Reorganization of the Action Observation Network and Sensory-Motor System in Children with Unilateral Cerebral Palsy: An fMRI Study

Little is known about the action observation network (AON) in children with unilateral cerebral palsy (UCP). Using fMRI, we aimed to explore AON and sensory-motor network (SMN) in UCP children and compare them to typically developed (TD) children and analyse the relationship between AON (re-)organiz...

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Main Authors: Giuseppina Sgandurra, Laura Biagi, Leonardo Fogassi, Elisa Sicola, Adriano Ferrari, Andrea Guzzetta, Michela Tosetti, Giovanni Cioni
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2018/6950547
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author Giuseppina Sgandurra
Laura Biagi
Leonardo Fogassi
Elisa Sicola
Adriano Ferrari
Andrea Guzzetta
Michela Tosetti
Giovanni Cioni
author_facet Giuseppina Sgandurra
Laura Biagi
Leonardo Fogassi
Elisa Sicola
Adriano Ferrari
Andrea Guzzetta
Michela Tosetti
Giovanni Cioni
author_sort Giuseppina Sgandurra
collection DOAJ
description Little is known about the action observation network (AON) in children with unilateral cerebral palsy (UCP). Using fMRI, we aimed to explore AON and sensory-motor network (SMN) in UCP children and compare them to typically developed (TD) children and analyse the relationship between AON (re-)organization and several neurophysiological and clinical measures. Twelve UCP children were assessed with clinical scales and transcranial magnetic stimulation (TMS). For the fMRI study, they underwent a paradigm based on observation of complex and simple object-manipulation tasks executed by dominant and nondominant hand. Moreover, UCP and TD children carried out a further fMRI session to explore SMN in both an active motor and passive sensory task. AON in the UCP group showed higher lateralization, negatively related to performances on clinical scales, and had greater activation of unaffected hemisphere as compared to the bilateral representation in the TD group. In addition, a good congruence was found between bilateral or contralateral activation of AON and activation of SMN and TMS data. These findings indicate that our paradigm might be useful in exploring AON and the response to therapy in UCP subjects.
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language English
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series Neural Plasticity
spelling doaj-art-8b2fe5a08ba542f497d2f6cbb052cce82025-02-03T01:10:32ZengWileyNeural Plasticity2090-59041687-54432018-01-01201810.1155/2018/69505476950547Reorganization of the Action Observation Network and Sensory-Motor System in Children with Unilateral Cerebral Palsy: An fMRI StudyGiuseppina Sgandurra0Laura Biagi1Leonardo Fogassi2Elisa Sicola3Adriano Ferrari4Andrea Guzzetta5Michela Tosetti6Giovanni Cioni7Department of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Calambrone, Pisa, ItalyLaboratory of Medical Physics and Biotechnologies for Magnetic Resonance, IRCCS Fondazione Stella Maris, Calambrone, Pisa, ItalyDepartment of Neuroscience, University of Parma and Istituto Italiano di Tecnologia (RTM), Parma, ItalyDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Calambrone, Pisa, ItalyIRCCS S. Maria Nuova Hospital, Reggio Emilia, ItalyDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Calambrone, Pisa, ItalyLaboratory of Medical Physics and Biotechnologies for Magnetic Resonance, IRCCS Fondazione Stella Maris, Calambrone, Pisa, ItalyDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Calambrone, Pisa, ItalyLittle is known about the action observation network (AON) in children with unilateral cerebral palsy (UCP). Using fMRI, we aimed to explore AON and sensory-motor network (SMN) in UCP children and compare them to typically developed (TD) children and analyse the relationship between AON (re-)organization and several neurophysiological and clinical measures. Twelve UCP children were assessed with clinical scales and transcranial magnetic stimulation (TMS). For the fMRI study, they underwent a paradigm based on observation of complex and simple object-manipulation tasks executed by dominant and nondominant hand. Moreover, UCP and TD children carried out a further fMRI session to explore SMN in both an active motor and passive sensory task. AON in the UCP group showed higher lateralization, negatively related to performances on clinical scales, and had greater activation of unaffected hemisphere as compared to the bilateral representation in the TD group. In addition, a good congruence was found between bilateral or contralateral activation of AON and activation of SMN and TMS data. These findings indicate that our paradigm might be useful in exploring AON and the response to therapy in UCP subjects.http://dx.doi.org/10.1155/2018/6950547
spellingShingle Giuseppina Sgandurra
Laura Biagi
Leonardo Fogassi
Elisa Sicola
Adriano Ferrari
Andrea Guzzetta
Michela Tosetti
Giovanni Cioni
Reorganization of the Action Observation Network and Sensory-Motor System in Children with Unilateral Cerebral Palsy: An fMRI Study
Neural Plasticity
title Reorganization of the Action Observation Network and Sensory-Motor System in Children with Unilateral Cerebral Palsy: An fMRI Study
title_full Reorganization of the Action Observation Network and Sensory-Motor System in Children with Unilateral Cerebral Palsy: An fMRI Study
title_fullStr Reorganization of the Action Observation Network and Sensory-Motor System in Children with Unilateral Cerebral Palsy: An fMRI Study
title_full_unstemmed Reorganization of the Action Observation Network and Sensory-Motor System in Children with Unilateral Cerebral Palsy: An fMRI Study
title_short Reorganization of the Action Observation Network and Sensory-Motor System in Children with Unilateral Cerebral Palsy: An fMRI Study
title_sort reorganization of the action observation network and sensory motor system in children with unilateral cerebral palsy an fmri study
url http://dx.doi.org/10.1155/2018/6950547
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