberrant Light-Induced Depression is Associated with Impaired Sensorimotor Gating in Mice
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作者 Toshiaki Haga Junichi Toei +4 位作者 Kenichi Mitsui Mareki Ohtsuji Yo Kodera Kenichi Osada Hiroyuki Nishimura 《World Journal of Neuroscience》 2018年第1期1-9,共9页
Mice subjected to an irregular light-dark cycle are known to lose their capacity to synchronize their behavioral rhythm to environmental light, and to show endophenotypes related to depressive disorders. Here we obser... Mice subjected to an irregular light-dark cycle are known to lose their capacity to synchronize their behavioral rhythm to environmental light, and to show endophenotypes related to depressive disorders. Here we observed that a susceptible strain of mice (C3H/HeJ) subjected to an irregular 3.5 hr:3.5 hr light-dark cycle showed an enhanced acoustic startle reflex and deficits in prepulse inhibition. As impaired sensorimotor gating is associated with the onset of a variety of mental disorders such as schizophrenia and major depressive disorder, irregular environmental light without circadian photo-entrainment may cause stress that has the potential to be involved in humans’ susceptibility to neuropsychiatric abnormalities. 展开更多
关键词 DEPRESSION sensorimotor Gating C3H/HeJ PREPULSE Inhibition CIRCADIAN Rhythm
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From Individual to Population:Circuit Organization of Pyramidal Tract and Intratelencephalic Neurons in Mouse Sensorimotor Cortex
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作者 Mei Yao Ayizuohere Tudi +7 位作者 Tao Jiang Xu An Xueyan Jia Anan Li Z.Josh Huang Hui Gong Xiangning Li Qingming Luo 《Research》 2025年第2期880-892,共13页
The sensorimotor cortex participates in diverse functions with different reciprocally connected subregions and projection-defined pyramidal neuron types therein,while the fundamental organizational logic of its circui... The sensorimotor cortex participates in diverse functions with different reciprocally connected subregions and projection-defined pyramidal neuron types therein,while the fundamental organizational logic of its circuit elements at the single-cell level is still largely unclear.Here,using mouse Cre driver lines and highresolution whole-brain imaging to selectively trace the axons and dendrites of cortical pyramidal tract(PT)and intratelencephalic(IT)neurons,we reconstructed the complete morphology of 1,023 pyramidal neurons and generated a projectome of 6 subregions within the sensorimotor cortex.Our morphological data revealed