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健康受试者胫前肌经颅磁刺激相关测量的可靠性

Reliability of transcranial magnetic stimulation-related measurements of tibialis anterior muscle in healthy subjects.

作者信息

Cacchio Angelo, Cimini Nicola, Alosi Paolo, Santilli Valter, Marrelli Alfonso

机构信息

Department of Physical Medicine and Rehabilitation, La Sapienza University of Roma, P.le Aldo Moro 5, 00185 Roma, Italy.

出版信息

Clin Neurophysiol. 2009 Feb;120(2):414-9. doi: 10.1016/j.clinph.2008.11.019. Epub 2009 Jan 8.

Abstract

OBJECTIVE

The main purpose of this study was to determine the reliability of transcranial magnetic stimulation (TMS)-related measurements linked to the corticospinal control of the tibialis anterior (TA) muscle in healthy subjects.

METHODS

Inter-investigator and intra-investigator (within-session with a 1.5-h interval; between-session with a 4-week interval) reliability of the motor threshold, recruitment curve with its slope and MEP area at the plateau, MEP latency, maximum MEP (MEPmax) area, and duration of the maximum and minimum silent period (SPmax and SPmin) were assessed in 50 (29 men and 21 women) healthy subjects (mean age 44.8 years, range 22-74 years) using intraclass correlation coefficients (ICC), standard error of measurement (SEM) and smallest real difference (SRD).

RESULTS

The high ICC values and lower SEM and SRD values indicate a good intra- and inter-investigator reliability for motor threshold (ICC range 0.94-0.98), MEP latency (ICC range 0.79-0.93), SPmax (ICC range 0.89-0.95) and SPmin (ICC range 0.79-0.81) in healthy subjects.

CONCLUSIONS

These results suggest that the TMS-related measurements investigated are reliable in healthy subjects.

SIGNIFICANCE

These data could be useful in further studies on cortical excitability changes, such as those induced by therapeutic interventions (e.g. rehabilitative treatment).

摘要

目的

本研究的主要目的是确定与健康受试者胫前肌(TA)皮质脊髓控制相关的经颅磁刺激(TMS)测量的可靠性。

方法

在50名(29名男性和21名女性)健康受试者(平均年龄44.8岁,范围22 - 74岁)中,使用组内相关系数(ICC)、测量标准误差(SEM)和最小真实差异(SRD)评估了运动阈值、具有斜率的募集曲线和平原期的运动诱发电位(MEP)面积、MEP潜伏期、最大MEP(MEPmax)面积以及最大和最小静息期(SPmax和SPmin)持续时间的研究者间和研究者内(同一时间段内间隔1.5小时;不同时间段间隔4周)可靠性。

结果

高ICC值以及较低的SEM和SRD值表明,在健康受试者中,运动阈值(ICC范围0.94 - 0.98)、MEP潜伏期(ICC范围0.79 - 0.93)、SPmax(ICC范围0.89 - 0.95)和SPmin(ICC范围0.79 - 0.81)具有良好的研究者内和研究者间可靠性。

结论

这些结果表明,所研究的与TMS相关的测量在健康受试者中是可靠的。

意义

这些数据可能有助于进一步研究皮质兴奋性变化,例如由治疗干预(如康复治疗)引起的变化。

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