EEG measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsy

Dystonia is a disorder of sensorimotor integration associated with abnormal oscillatory activity within the basal ganglia-thalamo-cortical networks. Event-related changes in spectral EEG activity reflect cortical processing but are sparsely investigated in relation to sensorimotor processing in dyst...

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Main Authors: McClelland, VM, Fischer, P, Foddai, E, Dall'Orso, S, Burdet, E, Brown, P, Lin, J-P
Format: Journal article
Language:English
Published: Elsevier 2021
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author McClelland, VM
Fischer, P
Foddai, E
Dall'Orso, S
Burdet, E
Brown, P
Lin, J-P
author_facet McClelland, VM
Fischer, P
Foddai, E
Dall'Orso, S
Burdet, E
Brown, P
Lin, J-P
author_sort McClelland, VM
collection OXFORD
description Dystonia is a disorder of sensorimotor integration associated with abnormal oscillatory activity within the basal ganglia-thalamo-cortical networks. Event-related changes in spectral EEG activity reflect cortical processing but are sparsely investigated in relation to sensorimotor processing in dystonia. This study investigates modulation of sensorimotor cortex EEG activity in response to a proprioceptive stimulus in children with dystonia and dystonic cerebral palsy (CP).<br> Proprioceptive stimuli, comprising brief stretches of the wrist flexors, were delivered via a robotic wrist interface to 30 young people with dystonia (20 isolated genetic/idiopathic and 10 dystonic CP) and 22 controls (mean age 12.7 years). Scalp EEG was recorded using the 10–20 international system and the relative change in post-stimulus power with respect to baseline was calculated for the alpha (8–12 Hz) and beta (14–30 Hz) frequency bands. <br> A clear developmental profile in event-related spectral changes was seen in controls. Controls showed a prominent early alpha/mu band event-related desynchronisation (ERD) followed by an event-related synchronisation (ERS) over the contralateral sensorimotor cortex following movement of either hand. The alpha ERD was significantly smaller in the dystonia groups for both dominant and non-dominant hand movement (ANCOVA across the 3 groups with age as covariate: dominant hand F(2,47) = 4.45 p = 0.017; non-dominant hand F(2,42) = 9.397 p < 0.001. Alpha ERS was significantly smaller in dystonia for the dominant hand (ANCOVA F(2,47) = 7.786 p = 0.001). There was no significant difference in ERD or ERS between genetic/idiopathic dystonia and dystonic CP.<br> Conclusion<br> Modulation of alpha/mu activity by a proprioceptive stimulus is reduced in dystonia, demonstrating a developmental abnormality of sensorimotor processing which is common to isolated genetic/idiopathic and acquired dystonia/dystonic CP.
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spelling oxford-uuid:eb186ca8-ef6b-4d98-9636-953c89ebb2d92022-03-27T11:07:11ZEEG measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:eb186ca8-ef6b-4d98-9636-953c89ebb2d9EnglishSymplectic ElementsElsevier2021McClelland, VMFischer, PFoddai, EDall'Orso, SBurdet, EBrown, PLin, J-PDystonia is a disorder of sensorimotor integration associated with abnormal oscillatory activity within the basal ganglia-thalamo-cortical networks. Event-related changes in spectral EEG activity reflect cortical processing but are sparsely investigated in relation to sensorimotor processing in dystonia. This study investigates modulation of sensorimotor cortex EEG activity in response to a proprioceptive stimulus in children with dystonia and dystonic cerebral palsy (CP).<br> Proprioceptive stimuli, comprising brief stretches of the wrist flexors, were delivered via a robotic wrist interface to 30 young people with dystonia (20 isolated genetic/idiopathic and 10 dystonic CP) and 22 controls (mean age 12.7 years). Scalp EEG was recorded using the 10–20 international system and the relative change in post-stimulus power with respect to baseline was calculated for the alpha (8–12 Hz) and beta (14–30 Hz) frequency bands. <br> A clear developmental profile in event-related spectral changes was seen in controls. Controls showed a prominent early alpha/mu band event-related desynchronisation (ERD) followed by an event-related synchronisation (ERS) over the contralateral sensorimotor cortex following movement of either hand. The alpha ERD was significantly smaller in the dystonia groups for both dominant and non-dominant hand movement (ANCOVA across the 3 groups with age as covariate: dominant hand F(2,47) = 4.45 p = 0.017; non-dominant hand F(2,42) = 9.397 p < 0.001. Alpha ERS was significantly smaller in dystonia for the dominant hand (ANCOVA F(2,47) = 7.786 p = 0.001). There was no significant difference in ERD or ERS between genetic/idiopathic dystonia and dystonic CP.<br> Conclusion<br> Modulation of alpha/mu activity by a proprioceptive stimulus is reduced in dystonia, demonstrating a developmental abnormality of sensorimotor processing which is common to isolated genetic/idiopathic and acquired dystonia/dystonic CP.
spellingShingle McClelland, VM
Fischer, P
Foddai, E
Dall'Orso, S
Burdet, E
Brown, P
Lin, J-P
EEG measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsy
title EEG measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsy
title_full EEG measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsy
title_fullStr EEG measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsy
title_full_unstemmed EEG measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsy
title_short EEG measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsy
title_sort eeg measures of sensorimotor processing and their development are abnormal in children with isolated dystonia and dystonic cerebral palsy
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