substantial hierarchical and layer differences in the axonal innervation patterns of pyramidal neurons.We found that neurons located in the medial motor cortex had more diverse projection patterns than those in the lateral motor and sensory cortices.The morphological characteristics of IT neurons in layer 5 were more complex than those in layer 2/3.Furthermore,the soma location and morphological characteristics of individual neurons exhibited topographic correspondence.Different subregions and layers were composed of different proportions of projection subtypes that innervate downstream areas differentially.While the axonal terminals of PT neuronal population in each cortical subregion were distributed in specific subdomains of the superior colliculus(SC)and zona incerta(Zl),single neurons selectively innervated a combination of these projection targets.Overall,our data provide a comprehensive list of projection types of pyramidal neurons in the sensorimotor cortex and begin to unveilthe organizational principle of these projection types in different subregions and layers. 展开更多
关键词 reconstructed complete morphology pyr mouse cre driver lines sensorimotor cortex circuit elements intratelencephalic neurons circuit organization hierarchical differences pyramidal tract neurons
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Rhythm Facilitates Auditory Working Memory via Beta-Band Encoding and Theta-Band Maintenance
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作者 Suizi Tian Yu-Ang Cheng Huan Luo 《Neuroscience Bulletin》 2025年第2期195-210,共16页
Rhythm,as a prominent characteristic of auditory experiences such as speech and music,is known to facilitate attention,yet its contribution to working memory(WM)remains unclear.Here,human participants temporarily reta... Rhythm,as a prominent characteristic of auditory experiences such as speech and music,is known to facilitate attention,yet its contribution to working memory(WM)remains unclear.Here,human participants temporarily retained a 12-tone sequence presented rhythmically or arrhythmically in WM and performed a pitch change-detection task.Behaviorally,while having comparable accuracy,rhythmic tone sequences showed a faster response time and lower response boundaries in decision-making.Electroencephalographic recordings revealed that rhythmic sequences elicited enhanced non-phase-locked beta-band(16 Hz–33 Hz)and theta-band(3 Hz–5 Hz)neural oscillations during sensory encoding and WM retention periods,respectively.Importantly,the two-stage neural signatures were correlated with each other and contributed to behavior.As beta-band and theta-band oscillations denote the engagement of motor systems and WM maintenance,respectively,our findings imply that rhythm facilitates auditory WM through intricate oscillation-based interactions between the motor and auditory systems that facilitate predictive attention to auditory sequences. 展开更多
