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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(4):388-393.
The Modulation of Cortical Excitability by Observation and/or Imagery of Action.
Choi, Eun Hee , Yoo, Woo Kyoung , Jung, Kwang Ik , Park, Dong Sik , Nam, Hee Seung , Jun, Ah Young
Department of Physical Medicine and Rehabilitation, Hallym University College of Medicine, Korea. mediay75@nate.com
운동 연상과 관찰에 의한 대뇌피질 흥분도의 변화
최은희, 유우경, 정광익, 박동식, 남희승, 전아영
한림대학교 의과대학 재활의학교실
Abstract
Objective
To better delineate the changes in cortical excitability that accompany perceptual to motor transformations when people are asked to observe and/or image two kinds of action.
Method
Twenty right handed young adult without neurological deficit were included. Motor evoked potentials (MEPs) from transcranial magnetic stimulation were recorded in the abductor pollicis brevis of the dominant hand in six different conditions: (1) passive observation (PO) of the slow (1 Hz) action (abduction of right thumb); (2) imagery of the slow action; (3) active observation (AO) of the slow action; (4) PO of the fast (4 Hz) action; (5) imagery of the fast action; and (6) active observation of the fast action. MEPs were also recorded at resting state.
Results
The mean amplitude of MEPs at rest condition was 0.85±0.84 mV; PO of the slow action, 1.27±1.13 mV; imagery of the slow action, 1.76±1.49 mV; AO of the slow action, 2.46±2.02 mV; PO of the fast action, 1.90±1.31 mV; imagery of the fast action, 2.35±1.32 mV; and AO of the fast action, 3.44±1.85 mV. And at a constant speed of action, AO produced the largest amplitude of MEPs. A comparison between the slow and fast action revealed the latter produced larger amplitude of MEPs than the former during each task.
Conclusion
The observed and/or imagined action can alter cortical excitability without actual execution of movement. And active observation of the fast action might be more useful for facilitating cortical excitability. (J Korean Acad Rehab Med 2008; 32: 388-393)
Key Words: Transcranial magnetic stimulation, Cortical excitability, Observation, Imagery


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