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顶叶皮质的阳极经颅直流电刺激可增强皮质基底节综合征患者的动作命名能力。

Anodal transcranial direct current stimulation of parietal cortex enhances action naming in Corticobasal Syndrome.

作者信息

Manenti Rosa, Bianchi Marta, Cosseddu Maura, Brambilla Michela, Rizzetti Cristina, Padovani Alessandro, Borroni Barbara, Cotelli Maria

机构信息

Neuropsychology Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli Brescia, Italy.

Centre for Aging Brain and Neurodegenerative Disorders, Neurology unit, University of Brescia Brescia, Italy.

出版信息

Front Aging Neurosci. 2015 Apr 14;7:49. doi: 10.3389/fnagi.2015.00049. eCollection 2015.

Abstract

BACKGROUND

Corticobasal Syndrome (CBS) is a neurodegenerative disorder that overlaps both clinically and neuropathologically with Frontotemporal dementia (FTD) and is characterized by apraxia, alien limb phenomena, cortical sensory loss, cognitive impairment, behavioral changes and aphasia. It has been recently demonstrated that transcranial direct current stimulation (tDCS) improves naming in healthy subjects and in subjects with language deficits.

OBJECTIVE

The aim of the present study was to explore the extent to which anodal tDCS over the parietal cortex (PARC) could facilitate naming performance in CBS subjects.

METHODS

Anodal tDCS was applied to the left and right PARC during object and action naming in seventeen patients with a diagnosis of possible CBS. Participants underwent two sessions of anodal tDCS (left and right) and one session of placebo tDCS. Vocal responses were recorded and analyzed for accuracy and vocal Reaction Times (vRTs).

RESULTS

A shortening of naming latency for actions was observed only after active anodal stimulation over the left PARC, as compared to placebo and right stimulations. No effects have been reported for accuracy.

CONCLUSIONS

Our preliminary finding demonstrated that tDCS decreased vocal reaction time during action naming in a sample of patients with CBS. A possible explanation of our results is that anodal tDCS over the left PARC effects the brain network implicated in action observation and representation. Further studies, based on larger patient samples, should be conducted to investigate the usefulness of tDCS as an additional treatment of linguistic deficits in CBS patients.

摘要

背景

皮质基底节综合征(CBS)是一种神经退行性疾病,在临床和神经病理学上与额颞叶痴呆(FTD)有重叠,其特征为失用症、异己肢体现象、皮质感觉丧失、认知障碍、行为改变和失语症。最近有研究表明,经颅直流电刺激(tDCS)可改善健康受试者和有语言缺陷受试者的命名能力。

目的

本研究旨在探讨顶叶皮质(PARC)阳极tDCS对CBS患者命名能力的促进程度。

方法

对17例诊断为可能CBS的患者在物体和动作命名过程中,分别对左侧和右侧PARC施加阳极tDCS。参与者接受了两次阳极tDCS(左侧和右侧)和一次安慰剂tDCS治疗。记录语音反应并分析其准确性和语音反应时间(vRTs)。

结果

与安慰剂和右侧刺激相比,仅在左侧PARC进行主动阳极刺激后,观察到动作命名潜伏期缩短。未发现对准确性有影响。

结论

我们的初步研究结果表明,tDCS可缩短CBS患者样本在动作命名过程中的语音反应时间。我们结果的一个可能解释是,左侧PARC的阳极tDCS影响了与动作观察和表征相关的脑网络。应基于更大的患者样本进行进一步研究,以探讨tDCS作为CBS患者语言缺陷辅助治疗方法的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3884/4396503/188387131337/fnagi-07-00049-g0001.jpg

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