Cortex Changes in Real/Imagined Movement in ALS

ALS 患者真实/想象运动中的皮质变化

• 批准号: 7388624
• 负责人: ROBERT C. WELSH
• 金额: $ 28.53万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7388624
• 关键词: Activities of Daily Living; Affect; Age; Algorithms; Amyotrophic Lateral Sclerosis; Anisotropy; Area; Arts; Atrophic; Biomedical Engineering; Brain; Brain Mapping; Brain Stem Infarctions; Brain region; Cerebral Palsy; Cessation of life; Cognition; Cognitive; Communication; Communication Aids for Disabled; Computers; Condition; Cross-Sectional Studies; Data; Data Set; Degenerative Disorder; Detection; Development; Devices; Diagnosis; Diffuse; Diffusion Magnetic Resonance Imaging; Disease; Disease Progression; Educational workshop; Electrodes; Electroencephalography; Elements; Exhibits; Eye Movements; Fingers; Functional Magnetic Resonance Imaging; Human; Human Characteristics; Imagery; Imaging Techniques; Impairment; Implant; Implanted Electrodes; Individual; Individual Differences; International; Invasive; Knowledge; Lead; Leg; Life; Limb structure; Location; Locked-In Syndrome; Longevity; Longitudinal Studies; Magnetic Resonance Imaging; Maps; Masks; Measures; Medical Imaging; Methods; Monitor; Motor; Motor Cortex; Motor Neurons; Motor Pathways; Movement; Nature; Neuraxis; Neurologic; Newly Diagnosed; Operative Surgical Procedures; Pathway interactions; Patients; Pattern; Personal Satisfaction; Persons; Physiological; Plastics; Population; Process; Production; Progressive Disease; Prosthesis; Quadriplegia; Research; Research Personnel; Respiratory Failure; Rest; Self Determination; Self-Help Devices; Series; Signal Transduction; Sorting - Cell Movement; Source; Specificity; Spinal; Spinal cord injury; Staging; System; Technology; Thinking; Time; Variant; Wheelchairs; base; brain computer interface; cohort; design; disability; experience; improved; interest; motor control; relating to nervous system; research study; restoration; tool

DESCRIPTION (provided by applicant): A severe physical disability has a dramatic impact on a person's life, whether it is caused by a neuro-degenerative disease such as amyotrophic lateral sclerosis (ALS), a brainstem stroke, or a spinal cord injury. Someone with these conditions may be effectively "locked-in," retaining their cognitive ability, but unable to perform any movement except possibly the most basic eye movements. Among people with such disabilities, there is a keen interest in technology that can be operated "just by thinking." Short of a cure for the particular condition causing their disability, technology of this type, called a brain-computer interface (BCI), is the best option for restoration of function. A BCI could be used to operate a communication device, wheelchair, or a prosthetic limb. For someone who is locked-in, such technology may offer the only option for communication and self-determination, while for someone with ALS, it would provide a desirable alternative method of control that could potentially be retained as other functional abilities deteriorate. Operation of a BCI would rely on detection and processing of voluntary brain activity such as the ability to attempt or imagine movements such as tapping a finger, or moving a leg, brain activity that survives the condition resulting in the disability. However, the affect of ALS progression on the cortical areas that produce this brain activity is not well understood. The proposed research will use neuro-imaging techniques to map and longitudinally study regions of cortex in persons with ALS that could provide controls signals for a BCI. Using functional magnetic resonance imaging (fMRI) in conjunction with a series of motor control experiments over a period of several years we will longitudinally map brain activation patterns to examine functional stability, atrophy and plasticity. By using state of the art medical imaging, this project will further the understanding of amyotrophic lateral sclerosis (ALS), also commonly known as "Lou Gehrig's Disease", and the disease's effect on the human brain and central nervous system. This knowledge will contribute to the biomedical engineering effort to build devices to allow people with ALS to directly control computers and assistive technologies with their brains.

描述（由申请人提供）：严重的身体残疾对人的生活产生巨大影响，无论是由肌萎缩性侧索硬化症（ALS），脑干中风还是脊髓损伤引起的神经分离疾病。患有这些条件的人可能有效地“锁定”，保留其认知能力，但无法执行任何运动，除了可能的最基本的眼睛运动。在这种残疾人中，人们对技术的兴趣浓厚，可以“仅通过思考”来运作。除了治愈特定疾病导致其残疾的治疗方法，这种类型的技术（称为脑部计算机界面（BCI））是恢复功能的最佳选择。 BCI可用于操作通信设备，轮椅或假肢。对于被锁定的人来说，这种技术可能会为沟通和自决提供唯一的选择，而对于患有ALS的人来说，它将提供一种理想的替代控制方法，可能会随着其他功能能力降低而有可能保留。 BCI的操作将依赖于自愿性大脑活动的检测和处理，例如尝试或想象运动（例如敲击手指或移动腿部）的大脑活动的能力，可在疾病中幸存下来，从而导致残疾。但是，ALS进展对产生这种大脑活动的皮质区域的影响尚不清楚。 拟议的研究将使用神经成像技术来绘制和纵向研究ALS患者的皮质区域，这些人可以为BCI提供控制信号。在几年内，使用功能磁共振成像（fMRI）与一系列运动控制实验结合使用，我们将纵向绘制脑激活模式，以检查功能稳定性，萎缩和可塑性。通过使用最先进的医学成像，该项目将进一步了解肌萎缩性侧索硬化症（ALS），也通常称为“ Lou Gehrig病”，以及该疾病对人脑和中枢神经系统的影响。这些知识将有助于生物医学工程的工作，以构建设备，以允许ALS的人们直接控制计算机和辅助技术。