title: Mirror observation of finger action enhances activity in anterior intraparietal sulcus: a functional magnetic resonance imaging study.
abstract: Mirror therapy can be used to promote recovery from paralysis in patients with post-stroke hemiplegia, There are a lot of reports that mirror-image observation of the unilateral moving hand enhanced the excitability of the primary motor area (M1) ipsilateral to the moving hand in healthy subjects. but the neural mechanisms underlying its therapeutic effects are currently unclear. To investigate this issue, we used functional magnetic resonance imaging to measure activity in brain regions related to visual information processing during mirror image movement observation. Thirteen healthy subjects performed a finger-thumb opposition task with the left and right hands separately, with or without access to mirror observation. In the mirror condition, one hand was reflected in a mirror placed above the abdomen in the MRI scanner. In the masked mirror condition, subjects performed the same task but with the mirror obscured. In both conditions, the other hand was held at rest behind the mirror. A between-task comparison (mirror versus masked mirror) revealed significant activation in the ipsilateral hemisphere in the anterior intraparietal sulcus (aIP) while performing all tasks, regardless of which hand was used. The right aIP was significantly activated while moving the right hand. In contrast, in the left aIP, a small number of voxels showed a tendency toward activation during both left and right hand movement. The enhancement of ipsilateral aIP activity by the mirror image observation of finger action suggests that bimodal aIP neurons can be activated by visual information. We propose that activation in the M1 ipsilateral to the moving hand can be induced by information passing through the ventral premotor area from the aIP.
authors: Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
authors: Kenji
authors: K
authors: Numata
authors: Department of Physical Therapy for Adult, Chiba Rehabilitation Center, Chiba, Japan.
authors: Takashi
authors: T
authors: Murayama
authors: Department of Rehabilitation, Chiba Prefectural University of Health Sciences, Chiba, Japan.
authors: Jun
authors: J
authors: Takasugi
authors: Department of Radiological Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
authors: Masahiko
authors: M
authors: Monma
authors: Department of Rehabilitation Medicine / Neurosurgery, Ibaraki Prefectural University of Health Sciences Hospital, Ibaraki, Japan.
authors: Masaru
authors: M
authors: Oga
keywords: Anterior intraparietal sulcus; Hemiplegia; Mirror therapy; Rehabilitation