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Frontiers | Motor Imagery-Associated Adjustments of Neural Oscillation in Unilateral Decrease Limb Amputation


With the rise in pure disasters, motorcar accidents, and malignant ailments, an elevated variety of sufferers with traumatic limb accidents have undergone amputation surgical procedure. There can be phantom limb ache after amputation, which is understood to significantly have an effect on affected person high quality of life. In contrast with non-amputees, most amputees have poor bodily and psychological well being and encounter extra obstacles of their day by day lives (World Well being Group, 2011). Amputation is an irreversible course of. Limb loss results in modifications in sensory enter to the central nervous system, leading to a collection of maladjustment challenges corresponding to limitations in self-care potential, and frequent psychological well being points (Waight et al., 2015).

Partial severance of the peripheral nervous system on account of amputation ends in transforming of all the nervous system (Williams et al., 2016). Within the early postoperative interval, many amputees expertise phantom limb sensations (Kelle et al., 2017), and a collection of dynamic modifications in mind neural exercise subsequently happens (Molina-Rueda et al., 2013). For instance, one resting-state electroencephalogram (EEG) examine confirmed that modifications within the neural community of sufferers with right-sided amputations weakened the inhibitory impact of the sensorimotor space, and that connectivity of the appropriate parietal lobe space elevated (Lyu et al., 2016). Furthermore, current research have proven that amputees have structural and practical modifications to a number of mind areas, such because the premotor cortex, and the supplementary motor space (Molina-Rueda et al., 2019). These structural and practical modifications may be interpreted as non-adaptive mind transforming on account of sensory deprivation and loss or decreased autonomous management potential (MacIver et al., 2008; Raffin et al., 2016). Subsequently, a examine of mind transforming after amputation is more likely to facilitate understanding of the neural mechanisms of amputation-related irregular sensation and will assist to information affected person rehabilitation via selling benign mind transforming, in addition to present a theoretical foundation for the event of latest prostheses, thereby enhancing affected person high quality of life.

Amongst accessible non-invasive electrophysiological strategies, multi-channel EEG is extensively used. Nevertheless, to know mind plasticity in amputees and supply extra exact outcomes, superior applied sciences are wanted sooner or later to determine the mechanisms concerned in sensorimotor cortex neural exercise following amputation. Useful unbiased element evaluation (fICA), which has been extensively used to match the modifications in resting state networks amongst people in practical magnetic resonance imaging (fMRI) expertise (Lv et al., 2018), gives a chance to research the mechanisms concerned in post-amputation neural exercise. Along with fMRI expertise that may solely not directly measure neural exercise, EEG has additionally been used to review neural oscillations in resting-state networks (Liu et al., 2017; Samogin et al., 2019). Ye et al. (2019) indicated that sufferers with somatoform ache dysfunction confirmed higher resting alpha oscillations within the parietal areas. Nevertheless, few research have used resting-state EEG to discover neural oscillations in amputees. By analyzing neural exercise within the resting-state, it’s doable to research modifications within the neural oscillations of the sensorimotor space of amputees at completely different frequencies; this may be helpful in offering neurophysiological indicators for future rehabilitation and intervention of amputees. Subsequently, fICA methodology permits for a probably extra correct willpower of the impact of amputation on mind plasticity from an electrophysiological perspective.

Mind transforming is taken into account to be associated to irregular motor imagery after amputation (Anderson and Lenz, 2011). One potential reason behind impaired motor imagery is the change in physique schema because of the phantom limb. Occasion-related spectral perturbation is usually used to explain the neural traits (e.g., mind oscillation) of motor imagery duties (Cebolla et al., 2015). In amputees with phantom limb notion, event-related desynchronization of EEG within the beta band (beta-ERD) in central and parietal areas confirmed angular disparity (i.e., the beta-ERD weakened monotonically with orientation from 0° to 180°) (Lyu et al., 2016), which steered that phantom limb notion through the activity is likely to be an necessary confounder for motor imagery in amputees. Moreover, motor imagery expertise has been extensively utilized in many areas, together with within the therapy of phantom limb ache (PLP) (Moseley, 2006), motor rehabilitation (Priganc and Stralka, 2011), and the event of the mind–pc interface (BCI) expertise for the management of prostheses (Thomas et al., 2013). Furthermore, when performing decrease limb motion/motor imagery duties, many researchers primarily targeted on C3, Cz, and C4 electrodes (Pfurtscheller et al., 2013; Yi et al., 2013). Subsequently, our examine mixed EEG with the motor imagery paradigm to research the dynamic modifications within the cerebral cortex following an amputation, and discover the impact of PLP on this transformation. This offered a preliminary theoretical foundation for the event of non-invasive BCI, primarily based on EEG and the popularization of prosthesis sooner or later.

