论文标题
通过一级运动皮层的神经刺激减少手术误差和通过神经成像的相关大脑激活
Decreasing the Surgical Errors by Neurostimulation of Primary Motor Cortex and the Associated Brain Activation via Neuroimaging
论文作者
论文摘要
获得精细的运动技能是一个耗时的过程,因为它需要经常重复。经颅电刺激是通过神经调节机制增强简单运动技能发展的一种有希望的方法。在这里,我们报告说,非侵入性神经刺激有助于学习与外科手术任务相关的复杂的良好双人运动技能。在对17名医学生培训有关腹腔镜手术基础(FLS)模式切割任务的基础上的培训期间,我们观察到与假手术组相比,经颅直接电流刺激(TDC)降低了误差水平和性能的差异。通过同时通过功能近红外光谱(FNIRS)来监测受试者的皮质激活,我们的研究表明,TDCS显着刺激了皮质激活。训练后一个月后,保留了降低的性能误差和增加的大脑激活。这项工作支持使用TDC来提高双人运动任务中的性能准确性。
Acquisition of fine motor skills is a time-consuming process as it requires frequent repetitions. Transcranial electrical stimulation is a promising means of enhancing simple motor skill development via neuromodulatory mechanisms. Here, we report that non-invasive neurostimulation facilitates the learning of complex fine bimanual motor skills associated with a surgical task. During the training of 17 medical students on the Fundamentals of Laparoscopic Surgery (FLS) pattern cutting task over a period of 12 days, we observed that transcranial direct current stimulation (tDCS) decreased the error level and the variability in performance, compared to the Sham group. By concurrently monitoring the cortical activations of the subjects via functional near-infrared spectroscopy (fNIRS), our study showed that the cortical activation significantly stimulated by tDCS. The lowered performance error and the increased brain activation were retained after one-month post-training. This work supports the use of tDCS to enhance performance accuracy in fine bimanual motor tasks.