背景：鏡像治療、震動刺激與任務導向運動訓練的結合，所形成的多元感官刺激具有皮層活化、運動功能恢復的潛力，而腦波類型也可能和刺激類型對皮層的活化有共同影響。本研究在單手、雙手運動情境下，對任務導向運動訓練(操作積木塊)搭配鏡像治療與震動刺激，並且探討腦波類型，對左右運動感覺皮層的活化效果。
方法：本研究在單手與雙手運動情境下，進行了兩個二因子受試者內設計，因子分別為刺激類型：無刺激、單元感官刺激(鏡像治療)、多元感官刺激(鏡像治療與震動刺激)，與腦波類型(α、β波)。本研究共有六種實驗條件，以觀察單手、雙手運動情境下，無刺激、單元感官刺激、多元感官刺激對左右運動感覺皮層的影響。本研究招募了30位健康右撇子，使用α、β波的運動相關功率同步/不同步(MRPS/MRPD, Motor-related power synchronization /desynchronization)作為左右半球運動感覺皮層活化或抑制程度的評估。
結果：實驗結果顯示，在單手與雙手運動情境下，刺激類型與腦波類型都對左右半球運動感覺皮層的α、β波MRPS/MRPD有顯著影響。單手運動情境下，多元感官刺激在左側皮層比單元感官刺激與無刺激造成更大的皮層活化，在右側皮層比無刺激有更大的皮層活化。單元感官刺激和無刺激在兩側皮層的活化程度沒有差異。雙手運動情境下，多元感官刺激在兩側皮層比單元感官刺激與無刺激造成更大的皮層活化。單元感官刺激在左側皮層比無刺激有更大的皮層活化。在右側皮層，單元感官刺激與無刺激的皮層活化程度在右側皮層沒有差異。單手、雙手運動情境下，α波的功率降低程度都在兩側皮層大於β波的功率降低程度。
討論：在單手與雙手運動情境下，使用多元感官刺激都可能會造成兩側運動感覺皮層更有效的活化，可能是更有潛力的運動感覺皮層活化方法，以促進皮層重組與神經可塑性。而單元感官刺激僅在雙手運動情境下的左側皮層比無刺激有更大的皮層活化效果，在使用任務導向運動訓練(操作積木塊)時，有無使用鏡像治療可能對皮層活化的效果影響較小。

Background: The combination of mirror therapy, vibration stimulation, and task-oriented training creates a multisensory stimulation that has the potential to activate the cortex and aid in the recovery of motor function. The types of brainwaves may also interact with the conditions of sensory stimulation to influence the cortical activation. This study investigated the effects of task-oriented training (blocks manipulating) combined with mirror therapy and vibration stimulation on the cortical activation of sensorimotor cortex in both hemispheres under unilateral and bilateral movement conditions And also investigated the effect of brainwave types.
Methods: This study employed within-subject designs and two two-way repeated measures ANOVA of unilateral and bilateral movement conditions. One factor was the stimulation conditions (no stimulation, single sensory stimulation, multisensory stimulation). And the other factor was the brainwave types (α wave, β wave). The study involved six experimental conditions to observe the effects of stimulation conditions under unilateral and bilateral movement conditions. A total of 30 healthy right-handed participants were recruited, and the motor-related power synchronization/desynchronization (MRPS/MRPD) of α and β waves in the C3 and C4 electrodes were used to assess the activity of the sensorimotor cortex of the left and right hemispheres.
Results: The results showed that both the stimulation conditions and brainwave types significantly affected the α and β MRPS/MRPD in the sensorimotor cortex of both hemispheres under unilateral and bilateral movement conditions. Under the unilateral movement condition, multisensory stimulation caused greater cortical activation in the left cortex compared to single sensory stimulation and no stimulation, and greater cortical activation in the right cortex than no stimulation. There was no difference between single sensory stimulation and no stimulation in both hemispheres. Under the bilateral movement condition, multisensory stimulation resulted in greater cortical activation in both hemispheres than single sensory stimulation and no stimulation. The single sensory stimulation resulted in greater cortical activation in the left cortex than no stimulation, but there was no difference between single sensory stimulation and no stimulation in the right cortex. Under unilateral and bilateral movement conditions, the power reduction of α wave was greater than β waves in both hemispheres.
Discussion: Under unilateral and bilateral movement conditions, the use of multisensory stimulation (mirror therapy and vibration stimulation) may result in more effective activation of the sensorimotor cortex. It might be a more promising method for promoting cortical reorganization and neuroplasticity. Single sensory stimulation only resulted in greater cortical activation in the left cortex under the bilateral movement condition compared to no stimulation. The use of mirror therapy may have a smaller impact on cortical activation when task-oriented training is used.

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