This examine is the primary to research the modifications of neural oscillation and EEG energy in sufferers with decrease limb amputation by combining resting state and motor imagery induced EEG, in order to disclose mind plasticity and its impact on motor imagery operate after amputation. We aimed to research the modifications of neural oscillation in resting state community in sufferers with decrease limb amputation by utilizing fICA methodology, and to review the impact of PLP on EEG energy throughout motor imagery to supply a neurophysiological and psychological foundation for the examine of BCI primarily based on EEG. Based mostly on earlier research, we hypothesized that amputation would result in transforming of sensorimotor areas, particularly by way of lower within the contralateral frontal lobe and central gyrus. Furthermore, the motor imagery potential of sufferers would lower after amputation, and this can be associated to PLP.

Supplies and Strategies


Fourteen members with left decrease limb amputations (imply age, 51.93 ± 11.54 years; females, n = 2) have been chosen via the Affiliated Hospital of the Nationwide Analysis Heart for Rehabilitation Technical Aids and 18 wholesome members have been additionally recruited (imply age, 44.89 ± 10.34 years; females, n = 3). All members grew with a typical geographic background (Beijing, China) and had the identical ethnic identification (the Han Chinese language), whereas they have been folks from completely different socioeconomic and schooling backgrounds. Impartial pattern t-test outcomes indicated no important distinction in age between the 2 teams (p = 0.09). The common variety of months having lived with an amputation was 11.64 ± 7.59 months within the amputation group, and PLP grades of the 14 amputees have been calculated utilizing a visible analog scale (VAS) with a six-point rating (from 0 to five; common PLP grade, 1.79 ± 1.57) (Desk 1). All of the amputations had been on account of unintended trauma, not one of the members had any motor sensory dysfunction or different pathophysiological ailments, and there was no historical past of any neurological or psychiatric problems. This examine was authorized by the Ethics Committee of the Nationwide Analysis Heart for Rehabilitation Technical Aids, and the members offered written knowledgeable consent previous to participation within the examine.

Desk 1. Detailed medical traits of amputees.

Resting-State and Activity-State Electroencephalogram

Resting- and task-state EEG knowledge acquisition was carried out for all 32 members (14 amputees) on this examine. The setup of EEG headset took 18 min, together with soaking in KCl Answer for 15 min and sporting the headset for 3 min. After being comfortably seated, members have been requested to stay quiet for two min, and to calm down. They have been then requested to take care of an open eye state, throughout which EEG knowledge acquisition was undertaken for five min.

After resting-state EEG acquisition was accomplished, task-state EEG knowledge acquisition was undertaken primarily based on a foot motor imagery paradigm, which is an experimental paradigm primarily based on left decrease limb motor imagery and designed utilizing E-Prime 2.0. There have been 32 trials in our examine (the length was 8 min), and every trial with a “+” within the middle of the display for the primary 2 s was used to attract the participant’s consideration after which prompted the looks of an icon to the left, at which level the participant engaged in 10 s of left decrease limb motor imagery, that’s, imagining up and down motion of the toe on the left foot. Subsequently, there was a 3-s resting-state.

Electroencephalogram Recording

Excessive-density EEG was recorded utilizing an electrode internet (Geodesic Sensor Web, Electrical Geodesics Inc., Eugene, OR, United States) comprising 256 electrodes interconnected with skinny rubber bands, and containing small sponges soaked with saline water, which have been in direct contact with every participant’s scalp floor.

EEG knowledge have been acquired with a 256-channel HydroCel Geodesic Sensor Web (EGI, Eugene, OR) utilizing Web Station 4.5 software program (Determine 1). All electrode impedances have been beneath 50 kΩ earlier than the recording was began, and the band filters have been utilized between 0.1 and 30 Hz throughout steady recording, which included a 50 Hz notch filter to take away energy provide noise. EEG recordings have been sampled at 1,000 Hz.