关键词 RHYTHM Working memory sensorimotor:Neural oscillation Drift diffusion model
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太极拳锻炼对不同年龄段老年人肌肉力量、皮肤触觉、本体感觉和姿势控制能力的影响
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作者 张藤 毛德伟 宋祺鹏 《医用生物力学》 北大核心 2025年第3期631-637,共7页
目的 探究16周太极拳锻炼对不同年龄段老年人肌肉力量、足底皮肤触觉、本体感觉运动觉和姿势控制的效果。方法 将39名老年人按照年龄分为60~75岁组(n=24)和76~90岁组(n=15),两组均接受16周太极拳锻炼。在锻炼前后分别测量肌肉力量、足... 目的 探究16周太极拳锻炼对不同年龄段老年人肌肉力量、足底皮肤触觉、本体感觉运动觉和姿势控制的效果。方法 将39名老年人按照年龄分为60~75岁组(n=24)和76~90岁组(n=15),两组均接受16周太极拳锻炼。在锻炼前后分别测量肌肉力量、足底皮肤触觉、本体感觉运动觉和压力中心均方根(CoP-RMS)。结果 16周太极拳锻炼后,76~90岁组第五跖骨头皮肤触觉、踝关节背屈/跖屈本体感觉运动觉阈值显著降低,而60~75岁组无显著性变化。60~75岁组和76~90岁组在内外方向的CoP-RMS均显著降低。结论 经过16周太极拳锻炼,老年人的肌肉力量、足底皮肤触觉、本体感觉运动觉和姿势控制显著提高。尤其是对于75岁以上老年人,太极拳锻炼能更大程度提高其足底皮肤触觉、本体感觉运动觉和姿势控制。太极拳锻炼为75岁以上老年人提供了一种合适且有效的锻炼方式。 展开更多
关键词 太极拳 老年人 感觉运动整合 足底敏感性 平衡控制
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单侧慢性踝关节不稳对双侧姿势稳定性、本体感觉、足底触觉和肌肉力量的影响
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作者 刘延浩 董世玉 +2 位作者 刘子寅 宋祺鹏 沈培鑫 《中国组织工程研究》 CAS 北大核心 2025年第17期3572-3578,共7页
背景:单侧慢性踝关节不稳会对患侧肢体产生不良影响,有线索表明非患侧可能同样受到累及,但目前尚缺乏直接证据。目的:探讨单侧慢性踝关节不稳对于双侧姿势稳定性、本体感觉、足底触觉和肌肉力量的影响。方法:招募122例受试者,其中单侧... 背景:单侧慢性踝关节不稳会对患侧肢体产生不良影响,有线索表明非患侧可能同样受到累及,但目前尚缺乏直接证据。目的:探讨单侧慢性踝关节不稳对于双侧姿势稳定性、本体感觉、足底触觉和肌肉力量的影响。方法:招募122例受试者,其中单侧慢性踝关节不稳者67例,非慢性踝关节不稳者55例。测试了单侧慢性踝关节不稳者双侧以及非慢性踝关节不稳者的姿势稳定性、本体感觉、足底触觉和肌肉力量。使用单因素方差分析或克鲁斯卡尔-沃利斯检验对比组间差异。结果与结论:①相较于非慢性踝关节不稳者,单侧慢性踝关节不稳者双侧前后方向的稳定时间均更长(P=0.001-0.012),患侧内外方向的稳定时间更长(P=0.012-0.025);双侧踝关节跖屈、背伸、内翻和外翻的本体感觉阈值均更高(P=0.000-0.035);双侧足底大脚趾、第1跖骨头、第5跖骨头、外侧足弓、足跟的足底触觉灵敏度均更低(P=0.000-0.008);双侧踝关节内翻和外翻的肌肉力量均更弱(P=0.000-0.019)。②单侧慢性踝关节不稳者存在双侧姿势稳定性、本体感觉、足底触觉和肌肉力量缺陷。因此,在治疗慢性踝关节不稳时应全面考虑双侧肢体的康复需求。 展开更多
关键词 双侧缺陷 慢性踝关节不稳 踝关节扭伤 感觉运动 平衡控制 本体感觉 足底皮肤触觉 工程化组织构建
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Reduction of Interhemispheric Functional Connectivity in Sensorimotor and Visual Information Processing Pathways in Schizophrenia 被引量:2
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作者 Xu Lang Le Wang +3 位作者 Chuan-Jun Zhuo Feng Jia Li-Na Wang Chun-Li Wang 《Chinese Medical Journal》 SCIE CAS CSCD 2016年第20期2422-2426,共5页
