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阴极经颅直流电刺激顶叶后皮质会在轻触觉作用期间降低稳态姿势稳定性。

Cathodal transcranial direct current stimulation of the posterior parietal cortex reduces steady-state postural stability during the effect of light touch.

作者信息

Ishigaki Tomoya, Imai Ryota, Morioka Shu

机构信息

aDepartment of Neurorehabilitation, Graduate School of Health Sciences bNeurorehabilitation Research Center, Kio University cDepartment of Rehabilitation, Higashiikoma Hospital, Nara dDepartment of Home-visit Rehabilitation, Fit-care Home-visit Nursing Station, Higashiosaka-city, Osaka, Japan.

出版信息

Neuroreport. 2016 Sep 28;27(14):1050-5. doi: 10.1097/WNR.0000000000000654.

Abstract

Touching a stable object with a fingertip using slight force (<1 N) stabilizes standing posture independent of mechanical support, which is referred to as the effect of light touch (LT). In the neural mechanism of the effect of LT, the specific contribution of the cortical brain activity toward the effect of LT remains undefined, particularly the contribution toward steady-state postural sway. The aim of the present study was to investigate the cortical region responsible for the reduction of postural sway in response to the effect of LT. Active LT was applied with the right fingertip and transcranial direct current stimulation (sham or cathodal) was applied to the left primary sensorimotor cortex or the left posterior parietal cortex in the two groups. The experiments were conducted using a single-blind sham-controlled crossover design. Steady-state postural sway was compared with the factors of transcranial direct current stimulation (sham or cathodal) and time (pre or post). In the results, the effect of LT reduced postural stability in the mediolateral direction after cathodal transcranial direct current stimulation of the left posterior parietal cortex. No effect was observed after stimulation of the left primary sensorimotor cortex. This indicates that the left posterior parietal cortex is partly responsible for the effect of LT when touching a fixed point with the right fingertip during suprapostural tasks, where posture is adjusted according to the precision requirements. Cortical processing of sensory integration for voluntary postural orientation in response to touch occurs in the posterior parietal cortex.

摘要

用指尖以轻微力量(<1牛顿)触碰稳定物体可独立于机械支撑稳定站立姿势,这被称为轻触(LT)效应。在LT效应的神经机制中,大脑皮层活动对LT效应的具体贡献仍不明确,尤其是对稳态姿势摆动的贡献。本研究的目的是调查负责响应LT效应而减少姿势摆动的皮层区域。两组中,用右手指尖进行主动轻触,并对左侧初级感觉运动皮层或左侧顶叶后皮质施加经颅直流电刺激(假刺激或阴极刺激)。实验采用单盲假对照交叉设计。将稳态姿势摆动与经颅直流电刺激(假刺激或阴极刺激)和时间(刺激前或刺激后)因素进行比较。结果显示,在对左侧顶叶后皮质进行阴极经颅直流电刺激后,LT效应降低了姿势在内外侧方向的稳定性。刺激左侧初级感觉运动皮层后未观察到效果。这表明,在根据精度要求调整姿势的姿势任务中,当用右手指尖触碰固定点时,左侧顶叶后皮质部分负责LT效应。对触觉做出反应的自主姿势定向的感觉整合的皮层处理发生在顶叶后皮质。

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