Background/Objectives: This study evaluated the effects of a tactile-discrimination compensatory real-time feedback device on hand sensorimotor function in cervical spinal cord injury patients. The study assessed changes in hand numbness, dexterity, and electroencephalogram (EEG) activity, particularly γ-wave power in the sensorimotor area during skilled finger movements. Methods: Three patients with cervical spinal cord injury who presented with hand sensorimotor dysfunction underwent treatment with this device. All cases underwent the intervention using an AB design; A is the exercise task without the system device, and B is the exercise task under the system device. To confirm the reproducibility and minimize the influence of confounding factors, a multiple-baseline design, in which the intervention period was staggered for each subject, was applied. To determine efficacy, the hand numbness numerical rating scale, peg test, and EEG were measured daily, and Tau-U calculations were performed. Results: In two of three cases, moderate or very large changes were observed in numbness in B. In all cases, there was a large or very large change in the peg test results in the B. Regarding EEG activity, the non-skilled participants showed amplification of γ-wave power in the sensorimotor area during the B. Conversely, in the skilled participants, the γ-wave power of the sensorimotor area was attenuated during skillful movements. Conclusions: These findings indicate that the ability of the brain to compare and align predictive control with sensory feedback might be compromised in patients with damage to the afferent pathways of the central nervous system. Moreover, the use of this device appears to have played a role in supporting functional recovery.

Background: Self-controlled motor imagery combined with assistive devices is promising for enhancing neurorehabilitation. This study developed a soft, Flexible Exoskeleton (flexEXO) for finger movements and investigated whether self-controlled motor tasks facilitate stronger cortical activation than externally controlled conditions. Methods: Twenty-one healthy participants performed grasping tasks under four conditions: Self-Controlled Motion (SCC), Other-Controlled Motion (OCC), Self-Controlled Imagery Only (SCIOC), and Other-Controlled Imagery Only (OCIOC). EEG data were recorded, focusing on event-related desynchronization (ERD) in the μ and β bands during imagery and motion and event-related synchronization (ERS) in the β band during feedback. Source localization was performed using eLORETA. Results: Higher μERD and βERD were observed during self-controlled tasks, particularly in the primary motor cortex and supplementary motor area. Externally controlled tasks showed enhanced activation in the inferior parietal lobule and secondary somatosensory cortex. βERS did not differ significantly across conditions. Source localization revealed that self-controlled tasks engaged motor planning and error-monitoring regions more robustly. Conclusions: The flexEXO device and the comparison of brain activity under different conditions provide insights into the neural mechanisms of motor control and have implications for neurorehabilitation.

This study aimed to validate the effectiveness of the Articulation Motion Assessment System (AMAS), a joint kinematic evaluation system, for clinical applications. AMAS enables synchronised measurement using neurophysiological indicators, overcoming laboratory setting limitations. We compared AMAS-based ankle joint kinematic evaluations, particularly the sagittal and frontal plane angles, with two-dimensional (2D) motion analysis to determine the validity and reliability of AMAS. Both AMAS and 2D motion analysis reliably detected significant differences in angles within the sagittal and frontal planes. Correlation analysis revealed a significant moderate-to-strong correlation between the AMAS and the conventional method of 2D motion analysis, proving the measurement validity of the AMAS (ρ = 0.53–0.77 for sagittal plane angles; ρ = 0.46–0.72 for frontal plane angles). The average root mean squared error (RMSE) was significantly lower in AMAS (10.90 ± 2.93° for sagittal plane angles; 13.44 ± 1.09° for frontal plane angles) than in the inertial sensor-based three-dimensional (3D) motion analysis. Reliability analysis revealed high reliability of measurements (intraclass correlation coefficients (ICC) ≥ 0.76). However, the Bland–Altman analysis identified a slightly lower fixed bias, which was observed as a characteristic of each measurement system. The AMAS accurately detects ankle joint angles without being constrained by measurement environment limitations. Synchronised measurements using neurophysiological indicators potentially contribute to understanding ankle joint control mechanisms and developing rehabilitation strategies.