Background: Previous studies have demonstrated interhemispheric functional connectivity alterations in schizophrenia. However, the relationship between these alterations and the disease state of schizophrenia is larg... Background: Previous studies have demonstrated interhemispheric functional connectivity alterations in schizophrenia. However, the relationship between these alterations and the disease state of schizophrenia is largely unknown. Therefore, we aimed to investigate this relationship using voxel-mirrored homotopic connectivity (VMHC) method. Methods: This study enrolled 36 schizophrenia patients with complete remission, 58 schizophrenia patients with incomplete remission and 55 healthy controls. The VMHC was calculated based on resting-state functional magnetic resonance imaging data. Differences in VMHC among three groups were compared using one-way analysis of variance. A brain region with a significant difference in VMHC was defined as a region of interest (ROI), and the mean VMHC value in the ROI was extracted for the post hoc analysis, i.e., pair-wise comparisons across the three groups. Results: VMHC in the visual region (inferior occipital and fusiform gyri) and the sensorimotor region (paracentral lobule) showed significant differences among the three groups (P 〈 0.05, a false discovery rate method corrected). Pair-wise comparisons in the post hoc analysis showed that VMHC of the visual and sensorimotor regions in schizophrenia patients with complete remission and incomplete remission was lower than that in healthy controls (P 〈 0.05, Bonferroni corrected); however, there was no significant difference between the two patient subgroups. Conclusions: Interhemispheric functional connectivity in the sensorimotor and visual processing pathways was reduced in patients with schizophrenia, but this reduction was unrelated to the disease state; thus, this reduction may serve as a trait marker of schizophrenia. 展开更多
关键词 Functional Magnetic Resonance Imaging SCHIZOPHRENIA sensorimotor Pathway Visual Pathway
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2型糖尿病周围神经病变患者下肢感觉运动皮层功能连接的静息态fMRI研究
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作者 官一童 刘婉婷 +5 位作者 潘佩纯 李菁 张琛瑀 黄杨 张东升 张小玲 《中国医学影像学杂志》 北大核心 2025年第8期805-810,共6页
目的探讨2型糖尿病周围神经病变(DPN)患者双侧下肢感觉运动皮层(LSM)与全脑的功能连接(FC)模式。资料与方法前瞻性纳入2021年2月—2022年12月在陕西省人民医院就诊的44例DPN患者和43名健康对照者,受试者均接受神经心理学评估和静息态功... 目的探讨2型糖尿病周围神经病变(DPN)患者双侧下肢感觉运动皮层(LSM)与全脑的功能连接(FC)模式。资料与方法前瞻性纳入2021年2月—2022年12月在陕西省人民医院就诊的44例DPN患者和43名健康对照者,受试者均接受神经心理学评估和静息态功能磁共振扫描。以双侧LSM作为感兴趣区,比较两组双侧LSM和全脑FC的差异。提取差异脑区的FC值与临床/神经心理学量表行相关性分析。结果与健康对照组相比,DPN患者LSM与右侧小脑Ⅵ区、右侧外侧枕颞皮层、双侧喙侧前额叶皮层和双侧前扣带回的FC减低。DPN患者LSM与右侧小脑Ⅵ区之间的FC与空腹血糖呈负相关(r=-0.490,P=0.001);DPN患者LSM与双侧前扣带回之间的FC与蒙特利尔认知评估量表评分呈正相关(r=0.479,P=0.001)。结论DPN患者双侧LSM与多个脑区FC异常,提示DPN可能对2型糖尿病患者维持运动和运动控制的脑区产生了广泛影响。 展开更多