Determine 1. Experimental setup. (A) Knowledge acquisition; throughout EEG recording, this system maintained a black display. (B) EEG Amplifier. (C) Monitor. (D) 256-electrode cap.

Knowledge Evaluation

The abstract of all the process of information processing is offered in Determine 2.

Determine 2. Experimental design, preprocessing, and evaluation pipeline. (A) Experimental design. (B) Preprocessing pipeline. (C) Useful unbiased element evaluation: resting-state EEG. (D) ERD and Spectral evaluation: task-state EEC.

Electroencephalogram Knowledge Preprocessing

Preprocessing of EEG knowledge was carried out utilizing the toolbox EEGLAB with MATLAB 2015b software program, as follows: (i) nineteen electrods (FP1/2, F3/4, F7/8, Fz, C3/4, Cz, T3/4, T5/6, P3/4, Pz, O1/2) of the worldwide 10–20 system have been chosen, (ii) the sampling charge was downsampled to 500 Hz, (iii) filter impulse response (FIR) band-pass filtering was carried out and set to 1–30 Hz (transition bandwidth = 1 Hz; order = 7,420), (iv) the entire mind common reference was used for re-reference, (v) knowledge have been analyzed utilizing unbiased element evaluation (ICA) to take away parts that offered important artifacts, (vi) ADJUST1.1.1 plug-in inside EEGLAB was used to semi-automatically take away unbiased parts with apparent artifacts, and (vii) knowledge containing apparent drift or artifacts have been eliminated manually, and fewer than 10% of every knowledge phase was eliminated. Artifact-free EEG knowledge have been then filtered out.

Useful Impartial Element Evaluation: Resting-State Electroencephalogram

Useful unbiased element evaluation utilizing actual low decision mind electromagnetic tomography (eLORETA) was undertaken to match modifications in mind neural oscillations in wholesome members and amputees at relaxation, inside the similar mind community (Glahn et al., 2005; Aoki et al., 2015). Throughout fICA, every distinct pair of scalp electrodes was analyzed and the “similarity” between the alerts was computed. If two alerts have been very comparable, i.e., extremely correlated-coherent-synchronized, they have been assigned to the identical community. Right here, the outcomes of the cortical electrical distributions of networks have been relatively completely different from these of recognized practical networks (Chen et al., 2013). Lastly, all distinct pairs of intracranial alerts have been scanned. The Montreal Neurological Institute (MNI) mind quantity was scanned at 5 mm decision by eLORETA software program. This produced 6,239 cortical grey matter voxels at 5 mm decision. The technical particulars may be present in Aoki et al. (2015).

Briefly, we calculated the electrocortical exercise of the mind community by way of the next frequency bands: delta, 1.5–6 Hz; theta, 6.5–8 Hz; alpha-1, 8.5–10 Hz; alpha-2, 10.5–12 Hz; beta-1, 12.5–18 Hz; beta-2, 18.5–21 Hz; and beta-3, 21.5–30 Hz (Pascual-Marqui, 2002; Katayama et al., 2018). With this preliminary process, every participant contributed seven eLORETA pictures of cortical spectral density (one for every frequency band). As well as, the mind community robotically divided into 7 networks (i.e., 7 parts of curiosity), and every participant may generate 7 coefficients (one coefficient for every community, expressing how that participant makes use of that community). Every community picture would show areas whose actions are tightly linked (i.e., they work collectively as a community). From the standpoint of arithmetic, these knowledge correspond to a “operate” of area (cortical voxel) and frequency. Within the subsequent step, the info from every participant have been concatenated, thus producing a matrix the place one dimension corresponds to completely different members and the opposite collectively corresponds to space-frequency. Neural exercise was then calculated as the worldwide subject energy worth (Pascual-Marqui, 2002) underneath every situation (community).

Subsequently, statistical evaluation was carried out on these seven coefficients, evaluating the amputation and wholesome teams, in the hunt for how the amputees’ mind used the resting state networks in another way from the wholesome mind. Subsequently, an unbiased pattern t-test was used to match the coefficients of the wholesome and amputation teams. Throughout the t-test, the randomization Statistical non-Parametric Mapping (SnPM) was carried out, which was appropriate for a number of comparisons, and no different correction methodology was wanted; in the meantime, the corrected crucial thresholds and p-values have been computed robotically (Painold et al., 2020). Lastly, the mind networks with important variations have been discovered, and the coefficient of the numerous community was derived, which was known as fICA worth (i.e., the worldwide subject energy worth with important distinction between the amputation and wholesome teams).

