Structural & Functional Neuroplasticity in Children with Hemiplegia
About 30% of children with cerebral palsy have congenital hemiplegia, resulting from periventricular white matter injury, which impairs the use of one hand and disrupts bimanual co-ordination. Congenital hemiplegia has a profound effect on each child's life and, thus, is of great importance to the public health. Changes in brain organization (neuroplasticity) often occur following periventricular white matter injury. These changes vary widely depending on the timing, location, and extent of the injury, as well as the functional system involved. Currently, we have limited knowledge of neuroplasticity in children with congenital hemiplegia. As a result, we provide rehabilitation treatment to these children almost blindly based exclusively on behavioral data. In this talk, I will present recent research evidence of my team on understanding neuroplasticity in children with congenital hemiplegia by using a multimodal neuroimaging approach that combines data from structural and functional neuroimaging methods. I will further present preliminary data regarding functional improvements of upper extremities motor and sensory functions as a result of rehabilitation with a robotic system that involves active participation of the child in a video-game setup. Our research is essential for the development of novel or improved neurological rehabilitation strategies for children with congenital hemiplegia.
Spatio-temporal large-scale organization of the trimodal connectome derived from concurrent EEG-fMRI and diffusion MRI
While time-averaged dynamics of brain functional connectivity are known to reflect the underlying structural connections, the exact relationship between large-scale function and structure remains an unsolved issue in network neuroscience. Large-scale networks are traditionally observed by correlation of fMRI timecourses, and connectivity of source-reconstructed electrophysiological measures are less prominent. Accessing the brain by using multimodal recordings combining EEG, fMRI and diffusion MRI (dMRI) can help to refine the understanding of the spatio-temporal organization of both static and dynamic brain connectivity. In this talk I will discuss our prior findings that whole-brain connectivity derived from source-reconstructed resting-state (rs) EEG is both linked to the rs-fMRI and dMRI connectome. The EEG connectome provides complimentary information to link function to structure as compared to an fMRI-only perspective. I will present an approach extending the multimodal data integration of concurrent rs-EEG-fMRI to the temporal domain by combining dynamic functional connectivity of both modalities to better understand the neural basis of functional connectivity dynamics. The close relationship between time-varying changes in EEG and fMRI whole-brain connectivity patterns provide evidence for spontaneous reconfigurations of the brain’s functional processing architecture. Finally, I will talk about data quality of connectivity derived from concurrent EEG-fMRI recordings and how the presented multimodal framework could be applied to better understand focal epilepsy. In summary this talk will give an overview of how to integrate large-scale EEG networks with MRI-derived brain structure and function. In conclusion EEG-based connectivity measures not only are closely linked to MRI-based measures of brain structure and function over different time-scales, but also provides complimentary information on the function of underlying brain organization.