Combining Action Observation Treatment with a Brain–Computer Interface System: Perspectives on Neurorehabilitation

Action observation treatment (AOT) exploits a neurophysiological mechanism, matching an observed action on the neural substrates where that action is motorically represented. This mechanism is also known as mirror mechanism. In a typical AOT session, one can distinguish an observation phase and an e...

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Main Authors: Fabio Rossi, Federica Savi, Andrea Prestia, Andrea Mongardi, Danilo Demarchi, Giovanni Buccino
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/21/24/8504
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author Fabio Rossi
Federica Savi
Andrea Prestia
Andrea Mongardi
Danilo Demarchi
Giovanni Buccino
author_facet Fabio Rossi
Federica Savi
Andrea Prestia
Andrea Mongardi
Danilo Demarchi
Giovanni Buccino
author_sort Fabio Rossi
collection DOAJ
description Action observation treatment (AOT) exploits a neurophysiological mechanism, matching an observed action on the neural substrates where that action is motorically represented. This mechanism is also known as mirror mechanism. In a typical AOT session, one can distinguish an observation phase and an execution phase. During the observation phase, the patient observes a daily action and soon after, during the execution phase, he/she is asked to perform the observed action at the best of his/her ability. Indeed, the execution phase may sometimes be difficult for those patients where motor impairment is severe. Although, in the current practice, the physiotherapist does not intervene on the quality of the execution phase, here, we propose a stimulation system based on neurophysiological parameters. This perspective article focuses on the possibility to combine AOT with a brain–computer interface system (BCI) that stimulates upper limb muscles, thus facilitating the execution of actions during a rehabilitation session. Combining a rehabilitation tool that is well-grounded in neurophysiology with a stimulation system, such as the one proposed, may improve the efficacy of AOT in the treatment of severe neurological patients, including stroke patients, Parkinson’s disease patients, and children with cerebral palsy.
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spelling doaj.art-25bb5519912f4432943825328a3723792023-11-23T10:32:25ZengMDPI AGSensors1424-82202021-12-012124850410.3390/s21248504Combining Action Observation Treatment with a Brain–Computer Interface System: Perspectives on NeurorehabilitationFabio Rossi0Federica Savi1Andrea Prestia2Andrea Mongardi3Danilo Demarchi4Giovanni Buccino5Department of Electronics and Telecommunications, Politecnico di Torino, 10129 Turin, ItalyFondazione Don Carlo Gnocchi, Piazzale dei Servi 3, 43100 Parma, ItalyDepartment of Electronics and Telecommunications, Politecnico di Torino, 10129 Turin, ItalyDepartment of Electronics and Telecommunications, Politecnico di Torino, 10129 Turin, ItalyDepartment of Electronics and Telecommunications, Politecnico di Torino, 10129 Turin, ItalyDivision of Neuroscience, IRCCS San Raffaele Scientific Institute, University San Raffaele, Via Olgettina 60, 20132 Milan, ItalyAction observation treatment (AOT) exploits a neurophysiological mechanism, matching an observed action on the neural substrates where that action is motorically represented. This mechanism is also known as mirror mechanism. In a typical AOT session, one can distinguish an observation phase and an execution phase. During the observation phase, the patient observes a daily action and soon after, during the execution phase, he/she is asked to perform the observed action at the best of his/her ability. Indeed, the execution phase may sometimes be difficult for those patients where motor impairment is severe. Although, in the current practice, the physiotherapist does not intervene on the quality of the execution phase, here, we propose a stimulation system based on neurophysiological parameters. This perspective article focuses on the possibility to combine AOT with a brain–computer interface system (BCI) that stimulates upper limb muscles, thus facilitating the execution of actions during a rehabilitation session. Combining a rehabilitation tool that is well-grounded in neurophysiology with a stimulation system, such as the one proposed, may improve the efficacy of AOT in the treatment of severe neurological patients, including stroke patients, Parkinson’s disease patients, and children with cerebral palsy.https://www.mdpi.com/1424-8220/21/24/8504action observation treatmentbrain–computer interfacefunctional electrical stimulationmirror mechanismneurorehabilitation
spellingShingle Fabio Rossi
Federica Savi
Andrea Prestia
Andrea Mongardi
Danilo Demarchi
Giovanni Buccino
Combining Action Observation Treatment with a Brain–Computer Interface System: Perspectives on Neurorehabilitation
Sensors
action observation treatment
brain–computer interface
functional electrical stimulation
mirror mechanism
neurorehabilitation
title Combining Action Observation Treatment with a Brain–Computer Interface System: Perspectives on Neurorehabilitation
title_full Combining Action Observation Treatment with a Brain–Computer Interface System: Perspectives on Neurorehabilitation
title_fullStr Combining Action Observation Treatment with a Brain–Computer Interface System: Perspectives on Neurorehabilitation
title_full_unstemmed Combining Action Observation Treatment with a Brain–Computer Interface System: Perspectives on Neurorehabilitation
title_short Combining Action Observation Treatment with a Brain–Computer Interface System: Perspectives on Neurorehabilitation
title_sort combining action observation treatment with a brain computer interface system perspectives on neurorehabilitation
topic action observation treatment
brain–computer interface
functional electrical stimulation
mirror mechanism
neurorehabilitation
url https://www.mdpi.com/1424-8220/21/24/8504
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