Occasion-Associated Desynchronization Evaluation and Spectral Evaluation: Activity-State Electroencephalogram

Time–frequency representations of energy have been computed utilizing wavelet evaluation. This was carried out by convolving the advanced Morlet wavelets with the single-trial EEG knowledge (Pfurtscheller et al., 2006). We used wavelets with frequencies starting from 1 to 30 Hz in steps of 1 Hz. On this examine, the C4 and Cz electrodes have been related to left decrease limb motion; we extracted the common worth of the alpha frequency band (7–12 Hz) and the low beta frequency band (13–20 Hz) on the C4 and Cz electrodes to plot the waveform. Energy was calculated because the squared norm of the resulted frequency-specific time programs of advanced numbers. Energy was averaged throughout trials after which normalized as change relative to the imply energy in a baseline interval from −1 to 0 s, utilizing the next methodology. Comparatively lengthy epochs (−2 to five s) have been used for time-frequency decomposition to permit edge artifacts to subside exterior the time window of curiosity (−1 to 4 s); thereafter, knowledge exterior this time window have been trimmed off. The detailed calculation methodology of ERD may be present in Graimann and Pfurtscheller (2006).

Spectral evaluation of the preprocessed task-state EEG knowledge was carried out utilizing the toolbox STEP 1 [Single Trial detection toolbox for Epilepsy (Version 1.0)] (Hu et al., 2011) with MATLAB 2015b software program. First, the epoch time vary was set to 0–10 s, and the zero of an epoch is the beginning of motor imagery, and the frequency vary was set to 1–30 Hz. Then, we chosen the channel C3, Cz, and C4, respectively, and calculated EEG energy values at 1–30 Hz [four frequency bands: delta (1–4 Hz), theta (4–8 Hz), alpha (8–13 Hz), and beta (13–30 Hz)]. The EEG spectrum is estimated utilizing Quick Fourier Rework.

Statistical Analyses

SPSS 25.0 software program was used to carry out the unbiased pattern t-test on the ability values of the wholesome group and the amputation group in delta (1–4 Hz), theta (4–8 Hz), alpha (8–13 Hz) and beta (13–30 Hz) frequency band underneath the C3, Cz, and C4 electrodes, respectively. Subsequently, the correlations of the fICA values and energy values with important variations within the two teams have been in contrast utilizing Pearson’s correlation evaluation.

Pearson’s correlation evaluation was additionally used to discover the connection between the extent of PLP and the ability worth of amputees in delta (1–4 Hz), theta (4–8 Hz), alpha (8–13 Hz), and beta (13–30 Hz) frequency band underneath nineteen electrods of the worldwide 10–20 system.


Neural Oscillation Throughout Resting-State Electroencephalogram

Just one community distinction between the amputation group and wholesome group was discovered on this examine [threshold (t) = 1.70, p = 0.02] (Determine 3). On this community, no important alterations in neural exercise have been detected within the delta, theta, or alpha frequency segments in accordance with the fICA outcomes. The outcomes confirmed that contralateral frontal beta-3 oscillations have been considerably enhanced within the amputation group in contrast with the wholesome group, particularly within the center and superior frontal gyri [Brodmann area (BA) 8, t = 3.55]. Moreover, we additionally noticed considerably lowered beta oscillations within the ipsilateral frontal, temporal, and parietal lobes of the amputees, with essentially the most important distinction noticed within the inferior temporal gyrus (BA20, t = −6.18). As well as, mind areas exhibiting lowered beta-3 oscillations in amputees included the postcentral (BA43, t = −4.66), precentral (BA6, t = −4.48), center occipital (BA37, t = −3.86), and fusiform gyri (BA37, t = −4.47). Since just one important distinction community was present in our examine, the fICA worth of every participant was the coefficient of the community.

