Alteration in Resting-State Brain Activity in Stroke Survivors After Repetitive Finger Stimulation.

Am J Phys Med Rehabil

From the University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma (DH); University of Oklahoma, Stephenson School of Biomedical Engineering, Norman, Oklahoma (WAS); University of Oklahoma Health Sciences Center, Hudson College of Public Health, Oklahoma City, Oklahoma (SAJ); Department of Bioengineering, University of Illinois Urbana-Champaign, Urbana, Illinois (JNW, YY); Department of Rehabilitation Sciences, University of Oklahoma Health Sciences Center, Tulsa, Oklahoma (LVL, CFC, YY); Department of Neurology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (ES); Department of Physical Medicine and Rehabilitation, UT Health Huston McGovern Medical School, Houston, Texas (SL); Clinical Imaging Research Center, Stephenson Family Clinical Research Institute, Carle Foundation Hospital, Urbana, Illinois (YY); Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Urbana, Illinois (YY); and Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois (YY).

Published: May 2024

AI Article Synopsis

  • The study investigated how repetitive finger stimulation affects brain activity in stroke patients compared to healthy controls using electroencephalogram measurements.
  • After applying electrical stimulation to the fingers, significant improvements in brain activity metrics were observed only in the stroke group, indicating a reduction in specific brainwave ratios.
  • These findings suggest that this form of stimulation could potentially lead to new therapeutic approaches for enhancing recovery in stroke patients.

Article Abstract

Objective: This quasi-experimental study examined the effect of repetitive finger stimulation on brain activation in eight stroke and seven control subjects, measured by quantitative electroencephalogram.

Methods: We applied 5 mins of 2-Hz repetitive bilateral index finger transcutaneous electrical nerve stimulation and compared differences pre- and post-transcutaneous electrical nerve stimulation using quantitative electroencephalogram metrics delta/alpha ratio and delta-theta/alpha-beta ratio.

Results: Between-group differences before and after stimulation were significantly different in the delta/alpha ratio ( z = -2.88, P = 0.0040) and the delta-theta/alpha-beta ratio variables ( z = -3.90 with P < 0.0001). Significant decrease in the delta/alpha ratio and delta-theta/alpha-beta ratio variables after the transcutaneous electrical nerve stimulation was detected only in the stroke group (delta/alpha ratio diff = 3.87, P = 0.0211) (delta-theta/alpha-beta ratio diff = 1.19, P = 0.0074).

Conclusions: The decrease in quantitative electroencephalogram metrics in the stroke group may indicate improved brain activity after transcutaneous electrical nerve stimulation. This finding may pave the way for a future novel therapy based on transcutaneous electrical nerve stimulation and quantitative electroencephalogram measures to improve brain recovery after stroke.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11031333PMC
http://dx.doi.org/10.1097/PHM.0000000000002393DOI Listing

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