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前额叶皮质经颅直流电刺激对神经典型个体和慢性创伤性脑损伤个体的即时记忆及电生理效应:一项初步研究。

Immediate memory and electrophysiologic effects of prefrontal cortex transcranial direct current stimulation on neurotypical individuals and individuals with chronic traumatic brain injury: a pilot study.

作者信息

O'Neil-Pirozzi Therese M, Doruk Deniz, Thomson Jennifer M, Fregni Felipe

机构信息

a Department of Communication Sciences and Disorders , Northeastern University , Boston , MA , USA.

b Department of Physical Medicine and Rehabilitation , Spaulding Rehabilitation Hospital/Harvard Medical School , Charlestown , MA , USA.

出版信息

Int J Neurosci. 2017 Jul;127(7):592-600. doi: 10.1080/00207454.2016.1216415. Epub 2016 Aug 30.

Abstract

UNLABELLED

Purpose/aim: Memory impairment post-TBI is common, frequently persistent, and functionally debilitating. The purposes of this pilot study were to assess and to compare immediate behavioral auditory working memory and electrophysiologic effects of three different, randomized, conditions of left dorsolateral prefrontal cortex (LDLPFC) transcranial direct current stimulation (tDCS) applied to four neurotypical adults and four adults with chronic traumatic brain injury (TBI).

MATERIALS/METHODS: Pre- and post-anodal, cathodal, and sham tDCS auditory memory performance, auditory event-related potentials (P300 amplitude and latency) and power of alpha and theta EEG bands were measured across individuals in each group.

RESULTS

Post-anodal tDCS only, the neurotypical and TBI groups both demonstrated significantly improved immediate auditory memory function. Also post-anodal tDCS, the TBI group demonstrated significantly increased P300 amplitude versus post-sham tDCS. The neurotypical group demonstrated no pre- post-tDCS electrophysiologic changes across conditions.

CONCLUSIONS

These findings are consistent with findings of other studies of immediate tDCS effects on other types of memory in neurotypical individuals and in individuals with Parkinson's disease, Alzheimer's disease and stroke and suggest that individuals with memory impairments second to chronic TBI may benefit from LDLPFC anodal tDCS. Pairing tDCS with traditional behavioral memory interventions may facilitate TBI rehabilitation outcomes and warrants continued investigation.

摘要

未标注

目的/目标:创伤性脑损伤(TBI)后的记忆障碍很常见,常常持续存在,且会导致功能衰退。这项初步研究的目的是评估和比较对四名神经典型成年人和四名患有慢性创伤性脑损伤(TBI)的成年人,随机施加三种不同的左侧背外侧前额叶皮质(LDLPFC)经颅直流电刺激(tDCS)条件后,即刻行为听觉工作记忆和电生理效应。

材料/方法:在每组个体中测量阳极、阴极和假tDCS前后的听觉记忆表现、听觉事件相关电位(P300波幅和潜伏期)以及α和θ脑电频段的功率。

结果

仅在阳极tDCS后,神经典型组和TBI组的即刻听觉记忆功能均显著改善。同样在阳极tDCS后,与假tDCS后相比,TBI组的P300波幅显著增加。神经典型组在各条件下tDCS前后未显示出电生理变化。

结论

这些发现与其他关于即刻tDCS对神经典型个体以及帕金森病、阿尔茨海默病和中风患者其他类型记忆影响的研究结果一致,表明继发于慢性TBI的记忆障碍个体可能从LDLPFC阳极tDCS中获益。将tDCS与传统行为记忆干预相结合可能会促进TBI的康复效果,值得继续研究。

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