Neural Basis and Motor Imagery Intervention Methodology Based on Neuroimaging Studies in Children With Developmental Coordination Disorders: A Review.
Neural Basis and Motor Imagery Intervention Methodology Based on Neuroimaging Studies in Children With Developmental Coordination Disorders: A Review.
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基于发育协调障碍儿童的神经成像研究的神经基础和运动意象干预方法：综述。
DOI：
10.3389/fnhum.2021.620599
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发表时间：
2021
影响因子：
2.9
通讯作者：
Liang N
中科院分区：
文献类型：
--
作者：
Irie K;Matsumoto A;Zhao S;Kato T;Liang N
虽然与发育性协调障碍（DCD）儿童运动障碍相关的大脑神经基础越来越清楚，但由于缺乏广泛的脑功能研究，信息还不充分。因此，针对脑功能的有效干预方法存在争议。运动障碍的康复技术之一涉及使用运动想象（MI）的干预。MI常用于运动障碍，但大多数研究涉及成人和健康儿童，尚未详细研究DCD儿童的MI方法。因此，我们进行了一项综述，以阐明使用MI对患有DCD的儿童进行干预的方法学的神经科学基础。神经影像学审查包括20项磁共振成像研究，神经康复审查包括4项MI干预研究。除了以前报道的神经基础，我们的研究结果表明，减少活动的双侧丘脑，减少连接的感觉运动皮层和左后颞中回，双侧后扣带皮层，楔前叶，小脑和基底神经节，在上述领域的连接优势的损失。此外，在DCD中发现右侧上级额回和额中回的灰质体积减少，各向异性分数降低，以及白色物质通路区域的轴向扩散率。结果发现，DCD患儿的左脑激活较少，尤其是具有镜像神经元系统（MNS）和感觉统合功能的儿童。相反，右脑视觉空间处理的重要区域被激活。关于MI方法的特点是儿童在干预前观看与运动技能相关的视频。此外，他们在MI训练课程之前执行视觉运动任务。在MI期间添加动作观察激活MNS，并且执行视觉运动任务激活基底神经节。这些方法可以改善患有DCD的儿童的失活大脑区域，并且可以在开始训练之前作为条件反射。此外，我们提出了一个过程中分享MI的内容与治疗师的语言和确定运动策略。
Although the neural bases of the brain associated with movement disorders in children with developmental coordination disorder (DCD) are becoming clearer, the information is not sufficient because of the lack of extensive brain function research. Therefore, it is controversial about effective intervention methods focusing on brain function. One of the rehabilitation techniques for movement disorders involves intervention using motor imagery (MI). MI is often used for movement disorders, but most studies involve adults and healthy children, and the MI method for children with DCD has not been studied in detail. Therefore, a review was conducted to clarify the neuroscientific basis of the methodology of intervention using MI for children with DCD. The neuroimaging review included 20 magnetic resonance imaging studies, and the neurorehabilitation review included four MI intervention studies. In addition to previously reported neural bases, our results indicate decreased activity of the bilateral thalamus, decreased connectivity of the sensory-motor cortex and the left posterior middle temporal gyrus, bilateral posterior cingulate cortex, precuneus, cerebellum, and basal ganglia, loss of connectivity superiority in the abovementioned areas. Furthermore, reduction of gray matter volume in the right superior frontal gyrus and middle frontal gyrus, lower fractional anisotropy, and axial diffusivity in regions of white matter pathways were found in DCD. As a result of the review, children with DCD had less activation of the left brain, especially those with mirror neurons system (MNS) and sensory integration functions. On the contrary, the area important for the visual space processing of the right brain was activated. Regarding of characteristic of the MI methods was that children observed a video related to motor skills before the intervention. Also, they performed visual-motor tasks before MI training sessions. Adding action observation during MI activates the MNS, and performing visual-motor tasks activates the basal ganglia. These methods may improve the deactivated brain regions of children with DCD and may be useful as conditioning before starting training. Furthermore, we propose a process for sharing the contents of MI with the therapist in language and determining exercise strategies.
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影响因子：
5.7
作者：
Bzdok D;Heeger A;Langner R;Laird AR;Fox PT;Palomero-Gallagher N;Vogt BA;Zilles K;Eickhoff SB
通讯作者：
Eickhoff SB
影响因子：
3.8
作者：
Blank, Rainer;Barnett, Anna L.;Vincon, Sabine
通讯作者：
Vincon, Sabine
影响因子：
13.8
作者：
Brown-Lum, Meisan;Izadi-Najafabadi, Sara;Zwicker, Jill G.
通讯作者：
Zwicker, Jill G.
影响因子：
2.6
作者：
Adams, Imke L. J.;Steenbergen, Bert;Smits-Engelsman, Bouwien C. M.
通讯作者：
Smits-Engelsman, Bouwien C. M.
影响因子：
3.7
作者：
Caeyenberghs, Karen;Taymans, Tom;van Waelvelde, Hilde
通讯作者：
van Waelvelde, Hilde