Background/Objectives: Assessing inhibitory function and error detection is crucial for the early detection of age-related cognitive decline. This study aimed to investigate the neural network dynamics underlying these functions in younger and older adults to better understand age-related changes in cognitive control. Methods: We recorded electroencephalograms (EEGs) during an inhibitory control task in 17 older and 15 younger healthy adults. Behavioral performance was assessed, and directional functional connectivity was analyzed using Low-Resolution Electromagnetic Tomography (LORETA), isolated effective coherence (iCoh), and Full Vector Field analysis across the theta, alpha, and beta frequency bands. Results: Older adults showed significantly fewer correct responses than younger adults. During incorrect responses, older adults exhibited strong beta-band directionality from the ventral anterior cingulate cortex (ACC) to the left frontal polar cortex (FPC), alongside strong intra-ACC connectivity. During correct responses, they demonstrated alpha- and beta-band directionality from the left dorsolateral prefrontal cortex (DLPFC) to the right FPC. Conversely, compared with older adults, younger adults demonstrated significantly stronger mutual directionality within the ACC and widespread robust connectivity among the ACC, bilateral DLPFC, and FPC during correct responses. Conclusions: Efficient inhibitory control in older adults appears to rely on higher-order error-monitoring and error detection networks. The altered network dynamics in older adults suggest an age-related decline in immediate cognitive control. Evaluating these neural networks via EEGs provides a potential non-invasive biomarker for early cognitive decline and highlights higher-order executive control as a promising target for preventive interventions.

Background/Objectives: Motivation is a key factor for improving motor function and cognitive control in patients. Motivation for rehabilitation is influenced by the relationship between the therapist and patient, wherein appropriate voice encouragement is necessary to increase motivation. Therefore, we examined the differences between mothers and other individuals, such as physical therapists (PTs), in their verbal interactions with children with cerebral palsy who have poor communication abilities, as well as the neurological and physiological effects of variations in the tone of their speech. Methods: The three participants were children with cerebral palsy (Participant A: boy, 3 years; Participant B: girl, 7 years; Participant C: girl, 9 years). Participants’ mothers and the assigned PTs were asked to speak under three conditions. During this, the brain activity of the participants was measured using a 19-channel electroencephalogram. The results were further analyzed using Independent Component Analysis frequency analysis with exact Low-Resolution Brain Electromagnetic Tomography, allowing for the identification and visualization of neural activity in three-dimensional brain functional networks. Results: The results of the ICA frequency analysis for each participant revealed distinct patterns of brain activity in response to verbal encouragement from the mother and PT, with differences observed across the theta, alpha, and beta frequency bands. Conclusions: Our study suggests that the children were attentive to their mothers’ inquiries and focused on their internal experiences. Furthermore, it was indicated that when addressed by the PT, the participants found it easier to grasp the meanings and intentions of the words.

Background/Objectives: This study aimed to examine the influence of brain activity during motor preparation on walking ability, focusing on motor control during active ankle dorsiflexion. Methods: Participants were classified into high- and low-corticomuscular coherence (CMC), an index of neuromuscular control based on the median value. Biomechanical and neurophysiological indices of active ankle dorsiflexion and walking ability were compared between the two groups. Additionally, a machine learning model was developed to accurately predict the CMC classification using brain neural activity during motor preparation. Results: The Cz-TA CMC (beta frequency band) during active ankle dorsiflexion successfully detected significant differences in the maximum dorsiflexion angle, inversion angular velocity, brain activity localization, and variations in Cz beta power values during the transition from motor preparation to execution. Furthermore, CMC identified significant differences in dorsiflexion angle changes after toe-off and inversion angles at initial contact during gait. A support-vector machine model predicting high or low CMC demonstrated high accuracy (Accuracy: 0.96, Precision: 0.92–1.00, Recall: 0.91–1.00, F1 Score: 0.95–0.96) during motor execution based on beta power values from −500 to 0 ms prior to the initiation of active ankle dorsiflexion (representing motor preparation). Conclusions: These findings highlight that the motor preparation processes of the brain during active ankle dorsiflexion are involved in walking ability and can be used to predict it. This indicator is independent of disease severity and holds the potential to provide a clinically versatile evaluation method.