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EEG Markers of the Stabilotraining Effect during the Rehabilitation of Patients with Posttraumatic Korsakoff's Syndrome

机译:脑卒中后Korsakoff综合征患者康复过程中的稳定脑电标志物

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摘要

Nine patients with posttraumatic Korsakoff syndrome (KS) were examined before and after a rehabilitation course of feedback stability training (ST) using EEG, posturographic and clinical tests (with the FIM and Mayo Portland scales used for estimation). During 7 to 12 sessions, the patients tried to perform static and motor tasks. A group of 18 healthy subjects were examined to provide standard parameters. The results demonstrated a disturbed spatiotemporal EEG pattern in patients with KS before ST in the form of a reduced coherence for short derivation pairs (intrahemispheric, interhemispheric, and diagonal ones) in frontal and parietooc-cipital areas. Analysis of specific EEG rhythms demonstrated the maximum decrease in coherence in the a band (with the aforementioned regional specificity) and for long diagonal pairs (between the left frontal and right parietooccipital areas). The ST course was accompanied by KS regression (according to clinical scales and posturographic study); an original increase in EEG coherence, especially that of a waves, was recorded in the occipitoparietal and central frontal areas of the right hemisphere; a subsequent increase in coherence of the frontal areas in both hemispheres was observed. Late after the ST course, further positive changes were characteristic of the EEG spatiotemporal pattern. However, comparison with standard data suggested incomplete recovery of various coherence parameters: hypertrophied coherence in intrahemispheric pairs and still reduced values in interhemispheric derivations. This EEG pattern suggested incomplete KS regression, which was confirmed by clinical data.
机译:使用脑电图,体位图和临床测试(使用FIM和Mayo Portland量表进行评估)对9名创伤后Korsakoff综合征(KS)的患者进行反馈稳定性培训(ST)康复过程的前后。在7至12个疗程中,患者尝试执行静态和运动任务。检查了一组18名健康受试者以提供标准参数。结果表明,在ST患者之前,KS患者的时空脑电图模式受到干扰,其形式为额叶和顶枕区的短导数对(半球,半球和对角线)的相干性降低。对特定脑电节律的分析表明,在一个频段(具有上述区域特异性)和长对角线对(在左额叶和右顶枕区之间),相干性的最大降低。 ST课程伴随KS回归(根据临床量表和体位学研究);在右半球的枕顶和中央额叶区域记录到脑电波连贯性的原始增加,尤其是波浪的连贯性;随后观察到两个半球的额叶区域的连贯性增加。在ST疗程结束后,脑电时空模式的特征是进一步的积极变化。但是,与标准数据进行比较表明,各种相干参数的恢复不完全:半球内对的肥大相干,而半球间导数的值仍降低。这种脑电图模式提示KS回归不完全,这已被临床数据证实。

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  • 来源
    《Human physiology》 |2009年第2期|142-151|共10页
  • 作者单位

    Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, 117485 Moscow;

    Burdenko Institute of Neurosurgery, Russian Academy of Medical Sciences, 125047 Moscow;

    Burdenko Institute of Neurosurgery, Russian Academy of Medical Sciences, 125047 Moscow;

    Burdenko Institute of Neurosurgery, Russian Academy of Medical Sciences, 125047 Moscow;

    Burdenko Institute of Neurosurgery, Russian Academy of Medical Sciences, 125047 Moscow;

    Burdenko Institute of Neurosurgery, Russian Academy of Medical Sciences, 125047 Moscow;

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