Hardwick Robert M, Celnik Pablo A
Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, USA.
Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, USA; Department of Neurology, Johns Hopkins University, Baltimore, MD, USA.
Neurobiol Aging. 2014 Oct;35(10):2217-21. doi: 10.1016/j.neurobiolaging.2014.03.030. Epub 2014 Apr 2.
Developing novel approaches to combat age related declines in motor function is key to maintaining health and function in older adults, a subgroup of the population that is rapidly growing. Motor adaptation, a form of motor learning, has been shown to be impaired in healthy older subjects compared with their younger counterparts. Here, we tested whether excitatory anodal transcranial direct current stimulation (tDCS) over the cerebellum could enhance adaptation in older subjects. Participants performed a "center-out" reaching task, adapting to the sudden introduction of a visual cursor rotation. Older participants receiving sham tDCS (mean age 56.3 ± 6.8 years) were slower to adapt than younger participants (mean age 20.7 ± 2.1 years). In contrast, older participants who received anodal tDCS (mean age 59.6 ± 8.1 years) adapted faster, with a rate that was similar to younger subjects. We conclude that cerebellar anodal tDCS enhances motor adaptation in older individuals. Our results highlight the efficacy of the novel approach of using cerebellar tDCS to combat age related deficits in motor learning.
开发新方法来对抗与年龄相关的运动功能衰退,对于维持老年人(这一快速增长的人口亚群体)的健康和功能至关重要。运动适应是一种运动学习形式,与年轻受试者相比,健康的老年受试者的运动适应能力已被证明受损。在此,我们测试了小脑上的兴奋性阳极经颅直流电刺激(tDCS)是否能增强老年受试者的适应能力。参与者执行了一项“中心向外”的伸手任务,以适应视觉光标突然旋转的情况。接受伪tDCS的老年参与者(平均年龄56.3±6.8岁)比年轻参与者(平均年龄20.7±2.1岁)适应速度慢。相比之下,接受阳极tDCS的老年参与者(平均年龄59.6±8.1岁)适应速度更快,其速度与年轻受试者相似。我们得出结论,小脑阳极tDCS可增强老年人的运动适应能力。我们的结果突出了使用小脑tDCS这一新方法对抗与年龄相关的运动学习缺陷的有效性。