Service d'Explorations Fonctionnelles du Système Nerveux, Centre Hospitalier Universitaire d'Amiens, Picardie, France.
Clin Neurophysiol. 2013 Feb;124(2):346-53. doi: 10.1016/j.clinph.2012.07.006. Epub 2012 Aug 9.
To establish the presence or absence of an age effect on the ipsilateral silent period (iSP) for the abductor pollicis brevis (APB) muscle in healthy subjects.
Twenty young adults (10 men, 10 women; age range: 20-40) and 20 older adults (10 men, 10 women; age range: 50-70) were matched by age (+30 years), gender and height (±5 cm). All were right-handed. We investigated the iSP for the APB by applying transcranial magnetic stimulation (TMS) and recording surface electromyograms. The contralateral motor-evoked potential (MEP) onset latency, the iSP onset and end latency (iSPOL and iSPEL) were measured and the iSP duration (iSPD) and transcallosal conduction time (TCT) were calculated. We evaluated the correlation between age and iSP, the latter's intra- and intersession reproducibility and potential influencing factors.
Mean iSPOL, iSPEL and TCT values were significantly greater in older adults (both men and women) than in young adults. Intra- and intersession reproducibility was good. The mean left-side iSPEL and iSPD were longer than the right-side mean values in young adults but not in older adults. In both age groups, women displayed shorter latencies than men.
There is a strong effect of age on iSP parameters.
Our iSP results may evidence a decrease in transcallosal excitability with age, rather than slowing of the transcallosal interneuron conduction velocity.
确定健康受试者中拇短展肌(APB)的对侧静息期(iSP)是否存在年龄效应。
共纳入 20 名年轻成年人(10 名男性,10 名女性;年龄范围:20-40 岁)和 20 名老年人(10 名男性,10 名女性;年龄范围:50-70 岁),他们在年龄(相差 30 岁)、性别和身高(相差 5cm)方面相匹配。所有受试者均为右利手。我们通过应用经颅磁刺激(TMS)和记录表面肌电图来研究 APB 的 iSP。测量对侧运动诱发电位(MEP)起始潜伏期、iSP 起始和结束潜伏期(iSPOL 和 iSPEL),并计算 iSP 持续时间(iSPD)和皮质间传导时间(TCT)。我们评估了年龄与 iSP 的相关性、后者的内和间测试重复性以及潜在的影响因素。
老年人(男性和女性)的平均 iSPOL、iSPEL 和 TCT 值明显大于年轻成年人。内和间测试重复性良好。年轻成年人的左侧 iSPEL 和 iSPD 的平均值大于右侧,但老年人则不然。在两个年龄组中,女性的潜伏期均短于男性。
年龄对 iSP 参数有强烈影响。
我们的 iSP 结果可能表明随着年龄的增长,皮质间兴奋性降低,而不是皮质间神经元传导速度减慢。