Determine 3. Useful unbiased element evaluation (fICA): Neural oscillation modifications in resting state. Adjustments in proper frontal lobe and left temporal lobe data transmission between amputation group and wholesome group in beta-3 band (21.5—30 Hz); The brilliant yellow signifies elevated beta oscillation in amputee group, whereas blue coloration denotes the beta oscillation was weakened in amputee group relative with wholesome group. L, left; A, anterior; R, proper; P, posterior; S, superior; I, inferior.

Electroencephalogram Evaluation Throughout Motor Imagery

By way of the time-frequency evaluation of motor imagery in sufferers with left decrease limb amputation and wholesome controls (Determine 4), it was discovered that on the Cz electrode and contralateral C4 electrode, neural oscillation exercise considerably decreased within the alpha frequency band and low beta frequency band (ERD). Subsequently, motor imagery of wholesome folks and amputees was each efficiently evoked on this examine.

Determine 4. The time-frequency diagrams of the first motor cortex (C4, Cz) of amputees and wholesome controls through the motor imagery activity. A big mu rhythm (7–12 Hz) and low beta frequency (13–20 Hz) after stimulation may be noticed in each amputees and wholesome controls.

The outcomes of spectral evaluation confirmed the common and the usual deviation of energy values at every frequency phase between amputees and wholesome members on this examine (Desk 2). We in contrast the distinction in energy values between amputee and wholesome members at C3, Cz, and C4 electrodes when performing movement imagery in 4 frequency bands, particularly, delta, theta, alpha, and beta. After a Bonferroni correction for a number of comparisons, p would must be < 0.017 to be important. The unbiased pattern t-test outcomes confirmed important variations in energy values at Cz (t = 2.519, p = 0.017) within the beta frequency band, and the distinction at C4 (t = 2.130, p = 0.042) within the beta frequency band is critical at edge. Subsequently, the follow-up evaluation of this examine solely focuses on Cz-beta and C4-beta energy values.

Desk 2. Distinction in energy values (imply ± SD) and the modifications in energy values of task-state EEG between wholesome group and amputation group.

Correlation Between Adjustments in Useful Impartial Element Evaluation Worth and Adjustments in Energy Worth

This examine calculated the connection between fICA values and energy values (Cz-beta and C4-beta) within the amputation and wholesome teams individually utilizing Pearson’s correlation evaluation, and located that within the amputation group, there was a big constructive correlation between fICA worth and Cz-beta energy worth (r = 0.727, p = 0.011), whereas the fICA worth negatively correlated with C4-beta energy worth (r = −0.652, p = 0.021) (Figures 5A,C). Within the wholesome group, the fICA worth positively correlated with the Cz-beta energy worth (r = 0.530, p = 0.042) and the C4-beta energy worth (r = 0.551, p = 0.041) (Figures 5B,D).

Determine 5. Pearson correlation coefficient between modifications in energy values of beta band (13–30 Hz) and modifications in practical unbiased element evaluation (fICA) values. (A) A constructive correlation was discovered between Cz energy values and fICA values in amputee group (r = 0.727, p = 0.011). (B) A constructive correlation was discovered between Cz energy values and fICA values in wholesome group (r = 0.530, p = 0.042). (C) A detrimental correlation was discovered between C4 energy values and fICA values in amputee group (r = −0.652, p = 0.021). (D) A constructive correlation was discovered between C4 energy values and fICA values in wholesome group (r = 0.551, p = 0.041).

Correlation Between Adjustments in Energy Worth and Phantom Limb Ache Stage

On this examine, the PLP stage of amputees was positively correlated with the ability worth of proper frontal cortex within the alpha band (Determine 6), particularly at F4 (r = 0.686, p = 0.020) and F8 (r = 0.607, p = 0.047).

Determine 6. Pearson correlation coefficient between modifications in energy values of alpha band (8–13 Hz) and the phantom limb ache (PLP) ranges. (A) A constructive correlation was discovered between F4 energy values and PLP ranges in amputees (r = 0.686, p = 0.020. (B) F8 energy values and PLP ranges have been positively correlated (r = 0.607, p = 0.047).


