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  4. Assessing the spatial distribution of cervical spinal cord activity during tactile stimulation of the upper extremity in humans with functional magnetic resonance imaging

Assessing the spatial distribution of cervical spinal cord activity during tactile stimulation of the upper extremity in humans with functional magnetic resonance imaging

Neuroimage, 2020 · DOI: 10.1016/j.neuroimage.2020.116905 · Published: August 15, 2020

Spinal Cord InjuryNeuroimagingNeurology

Simple Explanation

This study used functional MRI (fMRI) to map the areas of the spinal cord that become active when healthy people are touched on the shoulder or hand. The researchers wanted to see if the activity was mainly on the same side of the spinal cord as the touch and if touching the shoulder activated higher areas of the spinal cord than touching the hand, as expected based on dermatomal maps. The results showed activity mainly on the same side, but it was spread out more than expected, suggesting that the spinal cord's response to touch is complex.

Study Duration
Not specified
Participants
24 healthy humans
Evidence Level
Level 2: fMRI study

Key Findings

  • 1
    Tactile stimulation resulted in activity localized primarily to the ipsilateral hemicord, with the left- and right-sided stimuli having more activation in the respective ipsilateral hemicord.
  • 2
    The activity for both stimulation sites was not localized more dorsally but spread across the dorsal and ventral hemicords at the group and subject level.
  • 3
    The lateral shoulder and dorsal third digit stimulation activity did not demonstrate a clear superior-inferior localization to their respective spinal cord segments; instead, the activity for both stimuli had a broader than expected distribution.

Research Summary

This study used fMRI to quantitatively assess the spatial distribution of spinal cord activity from left- and right-sided tactile stimulation of the lateral shoulders and dorsal third digits of the hands in healthy human participants. The findings demonstrate lateralization of the activity at the group and subject level with the left- and right-sided stimuli having more activation in the respective ipsilateral hemicord. Contradictory to our hypotheses, the activity for both stimulation sites was not localized more dorsally but spread across the dorsal and ventral hemicords at the group and subject level, and the lateral shoulder and dorsal third digit stimulation activity did not demonstrate a clear superior-inferior localization to their respective spinal cord segments.

Practical Implications

Normative spinal cord measures

This work represents an important step towards developing normative quantitative spinal cord measures of sensory function.

Objective biomarkers for neurological injury

Quantitative spinal cord measures may become useful objective MRI-based biomarkers of neurological injury.

Improved management of spinal disorders

The research may provide important diagnostic, prognostic, and predictive information for the management of spinal disorders.

Study Limitations

  • 1
    Interindividual variability in the cutaneous segmental innervation.
  • 2
    Variability in the location of spinal cord segments across individuals.
  • 3
    Use of a fixed effects analysis limits the generalizability of the group level findings.

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