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We developed an automated, pneumatic stimulation method to actuate naturalistic movements of an infant\u2019s hand, as well as an analysis pipeline for assessing the elicited electroencephalography (EEG) responses and related cortical networks. Twenty newborn infants with perinatal asphyxia were recruited, including 7 with mild-to-moderate hypoxic\u2013ischemic encephalopathy (HIE). Statistically significant corticokinematic coherence (CKC) was observed between repetitive hand movements and EEG in all infants, peaking near the contralateral sensorimotor cortex. CKC was robust to common sources of recording artifacts and to changes in vigilance state. A wide recruitment of cortical networks was observed with directed phase transfer entropy, also including areas ipsilateral to the stimulation. The extent of such recruited cortical networks was quantified using a novel metric, Spreading Index, which showed a decrease in 4 (57%) of the infants with HIE. CKC measurement is noninvasive and easy to perform, even in noncooperative subjects. The stimulation and analysis pipeline can be fully automated, including the statistical evaluation of the cortical responses. Therefore, the CKC paradigm holds great promise as a scientific and clinical tool for controlled assessment of functional cortical networks.<\/jats:p>","DOI":"10.1093\/cercor\/bhac373","type":"journal-article","created":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T02:08:44Z","timestamp":1668218924000},"page":"4699-4713","source":"Crossref","is-referenced-by-count":4,"title":["Cortical networks show characteristic recruitment patterns after somatosensory stimulation by pneumatically evoked repetitive hand movements in newborn infants"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0717-0809","authenticated-orcid":false,"given":"Eero","family":"Ahtola","sequence":"first","affiliation":[{"name":"Helsinki University Hospital and University of Helsinki Department of Clinical Neurophysiology, BABA Center, Pediatric Research Center, Children\u2019s Hospital and HUS Diagnostics, , Helsinki, 00029 HUS , Finland"},{"name":"Aalto University School of 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