This examine aimed to research the modifications in neural exercise and performance in mind areas associated to motor imagery in left decrease limb amputees from the angle of resting state community and practical density modifications via combining resting-state and task-state EEG. The outcomes confirmed that on the Cz and C4 electrode, which is expounded to motor operate, there was important distinction within the energy of beta frequency between amputation group and wholesome group, whereas the neural oscillation exercise of mind areas associated to motor imagery such because the frontal lobe, and the anterior and posterior central gyri, have been considerably decreased. As well as, within the amputation group, the fICA worth of neural oscillation positively correlated with the Cz electrode energy worth in relation to the motor imagery activity, whereas, the other outcomes have been noticed at C4 electrode. Earlier research have proven a collection of adaptive modifications within the mind post-amputation, which can be associated to practical transforming of the mind.

On this examine, resting-state EEG knowledge have been collected with members’ eyes open to match modifications in cerebral neural oscillation exercise between amputees and wholesome members. In distinction with the wholesome members, we noticed that the contralateral frontal lobe beta neural oscillation exercise of amputees was considerably enhanced, particularly within the center frontal and superior frontal gyri. Nevertheless, neural oscillation exercise within the ipsilateral occipitotemporal area, associated to visible processing, and the central anterior posterior gyrus and supplementary motor space, associated to motor imagery, had weakened. Oscillatory exercise within the beta frequency band is taken into account a novel operate of consideration and sensorimotor management (Chung et al., 2016). After amputation, to realize efficient management of the stump, areas of an amputee’s mind bear dynamic modifications concurrently. These areas contain the realm of visible sensory enter, the sensory space, and the motor space of sensory output. Moreover, we discovered that members’ mind exercise within the temporal lobe modified considerably, which can have been be on account of using a prosthesis in day by day life or because of the technique of rehabilitation, ensuing within the transforming of visible sensorimotor areas associated to prosthesis use. For instance, van den Heiligenberg et al. (2018) discovered that the higher using the prosthesis in day by day life, the stronger the exercise of the visible motor sensory choice space within the lateral occipitotemporal cortex, which indicated that the change in day by day motor habits had contributed to the form formation of the motor areas associated to prosthesis use. Nevertheless, because of the lack of precise motion in an amputee’s residual limb, particular person movement suggestions turns into more and more extra incomplete, which more and more promotes the technology of particular person illusions, resulting in extra important practical transforming of the mind. Our main discovering was that, within the beta frequency band, there was a weakening of neural oscillations within the precentral and postcentral gyri. We presume that this transformation could also be because of the joint impact of amputation on the sensory enter and output pathways. Nevertheless, it’s not clear how the sensorimotor space and the neural oscillation of the visible community coordinate to course of visible and sensorimotor data and management motion after mind transforming.

We investigated the EEG spectral evaluation density of amputees throughout motor imagery of the amputated limb to indicate vitality modifications in electrodes associated to motor imagery (C3, Cz, and C4) after amputation. We discovered that there was a big distinction between amputees and wholesome members on the energy worth of the Cz/C4 electrode within the beta frequency vary (13–30 Hz). Our outcomes confirmed that though amputees couldn’t carry out the identical workout routines because the wholesome members, they nonetheless retained the power to think about the residual limb. Furthermore, the reuse of motor imagery has been proven to advertise motor restoration and scale back PLP (Saruco et al., 2019). Nevertheless, after amputation, motor imagery is regulated via phantom limb sensations (Lyu et al., 2016), which displays the variation technique of the mind post-amputation. MRI research have proven that in sufferers with decrease limb amputation, hemispheric pathways that contribute to motor coordination and creativeness are reorganized, particularly within the anterior motor space and the supplementary motor space (Li et al., 2017). Motor imagery is similar as actual motion and might play a rehabilitation position within the motor potential of amputees. To regain management of the residual limb and make sure the high-frequency use of wholesome limbs, the neural exercise of the cerebral cortex modifications adaptively, which is principally mirrored in transforming of the sensorimotor space. Nevertheless, within the early phases of amputation, mind transforming can result in decreased motor management or inhibition. When movement planning and execution happens following an amputation, conventional contralateral motor space activation is reconstructed and happens within the posterior parietal lobe space, which can replicate the variation of visible spatial suggestions to movement management after amputation (Lyu et al., 2016). Our outcomes point out that beta vitality enhancement of the Cz/C4 electrode is a crucial issue affecting motor imagery after amputation, which we take into account is expounded to adaptive transforming of the mind.

