Cortical plasticity after hand prostheses use: Is the hypothesis of deafferented cortex “invasion” always true?
•The invasion and persistence of deafferented cortex after amputation coexist.•The target is essential for investigating motor brain plasticity in amputees.•This study boosts against a direct role of motor cortical changes on PLP genesis. To study motor cortex plasticity after a period of training w...
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| Vydáno v: | Clinical neurophysiology Ročník 131; číslo 10; s. 2341 - 2348 |
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| Hlavní autoři: | , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Netherlands
Elsevier B.V
01.10.2020
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| ISSN: | 1388-2457, 1872-8952, 1872-8952 |
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| Abstract | •The invasion and persistence of deafferented cortex after amputation coexist.•The target is essential for investigating motor brain plasticity in amputees.•This study boosts against a direct role of motor cortical changes on PLP genesis.
To study motor cortex plasticity after a period of training with a new prototype of bidirectional hand prosthesis in three left trans-radial amputees, correlating these changes with the modification of Phantom Limb Pain (PLP) in the same period.
Each subject underwent a brain motor mapping with Transcranial Magnetic Stimulation (TMS) and PLP evaluation with questionnaires during a six-month training with a prototype of bidirectional hand prosthesis.
The baseline motor maps showed in all three amputees a smaller area of muscles representation of the amputated side compared to the intact limb. After training, there was a partial reversal of the baseline asymmetry. The two subjects affected by PLP experienced a statistically significant reduction of pain.
Two apparently opposite findings, the invasion of the “deafferented” cortex by neighbouring areas and the “persistence” of neural structures after amputation, could vary according to different target used for measurement. Our results do not support a correlation between PLP and motor cortical changes.
The selection of the target and of the task is essential for studies investigating motor brain plasticity. This study boosts against a direct and unique role of motor cortical changes on PLP genesis. |
|---|---|
| AbstractList | To study motor cortex plasticity after a period of training with a new prototype of bidirectional hand prosthesis in three left trans-radial amputees, correlating these changes with the modification of Phantom Limb Pain (PLP) in the same period.OBJECTIVETo study motor cortex plasticity after a period of training with a new prototype of bidirectional hand prosthesis in three left trans-radial amputees, correlating these changes with the modification of Phantom Limb Pain (PLP) in the same period.Each subject underwent a brain motor mapping with Transcranial Magnetic Stimulation (TMS) and PLP evaluation with questionnaires during a six-month training with a prototype of bidirectional hand prosthesis.METHODSEach subject underwent a brain motor mapping with Transcranial Magnetic Stimulation (TMS) and PLP evaluation with questionnaires during a six-month training with a prototype of bidirectional hand prosthesis.The baseline motor maps showed in all three amputees a smaller area of muscles representation of the amputated side compared to the intact limb. After training, there was a partial reversal of the baseline asymmetry. The two subjects affected by PLP experienced a statistically significant reduction of pain.RESULTSThe baseline motor maps showed in all three amputees a smaller area of muscles representation of the amputated side compared to the intact limb. After training, there was a partial reversal of the baseline asymmetry. The two subjects affected by PLP experienced a statistically significant reduction of pain.Two apparently opposite findings, the invasion of the "deafferented" cortex by neighbouring areas and the "persistence" of neural structures after amputation, could vary according to different target used for measurement. Our results do not support a correlation between PLP and motor cortical changes.CONCLUSIONSTwo apparently opposite findings, the invasion of the "deafferented" cortex by neighbouring areas and the "persistence" of neural structures after amputation, could vary according to different target used for measurement. Our results do not support a correlation between PLP and motor cortical changes.The selection of the target and of the task is essential for studies investigating motor brain plasticity. This study boosts against a direct and unique role of motor cortical changes on PLP genesis.SIGNIFICANCEThe selection of the target and of the task is essential for studies investigating motor brain plasticity. This study boosts against a direct and unique role of motor cortical changes on PLP genesis. •The invasion and persistence of deafferented cortex after amputation coexist.•The target is essential for investigating motor brain plasticity in amputees.•This study boosts against a direct role of motor cortical changes on PLP genesis. To study motor cortex plasticity after a period of training with a new prototype of bidirectional hand prosthesis in three left trans-radial amputees, correlating these changes with the modification of Phantom Limb Pain (PLP) in the same period. Each subject underwent a brain motor mapping with Transcranial Magnetic Stimulation (TMS) and PLP evaluation with questionnaires during a six-month training with a prototype of bidirectional hand prosthesis. The baseline motor maps showed in all three amputees a smaller area of muscles representation of the amputated side compared to the intact limb. After training, there was a partial reversal of the baseline asymmetry. The two subjects affected by PLP experienced a statistically significant reduction of pain. Two apparently opposite findings, the invasion of the “deafferented” cortex by neighbouring areas and the “persistence” of neural structures after amputation, could vary according to different