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经 tDCS 和运动训练后老年人大脑皮质可塑性的形成。

Formation of cortical plasticity in older adults following tDCS and motor training.

机构信息

Centre for Physical Activity and Nutrition Research, Deakin University Melbourne, Australia.

Biostatistics Unit, Faculty of Health, Deakin University Melbourne, Australia.

出版信息

Front Aging Neurosci. 2013 Dec 6;5:87. doi: 10.3389/fnagi.2013.00087. eCollection 2013.

Abstract

Neurodegeneration accompanies the process of natural aging, reducing the ability to perform functional daily activities. Transcranial direct current stimulation (tDCS) alters neuronal excitability and motor performance; however its beneficial effect on the induction of primary motor cortex (M1) plasticity in older adults is unclear. Moreover, little is known as to whether the tDCS electrode arrangement differentially affects M1 plasticity and motor performance in this population. In a double-blinded, cross-over trial, we compared unilateral, bilateral and sham tDCS combined with visuomotor tracking, on M1 plasticity and motor performance of the non-dominant upper limb, immediately post and 30 min following stimulation. We found (a) unilateral and bilateral tDCS decreased tracking error by 12-22% at both time points; with sham decreasing tracking error by 10% at 30 min only, (b) at both time points, motor evoked potentials (MEPs) were facilitated (38-54%) and short-interval intracortical inhibition was released (21-36%) for unilateral and bilateral conditions relative to sham, (c) there were no differences between unilateral and bilateral conditions for any measure. These findings suggest that tDCS modulated elements of M1 plasticity, which improved motor performance irrespective of the electrode arrangement. The results provide preliminary evidence indicating that tDCS is a safe non-invasive tool to preserve or improve neurological function and motor control in older adults.

摘要

神经退行性变伴随着自然衰老过程,降低了执行日常功能活动的能力。经颅直流电刺激 (tDCS) 改变神经元兴奋性和运动表现;然而,其对老年人初级运动皮层 (M1) 可塑性的诱导的有益影响尚不清楚。此外,对于 tDCS 电极排列是否会以不同的方式影响该人群的 M1 可塑性和运动表现,知之甚少。在一项双盲、交叉试验中,我们比较了单侧、双侧和假 tDCS 与视动跟踪相结合,对非优势上肢的 M1 可塑性和运动表现的即刻和刺激后 30 分钟的影响。我们发现:(a) 单侧和双侧 tDCS 在两个时间点均使跟踪误差降低了 12-22%;而假 tDCS 仅在 30 分钟时使跟踪误差降低了 10%;(b) 在两个时间点,与假 tDCS 相比,单侧和双侧条件下运动诱发电位 (MEPs) 均得到促进(38-54%),短程抑制得到释放(21-36%);(c) 任何测量值在单侧和双侧条件之间均无差异。这些发现表明 tDCS 调节了 M1 可塑性的元素,从而改善了运动表现,而与电极排列无关。这些结果提供了初步证据,表明 tDCS 是一种安全的非侵入性工具,可以维持或改善老年人的神经功能和运动控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df52/3854104/177df023261b/fnagi-05-00087-g001.jpg

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