关键词 糖尿病 2型 周围神经系统疾病 功能磁共振成像 感觉运动皮质 功能连接
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手脑感知运动联合定向药透对脑卒中后上肢功能恢复的影响
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作者 余荣景 王珊 +1 位作者 李蕴奕 尹俊雄 《中国实用神经疾病杂志》 2025年第10期1272-1277,共6页
目的观察手脑感知运动联合定向药透在脑卒中后上肢功能恢复中的应用效果。方法选取南京脑科医院2021-04—2024-03收治的脑卒中后上肢功能障碍患者150例,随机分为3组,均给予常规康复治疗,手脑感知运动组50例给予手脑感知运动,定向药透组5... 目的观察手脑感知运动联合定向药透在脑卒中后上肢功能恢复中的应用效果。方法选取南京脑科医院2021-04—2024-03收治的脑卒中后上肢功能障碍患者150例,随机分为3组,均给予常规康复治疗,手脑感知运动组50例给予手脑感知运动,定向药透组50例给予定向药透,联合组50例给予定向药透+手脑感知运动。比较3组Fugl-Meyer上肢运动评定子量表(FMA-UE)、手臂动作调查测试(ARAT)、改良Ashworth量表(MAS)、改良诺丁汉感觉功能评价量表(Em-NSA)、剪切波弹性成像(SWE)值(肱肌、肱桡肌、肱二头肌)、病情相关指标(浮肿指数、肌肉力量、骨骼肌指数)、NIHSS评分、Rivermead行为记忆能力测试(RBMT)评分及康复效果满意度。结果联合组治疗12周后FMA-UE、ARAT、Em-NSA、RBMT评分高于手脑感知运动组、定向药透组,手脑感知运动组高于定向药透组(P<0.05)。联合组治疗12周后MAS、NIHSS评分及肱肌、肱桡肌、肱二头肌SWE值低于手脑感知运动组、定向药透组,手脑感知运动组低于定向药透组(P<0.05)。联合组治疗12周后骨骼肌指数、肌肉力量大于定向药透组、手脑感知运动组,定向药透组大于手脑感知运动组,浮肿指数低于定向药透组、手脑感知运动组,定向药透组低于手脑感知运动组(P<0.05)。联合组康复效果满意度94.00%,高于手脑感知运动组的80.00%、定向药透组的74.00%(P<0.05)。结论手脑感知运动联合定向药透在脑卒中后上肢功能恢复中具有积极作用,同时可改善神经、行为记忆功能,患者满意度高。 展开更多
关键词 脑卒中 上肢功能障碍 手脑感知运动 定向药透 神经康复
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Anovel multi-dimensional features fusion algorithm for the EEG signal recognition of brain’s sensorimotor region activated tasks 被引量:1
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作者 Minghua Wei Feng Lin 《International Journal of Intelligent Computing and Cybernetics》 EI 2020年第2期239-260,共22页
Purpose-Aiming at the shortcomings of EEG signals generated by brain’s sensorimotor region activated tasks,such as poor performance,low efficiency and weak robustness,this paper proposes an EEG signals classification... Purpose-Aiming at the shortcomings of EEG signals generated by brain’s sensorimotor region activated tasks,such as poor performance,low efficiency and weak robustness,this paper proposes an EEG signals classification method based on multi-dimensional fusion features.Design/methodology/approach-First,the improved Morlet wavelet is used to extract the spectrum feature maps from EEG signals.Then,the spatial-frequency features are extracted from the PSD maps by using the three-dimensional convolutional neural networks(3DCNNs)model.Finally,the spatial-frequency features are incorporated to the bidirectional gated recurrent units(Bi-GRUs)models to extract the spatial-frequencysequential multi-dimensional fusion features for recognition of brain’s sensorimotor region activated task.Findings-In the comparative experiments,the