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小脑在外部节奏性手指运动中的作用。

Role of the cerebellum in externally paced rhythmic finger movements.

作者信息

Del Olmo Miguel Fernandez, Cheeran Binith, Koch Giacomo, Rothwell John C

机构信息

Sobell Dept of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, Queen Square, London, UK.

出版信息

J Neurophysiol. 2007 Jul;98(1):145-52. doi: 10.1152/jn.01088.2006. Epub 2007 Apr 25.

Abstract

Several studies have suggested that the cerebellum has an important role in timing of subsecond intervals. Previous studies using transcranial magnetic stimulation (TMS) to test this hypothesis directly have produced inconsistent results. Here we used 1-Hz repetitive TMS (rTMS) for 10 min over the right or left cerebellar hemisphere to interfere transiently with cerebellar processing to assess its effect on the performance of a finger-tapping task. Subjects tapped with their right index finger for 1 min (synchronization phase) with an auditory or visual cue at 0.5, 1, or 2 Hz; they continued for a further 1 min at the same rate with no cues (continuation phase). The blocks of trials were performed in a random order. rTMS of the cerebellum ipsilateral to the movement increased the variability of the intertap interval but only for movements at 2 Hz that were made while subjects were synchronizing with an auditory cue. There was no effect on the continuation phase of the task when the cues were no longer present or on synchronization with a visual cue. Similar results were seen after stimulation over the contralateral dorsal premotor cortex but not after rTMS over supplementary motor area. There was no effect after rTMS over the ipsilateral right cervical nerve roots or over the ipsilateral primary motor cortex. The results support the hypothesis of neural network for event-related timing in the subsecond range that involves a cerebellar-premotor network.

摘要

多项研究表明,小脑在亚秒级间隔的计时中起着重要作用。以往使用经颅磁刺激(TMS)直接检验这一假设的研究结果并不一致。在此,我们对右侧或左侧小脑半球进行10分钟的1赫兹重复经颅磁刺激(rTMS),以短暂干扰小脑处理过程,从而评估其对指敲任务表现的影响。受试者用右手食指在0.5、1或2赫兹的听觉或视觉提示下敲击1分钟(同步阶段);然后在无提示的情况下以相同速率继续敲击1分钟(延续阶段)。各试验组以随机顺序进行。与运动同侧的小脑进行rTMS会增加敲击间隔的变异性,但仅在受试者与听觉提示同步时以2赫兹进行的运动中出现这种情况。当提示不再存在时,对任务的延续阶段或与视觉提示同步没有影响。在对侧背侧运动前皮层进行刺激后也观察到了类似结果,但在辅助运动区进行rTMS后未观察到。对同侧右颈神经根或同侧初级运动皮层进行rTMS后没有影响。这些结果支持了在亚秒范围内涉及小脑 - 运动前网络的事件相关计时神经网络假说。

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