Phantom Limbs, Neuroprosthetics, and the Developmental Origins of Embodiment.

Phantom Limbs, Neuroprosthetics, and the Developmental Origins of Embodiment.
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DOI:
10.1016/j.tins.2017.07.003
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发表时间:
2017-10
影响因子:
15.9
通讯作者:
Dooley JC
Dooley JC
中科院分区:
医学1区
文献类型:
--
作者:
Blumberg MS;Dooley JC

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截肢者如果想摆脱幻肢,就必须削弱对缺失肢体的神经表征。相反,希望替换失去肢体的截肢者必须将神经假体与现有的神经表示同化。无论我们是希望移除幻肢还是同化合成的幻肢,我们都将受益于更多地了解实现化身的发育过程。一个潜在的关键因素是自发活动-以肢体抽搐的形式-只发生在活跃(REM)睡眠期间,这是早期发育中特别突出的状态。由抽搐的肢体激活的感觉运动回路,以及激活发生的发育背景,可以为创造感觉好像是身体一部分的神经假肢提供路线图。
Amputees who wish to rid themselves of a phantom limb must weaken the neural representation of the absent limb. Conversely, amputees who wish to replace a lost limb must assimilate a neuroprosthetic with the existing neural representation. Whether we wish to remove a phantom limb or assimilate a synthetic one, we will benefit from knowing more about the developmental process that enables embodiment. A potentially critical contributor to that process is the spontaneous activity—in the form of limb twitches—that occurs exclusively and abundantly during active (REM) sleep, a particularly prominent state in early development. The sensorimotor circuits activated by twitching limbs, and the developmental context in which activation occurs, could provide a roadmap for creating neuroprosthetics that feel as if they are part of the body.
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