Pearson’s correlation evaluation was used to discover the connection between the fICA and energy values within the wholesome and amputation teams. We discovered a big correlation between the 2 within the amputation group at Cz and C4 electrode. These outcomes indicated that the exercise of neural oscillations within the related mind areas of amputees was intently associated to the vitality modifications triggered via motor imagery duties. Brookes et al. (2011) have discovered that neural oscillations mediate neural exercise in practical networks. EEG spectral evaluation can replicate the practical standing of every mind area, and modifications in energy values signify vitality modifications on this mind area. In amputees, the exercise of neural oscillations within the frontal lobe, precentral gyrus, and postcentral gyrus decreased considerably, and the beta energy worth of the central space elevated through the motor imagery activity. We take into account that the neural exercise of the practical community of mind areas associated to motor imagery in amputees was impaired, which is in line with different research reporting that mind construction and performance in amputees have been impaired in areas of the mind associated to motor imagery, such because the premotor and supplementary motor areas (Molina-Rueda et al., 2019). Within the motor imagery activity, the beta energy of the amputees was considerably enhanced within the central space of the mind. Subsequently, the amputees improved the vitality of the beta band within the motor imagery activity to compensate for the deficiency of the practical community of the sensorimotor space of the mind on account of amputation, which displays the compensatory operate of the mind when the amputees think about motion of the left decrease limb. As well as, Jiang et al. (2015) have discovered that the connectivity of the contralateral sensorimotor cortex in amputees decreased considerably. Nevertheless, on this examine, decreased beta neural oscillations have been noticed within the ipsilateral motor imagery associated areas of the amputees, which additionally indicated that the ipsilateral associated areas of the mind have been reorganized to compensate for the motor imagery of the amputees.

This examine had some limitations. First, the variety of members was small, and we solely studied members with left decrease limb amputation; subsequently, our examine findings can’t be consultant of all amputees. Second, a small variety of trials within the motor imagery paradigm have been carried out on this examine. Third, since there have been many noisy channels among the many 256 channels, solely 19 electrodes have been chosen for fICA evaluation in our examine. As well as, we targeted solely on the C3, Cz, and C4 electrodes for the spectral evaluation. Nevertheless, using extra electrodes could present extra helpful data to discover the modifications in sensorimotor networks. It will likely be helpful to research the consequences of PLP and motor imagery potential on neural exercise of the sensorimotor mind areas for various limbs in future research primarily based on a bigger pattern dimension together with fMRI expertise; thereafter, the variety of trials within the paradigm ought to be elevated to enhance the accuracy of subsequent experiments.


On this examine, resting-state EEG knowledge have been collected in relation to a motor imagery activity, and the correlation between neural oscillation and mind vitality was explored utilizing fICA and spectral evaluation. Within the amputee group, neural oscillations within the ipsilateral sensorimotor space have been related to practical reorganization within the cerebral cortex, and a lower in neural oscillation negatively correlated with a change in vitality in beta frequency throughout motor imagery. Consequently, there have been adaptive modifications in neural exercise within the cerebral cortex in every amputee, together with sure compensatory actions, particularly a lower of neural oscillations within the beta frequency of the precentral and postcentral gyri.

Knowledge Availability Assertion

The uncooked knowledge supporting the conclusions of this text can be made accessible by the authors, with out undue reservation.

Ethics Assertion

The research involving human members have been reviewed and authorized by the Nationwide Analysis Heart for Rehabilitation Technical Aids. The sufferers/members offered their written knowledgeable consent to take part on this examine.

Writer Contributions

MY and YS designed the examine. XS and JL produced the outcomes and wrote the manuscript. LZ, HW, and TY contributed knowledge assortment and evaluation. YS, XS, and MY have been the guarantors of this examine. All authors listed have learn and authorized the ultimate manuscript.


This analysis was supported by the Nationwide Key R&D Program of China (grant no. 2020YFC2005801).

Battle of Curiosity

The authors declare that the analysis was carried out within the absence of any industrial or monetary relationships that could possibly be construed as a possible battle of curiosity.

Writer’s Observe

All claims expressed on this article are solely these of the authors and don’t essentially signify these of their affiliated organizations, or these of the writer, the editors and the reviewers. Any product that could be evaluated on this article, or declare that could be made by its producer, will not be assured or endorsed by the writer.


We acknowledge the contributions of particular colleagues, establishments, or businesses that aided the efforts of the authors.



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