A Method for Using Video Presentation to Increase Cortical Region Activity during Motor Imagery Tasks in Stroke Patients

Previous studies have reported that stroke patients have difficulty recalling the motor imagery (MI) of a task, also known as MI vividness. Research on combining MI with action observation is gaining importance as a method to improve MI vividness. We enrolled 10 right-handed stroke patients and comp...

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Main Authors: Kengo Fujiwara, Rikako Shimoda, Masatomo Shibata, Yoshinaga Awano, Koji Shibayama, Toshio Higashi
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/1/29
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author Kengo Fujiwara
Rikako Shimoda
Masatomo Shibata
Yoshinaga Awano
Koji Shibayama
Toshio Higashi
author_facet Kengo Fujiwara
Rikako Shimoda
Masatomo Shibata
Yoshinaga Awano
Koji Shibayama
Toshio Higashi
author_sort Kengo Fujiwara
collection DOAJ
description Previous studies have reported that stroke patients have difficulty recalling the motor imagery (MI) of a task, also known as MI vividness. Research on combining MI with action observation is gaining importance as a method to improve MI vividness. We enrolled 10 right-handed stroke patients and compared MI vividness and cortical activity under different presentation methods (no inverted image, inverted image of another individual’s hand, and an inverted image of the patient’s nonparalyzed hand) using near-infrared spectroscopy. Images of the nonparalyzed upper limb were inverted to make the paralyzed upper limb appear as if it were moving. Three tasks (non inverted image, AO + MI (other hand), AO + MI (own hand)) were randomly performed on 10 stroke patients. MI vividness was significantly higher when the inverted image of the nonparalyzed upper limb was presented compared to the other conditions (<i>p</i> < 0.01). The activity of the cortical regions was also significantly enhanced (<i>p</i> < 0.01). Our study highlights the potential application of inverted images of a stroke patient’s own nonparalyzed hand in mental practice to promote the motor recovery of stroke patients. This technique achieved higher levels of MI vividness and cortical activity when performing motor tasks.
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spelling doaj.art-1381056864564f42bad0587caa8fdb382023-11-30T21:26:35ZengMDPI AGBrain Sciences2076-34252022-12-011312910.3390/brainsci13010029A Method for Using Video Presentation to Increase Cortical Region Activity during Motor Imagery Tasks in Stroke PatientsKengo Fujiwara0Rikako Shimoda1Masatomo Shibata2Yoshinaga Awano3Koji Shibayama4Toshio Higashi5Medical Corporation Zeshinkai Nagasaki Rehabilitation Hospital, Ginya, Nagasaki 850-0854, JapanMedical Corporation Zeshinkai Home Rehabilitation Center Ginya, Ginya, Nagasaki 850-0854, JapanMedical Corporation Zeshinkai Nagasaki Rehabilitation Hospital, Ginya, Nagasaki 850-0854, JapanMedical Corporation Zeshinkai Nagasaki Rehabilitation Hospital, Ginya, Nagasaki 850-0854, JapanMedical Corporation Zeshinkai Nagasaki Rehabilitation Hospital, Ginya, Nagasaki 850-0854, JapanGraduate School of Biomedical Sciences, Nagasaki University, Sakamoto, Nagasaki 852-8520, JapanPrevious studies have reported that stroke patients have difficulty recalling the motor imagery (MI) of a task, also known as MI vividness. Research on combining MI with action observation is gaining importance as a method to improve MI vividness. We enrolled 10 right-handed stroke patients and compared MI vividness and cortical activity under different presentation methods (no inverted image, inverted image of another individual’s hand, and an inverted image of the patient’s nonparalyzed hand) using near-infrared spectroscopy. Images of the nonparalyzed upper limb were inverted to make the paralyzed upper limb appear as if it were moving. Three tasks (non inverted image, AO + MI (other hand), AO + MI (own hand)) were randomly performed on 10 stroke patients. MI vividness was significantly higher when the inverted image of the nonparalyzed upper limb was presented compared to the other conditions (<i>p</i> < 0.01). The activity of the cortical regions was also significantly enhanced (<i>p</i> < 0.01). Our study highlights the potential application of inverted images of a stroke patient’s own nonparalyzed hand in mental practice to promote the motor recovery of stroke patients. This technique achieved higher levels of MI vividness and cortical activity when performing motor tasks.https://www.mdpi.com/2076-3425/13/1/29motor imagery vividnessinverse videonear-infrared spectroscopystroke
spellingShingle Kengo Fujiwara
Rikako Shimoda
Masatomo Shibata
Yoshinaga Awano
Koji Shibayama
Toshio Higashi
A Method for Using Video Presentation to Increase Cortical Region Activity during Motor Imagery Tasks in Stroke Patients
Brain Sciences
motor imagery vividness
inverse video
near-infrared spectroscopy
stroke
title A Method for Using Video Presentation to Increase Cortical Region Activity during Motor Imagery Tasks in Stroke Patients
title_full A Method for Using Video Presentation to Increase Cortical Region Activity during Motor Imagery Tasks in Stroke Patients
title_fullStr A Method for Using Video Presentation to Increase Cortical Region Activity during Motor Imagery Tasks in Stroke Patients
title_full_unstemmed A Method for Using Video Presentation to Increase Cortical Region Activity during Motor Imagery Tasks in Stroke Patients
title_short A Method for Using Video Presentation to Increase Cortical Region Activity during Motor Imagery Tasks in Stroke Patients
title_sort method for using video presentation to increase cortical region activity during motor imagery tasks in stroke patients
topic motor imagery vividness
inverse video
near-infrared spectroscopy
stroke
url https://www.mdpi.com/2076-3425/13/1/29
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