data sets of motor imagery(MI)/action observation(AO)/action execution(AE)tasks are selected to test the classification performance and robustness of the proposed algorithm.In addition,the impact of extracted features on the sensorimotor region and the impact on the classification processing are also analyzed by visualization during experiments.Originality/value-The experimental results show that the proposed algorithm extracts the corresponding brain activation features for different action related tasks,so as to achieve more stable classification performance in dealing with AO/MI/AE tasks,and has the best robustness on EEGsignals of different subjects. 展开更多
关键词 Brain’s sensorimotor region activated tasks Brain-computer interface Morlet wavelet 3DCNNs model Bi-GRUs model
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圆桌诊疗模式联合感觉运动训练对精神分裂症巩固期病人认知功能及心理弹性的影响
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作者 吴瑜 林琪 沈娴婷 《全科护理》 2025年第5期871-875,共5页
目的:探讨圆桌诊疗模式联合感觉运动训练对精神分裂症巩固期病人认知功能及心理弹性的影响。方法:纳入并分析2021年3月—2022年2月在苏州市广济医院接受诊治的90例精神分裂症巩固治疗期病人,采用随机数字表法将其分为研究组和对照组,每... 目的:探讨圆桌诊疗模式联合感觉运动训练对精神分裂症巩固期病人认知功能及心理弹性的影响。方法:纳入并分析2021年3月—2022年2月在苏州市广济医院接受诊治的90例精神分裂症巩固治疗期病人,采用随机数字表法将其分为研究组和对照组,每组45例。对照组采用感觉运动训练干预,研究组同时联合圆桌诊疗模式干预,干预前、干预12周采用阳性和阴性症状量表(PANSS)、MATRICS共识认知成套测验(MCCB)、心理弹性量表(CD-RISC)分别评估两组病人的临床症状、认知功能及心理弹性。结果:干预后研究组病人PANSS评分低于对照组(P<0.05);干预后研究组病人MCCB量表中信息处理速度、词语学习、推理和问题解决、社会认知评分高于对照组(P<0.05);干预后两组病人CD-RISC评分相比干预前均升高,研究组评分高于对照组(P<0.05)。结论:采用圆桌诊疗模式联合感觉运动训练能促进精神分裂症巩固期病人症状康复,纠正认知障碍,还能提高病人心理弹性水平。 展开更多
关键词 精神分裂症 圆桌诊疗模式 感觉运动训练 心理弹性 认知功能
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基于家庭赋权的护理干预结合感觉运动训练对脑卒中恢复期患者肢体功能及康复锻炼积极性的影响
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作者 朱梦莹 汪进 《中国医学创新》 2025年第29期88-92,共5页
目的:分析脑卒中恢复期患者应用基于家庭赋权的护理干预结合感觉运动训练的价值。方法:选取南京医科大学附属南京医院2021年1月—2023年12月收治的100例脑卒中恢复期患者,按随机数字表法将其分为对照组(行基础护理)、观察组(行基于家庭... 目的:分析脑卒中恢复期患者应用基于家庭赋权的护理干预结合感觉运动训练的价值。方法:选取南京医科大学附属南京医院2021年1月—2023年12月收治的100例脑卒中恢复期患者,按随机数字表法将其分为对照组(行基础护理)、观察组(行基于家庭赋权的护理干预结合感觉运动训练),各50例。比较两组肢体功能评分、生活质量评分、负面情绪评分、康复积极性评分。结果:相比对照组,观察组护理后各肢体功能评分更优(P<0.05);相比对照组,观察组护理后各项生活质量评分更高(P<0.05);相比对照组,观察组护理后各负面情绪评分更低(P<0.05);相比对照组,观察组护理后各项康复积极性评分更优(P<0.05)。结论:脑卒中恢复期患者应用基于家庭赋权的护理干预结合感觉运动训练,能够提高护理效果,由被动转为主动锻炼,改善患者生活质量。 展开更多
关键词 脑卒中恢复期 家庭赋权 感觉运动训练 肢体功能 康复锻炼积极性
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全方位运动机能训练联合电动起立床对脑卒中偏瘫感觉运动功能障碍患者运动耐力、双足步态差异的影响
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作者 李苏珍 张海娜 +2 位作者 吴敏 王琳 苗晋军 《海南医学》 2025年第21期3077-3083,共7页
