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经颅直流电刺激运动皮层可引起热觉和触觉感知的明显变化。

Transcranial direct current stimulation of the motor cortex induces distinct changes in thermal and mechanical sensory percepts.

机构信息

Department of Clinical Neurophysiology, Georg August-University, Goettingen, Germany.

出版信息

Clin Neurophysiol. 2010 Dec;121(12):2083-9. doi: 10.1016/j.clinph.2010.05.005. Epub 2010 Jun 8.

Abstract

OBJECTIVE

The aim of this single-blinded, complete crossover study was to evaluate the effects of tDCS on thermal and mechanical perception, as assessed by quantitative sensory testing (QST).

METHODS

QST was performed upon the radial part of both hands of eight healthy subjects (3 female, 5 male, 25-41years of age). These subjects were examined before and after cathodal, anodal or sham tDCS, applied in a random order. TDCS was administered for 15min at a 1mA current intensity, with the active electrode placed over the left primary motor cortex and the reference electrode above the right orbit.

RESULTS

After cathodal tDCS, cold detection thresholds (CDT), mechanical detection thresholds (MDT), and mechanical pain thresholds (MPT) significantly increased in the contralateral hand, when compared to the baseline condition.

CONCLUSIONS

Cathodal tDCS temporarily reduced the sensitivity to A-fiber mediated somatosensory inputs.

SIGNIFICANCE

Impairment of these somatosensory percepts suggests a short-term suppression of lemniscal or suprathalamic sensory pathways following motor cortex stimulation by cathodal tDCS.

摘要

目的

本单盲、完全交叉研究的目的是评估经颅直流电刺激(tDCS)对热觉和触觉感知的影响,通过定量感觉测试(QST)进行评估。

方法

对 8 名健康受试者(3 名女性,5 名男性,年龄 25-41 岁)的双手桡侧部分进行 QST。这些受试者在接受经颅直流电刺激(tDCS)之前和之后进行检查,以随机顺序接受阴极、阳极或假 tDCS。TDCS 以 1mA 的电流强度进行 15 分钟,将活性电极置于左侧初级运动皮层上方,参考电极置于右侧眶上方。

结果

与基线相比,阴极 tDCS 后,对侧手的冷觉检测阈值(CDT)、机械检测阈值(MDT)和机械痛觉阈值(MPT)显著增加。

结论

阴极 tDCS 暂时降低了对 A 纤维介导的躯体感觉传入的敏感性。

意义

这些躯体感觉知觉的损害表明,在运动皮层刺激后,通过阴极 tDCS 对楔束或丘脑上感觉通路的短期抑制。

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