Key result
TD fNIRS monitoring shows greater motor cortex hemodynamic activation during backward versus forward walking.
Why the study?
The study was conducted as a preliminary step toward identifying a noninvasive, reliable tool for monitoring gaiting dysfunctions, aiming to monitor motor cortex hemodynamic response function in freely walking subjects using time-domain fNIRS.
Observational (n=3)
TD fNIRS can successfully measure hemodynamic motor cortex responses during natural, freely walking exercises, showing differences between forward and backward walking.
TD fNIRS is feasible for natural gait monitoring; leaves open whether backward-walking activation differences extend to patients or interventions.
Significance: This study is a preliminary step toward the identification of a noninvasive and reliable tool for monitoring the presence and progress of gaiting dysfunctions. Aim: We present the results of a pilot study for monitoring the motor cortex hemodynamic response function (HRF) in freely walking subjects, with time-domain functional near-infrared spectroscopy (TD fNIRS). Approach: A compact and wearable single-channel TD fNIRS oximeter was employed. The lower limb motor cortex area of three healthy subjects was monitored while performing two different freely moving gaiting tasks: forward and backward walking. Results: The time course of oxygenated and deoxygenated hemoglobin was measured during the different walking tasks. Brain motor cortex hemodynamic activations have been analyzed throughout an adaptive HRF fitting procedure, showing a greater involvement of motor area in the backward walking task. By comparison with the HRF obtained in a finger-tapping task performed in a still condition, we excluded any effect of motion artifacts in the gaiting tasks. Conclusions: For the first time to our knowledge, the hemodynamic motor cortex response was measured by TD fNIRS during natural, freely walking exercises. The cortical response during forward and backward walking shows differences, possibly related to the diverse involvement of the motor cortex in the two types of gaiting.
No takes yet. Share an insight, caveat, or question.
Lacerenza et al. (2021) conducted an observational in Healthy (n=3). Backward walking vs. Forward walking was evaluated on Motor cortex hemodynamic response function (HRF). Time-domain functional near-infrared spectroscopy monitoring of 3 healthy subjects showed greater motor cortex hemodynamic activation during backward walking compared to forward walking.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: