PTOTOtherJournal of neuroengineering and rehabilitation2022

Brain white matter correlates of learning ankle tracking using a wearable device: importance of the superior longitudinal fasciculus II.

Chishan Shiao, Pei-Fang Tang, Yu-Chen Wei and 2 others

PMID 35761285

WHAT IT FOUND

Five days of tracking practice with a wearable sensor improved ankle accuracy in healthy middle-aged and older adults.

Better performance was linked to increased integrity of one specific brain pathway, the right superior longitudinal fasciculus II, suggesting this tract supports learning complex foot movements.

Key findings

01Participants significantly reduced their ankle tracking errors for both repeated and random sequences after five days of practice.

02The increase in tracking accuracy was significantly correlated with increased structural integrity of the right superior longitudinal fasciculus II.

03Changes in ankle dorsiflexor strength were not associated with the improvement in tracking accuracy.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The study lacked a control group that did not use the wearable sensor, so it is unclear if the brain changes were due to the task itself or the specific feedback provided by the device. Participants were allowed to move their ankles freely in the coronal plane, which may have introduced compensatory movements that affected the precision of the tracking data. The sample consisted only of healthy adults, so the findings may not directly apply to patients with neurological conditions like stroke, although the authors suggest relevance. Biomechanical factors such as ligament laxity were not controlled, which could have influenced individual learning rates.

Declared interests

The study was funded by the Ministry of Science and Technology, Taiwan. No other conflicts of interest were reported.

The easy way to misread this

Do not assume that the observed brain changes were caused by the wearable device's feedback alone, as the study did not include a control group practicing without the sensor. The link between the superior longitudinal fasciculus II and performance is correlational, not proof that strengthening this tract will improve ankle control.

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