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Sunday, November 29, 2020

Brain Network Connectivity and the Choice Motor Reaction in Combatants with Mild Traumatic Brain Injuries

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We examined times (latencies) of two types of the sensorimotor (visuomotor) reactions, simple sensorimotor reaction (SSMR) and choice motor reaction (ChMR), in men (combatants) suffering from the consequences of mild traumatic brain injury (mTBI) during the Joint Forces Operation in the East of Ukraine (17 right-handed volunteers aged 27–43 years) and compared the respective values with those demonstrated by healthy control men (16 right-handed volunteers, 18–21 years). Combatants with mTBI were characterized by significantly greater values of the latency in the ChMR, mostly determined by considerably longer times necessary for decision-making processes. Results of the analysis of cerebral network connectivity based on the data of EEG recording, coherence measurements, and LORETA neurovisualization gave reasons to suppose that a large-scale synchronized frontoparietal neuronetwork functions in control subjects; this network is responsible for decision ma king according to the results of control, analysis of information, and coordination of various alternatives. Unlike this, an associative decision-making system mostly functions in combatants with mTBI; this system uses coding networks in the primary and secondary visual cortices; functioning of the above associative system is followed by the creation of imaginary phenomena and associations, which are then realized in motor acts.

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