Research on Blood Oxygen Activity in Cerebral Cortical Motor Function Areas With Adjustment Intention During Gait
Abstract BACKGROUND: The study of the neural mechanism of human gait control can provide a theoretical basis for the treatment of walking disorders or the improvement of rehabilitation strategies, and further promote the functional rehabilitation of patients with movement disorders. However, the performance and changes of cerebral cortex activity corresponding to gait adjustment intentions arestill not clear. OBJECTIVE: The purpose of this study was to detect the blood oxygen activation characterization of the cerebral cortex motor function area when people have intention to adjust gait during walking. METHODS: 30 young volunteers (21 ± 1 years old) perform normal walking (NW), speed increase (DI), speed reduction (DR), step increase (PI) and step reduction (PR), during which continuous monitoring of oxygenated hemoglobin (HbO), deoxygenated hemoglobin (HbR) and total oxyhemoglobin (HbT) information in the prefrontal cortex (PFC), premotor cortex (PMC), supplementary motor area (SMA) using near infrared brain functional imaging.RESULTS: (1) With the intention to adjust gait, the HbO concentration in the SMA increased significantly (p=0.0029), while the HbT concentration in the Medial-PFC decreased significantly (p=0.0088). (2) In the HbO concentration, step reduction is more activated than the step increase in the Left-PMC (p=0.0130); step adjustment is more activated thanspeed adjustment in the Right-PMC (p=0.0067).In the HbR concentration, speed reduction is more activated than the speed increase in the Left-PFC(p=0.0103). In the HbT concentration, an increase in gait parameters is more activated than the decrease in gait parameters in the Left-PFC(p=0.0042).CONCLUSIONS: (1) When the intention of gait adjustment occurs, the increase of HbO concentration in the SMA indicates the initial stage of gait adjustment will increase the motion cognitive needs of the brain.(2) The right brain area, especially the Right-PMC, is responsible for step adjustment. While the left brain area, especially the Left-PFC, meets the additional nerve needs of speed adjustment. The increase in gait parameters promotes more blood oxygen metabolism in the Left-PFC to meet the needs of enhanced nerve activity. The preliminary findings of this study can lay an important theoretical foundation for the realization of gait control based on fNIRS-BCI technology.