target used for measurement. Our results do not support a correlation between PLP and motor cortical changes. The selection of the target and of the task is essential for studies investigating motor brain plasticity. This study boosts against a direct and unique role of motor cortical changes on PLP genesis. To study motor cortex plasticity after a period of training with a new prototype of bidirectional hand prosthesis in three left trans-radial amputees, correlating these changes with the modification of Phantom Limb Pain (PLP) in the same period. Each subject underwent a brain motor mapping with Transcranial Magnetic Stimulation (TMS) and PLP evaluation with questionnaires during a six-month training with a prototype of bidirectional hand prosthesis. The baseline motor maps showed in all three amputees a smaller area of muscles representation of the amputated side compared to the intact limb. After training, there was a partial reversal of the baseline asymmetry. The two subjects affected by PLP experienced a statistically significant reduction of pain. Two apparently opposite findings, the invasion of the "deafferented" cortex by neighbouring areas and the "persistence" of neural structures after amputation, could vary according to different target used for measurement. Our results do not support a correlation between PLP and motor cortical changes. The selection of the target and of the task is essential for studies investigating motor brain plasticity. This study boosts against a direct and unique role of motor cortical changes on PLP genesis. Highlights•The invasion and persistence of deafferented cortex after amputation coexist. •The target is essential for investigating motor brain plasticity in amputees. •This study boosts against a direct role of motor cortical changes on PLP genesis. |
| Author | Strauss, I. Valle, G. Lauretti, L. Rossini, P.M. D'anna, E. Iberite, F. Stieglitz, T. Di Iorio, R. Raspopovic, S. Petrini, F.M. Romanello, R. Granata, G. Calabresi, P. Micera, S. Iodice, F. Fernandez, E. |
| Author_xml | – sequence: 1 givenname: G. surname: Granata fullname: Granata, G. email: giuseppe.granata@policlinicogemelli.it organization: Area of Neuroscience, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy – sequence: 2 givenname: G. surname: Valle fullname: Valle, G. organization: The Biorobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy – sequence: 3 givenname: R. surname: Di Iorio fullname: Di Iorio, R. organization: Area of Neuroscience, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy – sequence: 4 givenname: F. surname: Iodice fullname: Iodice, F. organization: Area of Neuroscience, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy – sequence: 5 givenname: F.M. surname: Petrini fullname: Petrini, F.M. organization: Bertarelli Foundation Chair in Translational Neural Engineering. Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland – sequence: 6 givenname: I. surname: Strauss fullname: Strauss, I. organization: The Biorobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy – sequence: 7 givenname: E. surname: D'anna fullname: D'anna, E. organization: Bertarelli Foundation Chair in Translational Neural Engineering. Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland – sequence: 8 givenname: F. surname: Iberite fullname: Iberite, F. organization: The Biorobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy – sequence: 9 givenname: L. surname: Lauretti fullname: Lauretti, L. organization: Institute of Neurosurgery, Catholic University of The Sacred Heart, Roma, Italy – sequence: 10 givenname: E. surname: Fernandez fullname: Fernandez, E. organization: Institute of Neurosurgery, Catholic University of The Sacred Heart, Roma, Italy – sequence: 11 givenname: R. surname: Romanello fullname: Romanello, R. organization: Area of Neuroscience, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy – sequence: 12 givenname: T. surname: Stieglitz fullname: Stieglitz, T. organization: Laboratory for Biomedical Microtechnology, Department of Microsystems Engineering–IMTEK, Bernstein Center Freiburg and BrainLinks-BrainTools Center, University of Freiburg, Freiburg, Germany – sequence: 13 givenname: S. surname: Raspopovic fullname: Raspopovic, S. organization: Bertarelli Foundation Chair in Translational Neural Engineering. Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland – sequence: 14 givenname: P. surname: Calabresi fullname: Calabresi, P. organization: Area of Neuroscience, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy – sequence: 15 givenname: S. surname: Micera fullname: Micera, S. organization: The Biorobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy – sequence: 16 givenname: P.M. surname: Rossini fullname: Rossini, P.M. organization: Department of Neuroscience, San Raffaele Pisana IRCCS, Rome, Italy |
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| CitedBy_id | crossref_primary_10_3390_prosthesis6010001 crossref_primary_10_1167_iovs_63_11_11 crossref_primary_10_1016_j_clinph_2022_04_001 crossref_primary_10_3389_fmedt_2021_619280 |
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| Keywords | Hand amputation Brain plasticity Motor map Bidirectional hand prosthesis Phantom limb pain Robotic hand |
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| Snippet | •The invasion and persistence of deafferented cortex after amputation coexist.•The target is essential for investigating motor brain plasticity in... Highlights•The invasion and persistence of deafferented cortex after amputation coexist. •The target is essential for investigating motor brain plasticity in... To study motor cortex plasticity after a period of training with a new prototype of bidirectional hand prosthesis in three left trans-radial amputees,... |
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| SubjectTerms | Bidirectional hand prosthesis Brain plasticity Hand amputation Motor map Neurology Phantom limb pain Robotic hand |
| Title | Cortical plasticity after hand prostheses use: Is the hypothesis of deafferented cortex “invasion” always true? |
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