PMID- 34320485 OWN - NLM STAT- MEDLINE DCOM- 20210915 LR - 20210915 IS - 1741-2552 (Electronic) IS - 1741-2552 (Linking) VI - 18 IP - 4 DP - 2021 Aug 25 TI - Stroke-induced alteration in multi-layer information transmission of cortico-motor system during elbow isometric contraction modulated by myoelectric-controlled interfaces. LID - 10.1088/1741-2552/ac18ae [doi] AB - Objective. Human movement is a complex process requiring information transmission in inter-cortical, cortico-muscular and inter-muscular networks. Though motor deficits after stroke are associated with impaired networks in the cortico-motor system, the mechanisms underlying these networks are to date not fully understood. The purpose of this study is to investigate the changes in information transmission of the inter-cortical, cortico-muscular and inter-muscular networks after stroke and the effect of myoelectric-controlled interface (MCI) dimensionality on such information transmission in each network.Approach. Fifteen healthy control subjects and 11 post-stroke patients were recruited to perform elbow tracking tasks within different dimensional MCIs in this study. Their electromyography (EMG) and functional near-infrared spectroscopy (fNIRS) signals were recorded simultaneously. Transfer entropy was used to analyse the functional connection that represented the information transmission in each network based on the fNIRS and EMG signals.Main results.The results found that post-stroke patients showed the increased inter-cortical connection versus healthy control subjects, which might be attributed to cortical reorganisation to compensate for motor deficits. Compared to healthy control subjects, a lower strength cortico-muscular connection was found in post-stroke patients due to the reduction of information transmission following a stroke. Moreover, the increased MCI dimensionality strengthened inter-cortical, cortico-muscular and inter-muscular connections because of higher visual information processing demands.Significance. These findings not only provide a comprehensive overview to evaluate changes in the cortico-motor system due to stroke, but also suggest that increased MCI dimensionality may serve as a useful rehabilitation tool for boosting information transmission in the cortico-motor system of post-stroke patients. CI - (c) 2021 IOP Publishing Ltd. FAU - Jian, Chuyao AU - Jian C AD - Key Laboratory of Sensing Technology and Biomedical Instrument of Guangdong Province, School of Biomedical Engineering, Sun Yat-sen University, Guangzhou 510275, People's Republic of China. AD - Shenzhen Research Institute of Sun Yat-sen University, Shenzhen 518057, People's Republic of China. FAU - Liu, Huihua AU - Liu H AD - Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, People's Republic of China. FAU - Deng, Linchuan AU - Deng L AD - Key Laboratory of Sensing Technology and Biomedical Instrument of Guangdong Province, School of Biomedical Engineering, Sun Yat-sen University, Guangzhou 510275, People's Republic of China. AD - Shenzhen Research Institute of Sun Yat-sen University, Shenzhen 518057, People's Republic of China. FAU - Wang, Xiaoyun AU - Wang X AD - Guangdong Work Injury Rehabilitation Center, Guangzhou 510440, People's Republic of China. FAU - Yan, Tiebin AU - Yan T AD - Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, People's Republic of China. FAU - Song, Rong AU - Song R AUID- ORCID: 0000-0003-3662-116X AD - Key Laboratory of Sensing Technology and Biomedical Instrument of Guangdong Province, School of Biomedical Engineering, Sun Yat-sen University, Guangzhou 510275, People's Republic of China. AD - Shenzhen Research Institute of Sun Yat-sen University, Shenzhen 518057, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210825 PL - England TA - J Neural Eng JT - Journal of neural engineering JID - 101217933 SB - IM MH - Elbow MH - Electromyography MH - Humans MH - *Isometric Contraction MH - Movement MH - Muscle, Skeletal MH - *Stroke/complications OTO - NOTNLM OT - cortico-motor system OT - motor control OT - stroke OT - transfer entropy OT - visual dimension EDAT- 2021/07/29 06:00 MHDA- 2021/09/16 06:00 CRDT- 2021/07/28 20:12 PHST- 2021/05/12 00:00 [received] PHST- 2021/07/28 00:00 [accepted] PHST- 2021/07/29 06:00 [pubmed] PHST- 2021/09/16 06:00 [medline] PHST- 2021/07/28 20:12 [entrez] AID - 10.1088/1741-2552/ac18ae [doi] PST - epublish SO - J Neural Eng. 2021 Aug 25;18(4). doi: 10.1088/1741-2552/ac18ae.