目的探讨全方位运动机能训练联合电动起立床对脑卒中偏瘫感觉运动功能障碍患者运动耐力和双足步态差异的影响。方法前瞻性选取2023年2月至2025年1月河南省荣军医院收治的100例脑卒中偏瘫感觉运动功能障碍患者作为研究对象,按随机数表法... 目的探讨全方位运动机能训练联合电动起立床对脑卒中偏瘫感觉运动功能障碍患者运动耐力和双足步态差异的影响。方法前瞻性选取2023年2月至2025年1月河南省荣军医院收治的100例脑卒中偏瘫感觉运动功能障碍患者作为研究对象,按随机数表法分为研究组和对照组,每组50例。对照组患者给予常规康复训练,研究组患者在对照组基础上给予全方位运动机能训练联合电动起立床训练,两组均训练3个月。比较两组患者训练前、训练3个月后(训练后)肢体功能[Fugl-Meyer运动功能评定量表(FMA)]、运动耐力[峰值摄氧量(VO_(2)peak)、无氧阈值(AT)、6 min步行距离(6MWD)]、双足步态差异、表面肌电值[腓肠肌、胫骨前肌、股四头肌表面肌电值(iEMG)]、平衡能力[Berg平衡量表(BBS)]、日常生活能力[Barthel指数(BI)]和生活质量[脑卒中生活质量量表(SSQOL)]。结果训练后研究组患者的上肢FMA评分、下肢FMA评分及FMA总分分别为(49.86±4.26)分、(27.63±1.06)分、(77.49±4.16)分,明显高于对照组的(43.57±3.91)分、(24.11±1.27)分、(67.68±6.33)分,差异均有统计学意义(P<0.05);训练后研究组患者的VO_(2)peak、AT、6MWD分别为(21.36±2.5)mL/(min·kg)、(14.16±0.47)mL/(min·kg)、(173.36±23.15)m,明显高(长)于对照组的(18.95±2.68)mL/(min·kg)、(13.05±0.39)mL/(min·kg)、(153.20±18.67)m,差异均有统计学意义(P<0.05);训练后研究组患者的双足步长、步幅差值分别为(2.13±0.63)cm、(1.02±0.35)cm,明显低于对照组的(4.75±1.03)cm、(4.78±0.78)cm,差异均有统计学意义(P<0.05);训练后研究组患者腓肠肌、胫骨前肌、股四头肌的iEMG值分别为(0.10±0.03)cm/s、(0.15±0.04)cm/s、(0.14±0.03)cm/s,明显高于对照组的(0.07±0.02)cm/s、(0.11±0.03)cm/s、(0.10±0.02)cm/s,差异均有统计学意义(P<0.05);训练后研究组患者的BBS、BI、SSQOL评分分别为(45.47±4.12)分、(75.36±7.16)分、(195.24±12.32)分,明显高于对照组的(40.39±3.85)分、(67.42±8.63)分、(173.02±10.57)分,差异均有统计学意义(P<0.05)。结论全方位运动机能训练联合电动起立床可改善脑卒中偏瘫感觉运动功能障碍患者肢体功能、平衡功能,减轻双足步态差异,增强运动耐力、肌力,提升患者日常生活能力及生活质量。 展开更多
关键词 脑卒中偏瘫 感觉运动功能障碍 全方位运动机能训练 电动起立床 运动耐力 双足步态差异
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从感觉运动理论到意识的重构
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作者 赵易 《科学技术哲学研究》 北大核心 2025年第1期17-22,共6页
感觉运动意识理论认为意识构成于我们的身体与世界相互作用的法则性的方式。在逐层拆解了其论证之后,我们提炼出它的三个重要理论特征:行动主义、动态主义,以及更具有辨识度的通则式特征:在人们与环境互动的方式中抽象出规律,从而得到... 感觉运动意识理论认为意识构成于我们的身体与世界相互作用的法则性的方式。在逐层拆解了其论证之后,我们提炼出它的三个重要理论特征:行动主义、动态主义,以及更具有辨识度的通则式特征:在人们与环境互动的方式中抽象出规律,从而得到一个关于感觉经验的产生的普遍法则。对普遍法则的注重使得感知运动理论对于实现这些法则的具体的物理基质并不看重。这意味着,这些法则和模式是多重可实现的、是可迁移的,甚至是可扩展、可改造的。我们将讨论这一特征在跨感官迁移、从人类意识到人工智能的意识的迁移、人类意识的扩展和重构这三个层面的运用。如此,通则式的感知运动理论不仅能为人类已然熟知的经验意识提供解释,还有希望能够解释在技术发展中将要被改变乃至重构的“意识”。 展开更多
关键词 感觉运动理论 生成主义 意识 通则式解释
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正念减压疗法联合感觉运动训练在精神分裂症康复期患者中的应用效果观察
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作者 杜小兰 《中国社区医师》 2025年第22期163-165,共3页
目的:分析正念减压疗法联合感觉运动训练在精神分裂症康复期患者中的应用效果。方法:选取2023年1月—2024年1月湖北科技学院附属第二医院精神科收治的精神分裂症患者88例作为观察对象,按照随机数字表法随机分为对照组(44例,开展常规护理... 目的:分析正念减压疗法联合感觉运动训练在精神分裂症康复期患者中的应用效果。方法:选取2023年1月—2024年1月湖北科技学院附属第二医院精神科收治的精神分裂症患者88例作为观察对象,按照随机数字表法随机分为对照组(44例,开展常规护理)、观察组(44例,采用正念减压疗法联合感觉运动训练)。对比两组心理状态、病耻感及生活质量。结果:干预后,两组焦虑自评量表、抑郁自评量表、贬低-歧视感知量表、精神分裂症患者生命质量量表评分均降低,且观察组比对照组低(P<0.05)。结论:精神分裂症康复期患者接受正念减压疗法联合感觉运动训练干预不仅能缓解负面情绪、降低病耻感,还能提高患者的生活质量。 展开更多
关键词 感觉运动训练 康复期 正念减压法 精神分裂症
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