预测经颅直流电刺激后皮质脊髓反应个体变异性的措施。

Measures to Predict The Individual Variability of Corticospinal Responses Following Transcranial Direct Current Stimulation.

作者信息

Nuzum Nathan D, Hendy Ashlee M, Russell Aaron P, Teo Wei-Peng

机构信息

School of Exercise and Nutrition Sciences, Deakin University Geelong, VIC, Australia.

Institute for Physical Activity and Nutrition (IPAN), Deakin University Geelong, VIC, Australia.

出版信息

Front Hum Neurosci. 2016 Oct 6;10:487. doi: 10.3389/fnhum.2016.00487. eCollection 2016.

Abstract

Individual responses to transcranial direct current stimulation (tDCS) are varied and therefore potentially limit its application. There is evidence that this variability is related to the contributions of Indirect waves (I-waves) recruited in the cortex. The latency of motor-evoked potentials (MEPs) can be measured through transcranial magnetic stimulation (TMS), allowing an individual's responsiveness to tDCS to be determined. However, this single-pulse method requires several different orientations of the TMS coil, potentially affecting its reliability. Instead, we propose a paired-pulse TMS paradigm targeting I-waves as an alternative method. This method uses one orientation that reduces inter- and intra-trial variability. It was hypothesized that the paired-pulse method would correlate more highly to tDCS responses than the single-pulse method. In a randomized, double blinded, cross-over design, 30 healthy participants completed two sessions, receiving 20 min of either anodal (2 mA) or sham tDCS. TMS was used to quantify Short interval intracortical facilitation (SICF) at Inter stimulus intervals (ISIs) of 1.5, 3.5 and 4.5 ms. Latency was determined in the posterior-anterior (PA), anterior-posterior (AP) and latero-medial (LM) coil orientations. The relationship between latency, SICF measures and the change in suprathreshold MEP amplitude size following tDCS were determined with Pearson's correlations. TMS measures, SICI and SICF were also used to determine responses to Anodal-tDCS (a-tDCS). Neither of the latency differences nor the SICF measures correlated to the change in MEP amplitude from pre-post tDCS (all > 0.05). Overall, there was no significant response to tDCS in this cohort. This study highlights the need for testing the effects of various tDCS protocols on the different I-waves. Further research into SICF and whether it is a viable measure of I-wave facilitation is warranted.

摘要

个体对经颅直流电刺激(tDCS)的反应各不相同,因此可能会限制其应用。有证据表明,这种变异性与皮层中募集的间接波(I波)的作用有关。运动诱发电位(MEP)的潜伏期可以通过经颅磁刺激(TMS)来测量,从而确定个体对tDCS的反应性。然而,这种单脉冲方法需要TMS线圈的几个不同方向,可能会影响其可靠性。相反,我们提出了一种以I波为目标的双脉冲TMS范式作为替代方法。该方法使用一个方向,减少了试验间和试验内的变异性。据推测,双脉冲方法与tDCS反应的相关性将比单脉冲方法更高。在一项随机、双盲、交叉设计中,30名健康参与者完成了两个疗程,分别接受20分钟的阳极(2 mA)或假tDCS。使用TMS在1.5、3.5和4.5毫秒的刺激间隔(ISI)下量化短间隔皮层内易化(SICF)。在前后(PA)、前后(AP)和外侧-内侧(LM)线圈方向上确定潜伏期。通过Pearson相关性确定潜伏期、SICF测量值与tDCS后阈上MEP振幅大小变化之间的关系。TMS测量值、静息期内抑制(SICI)和SICF也用于确定对阳极tDCS(a-tDCS)的反应。潜伏期差异和SICF测量值均与tDCS前后MEP振幅的变化无关(均>0.05)。总体而言,该队列对tDCS没有显著反应。这项研究强调了测试各种tDCS方案对不同I波影响的必要性。有必要对SICF以及它是否是I波易化的可行测量方法进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72aa/5052268/4ca928e5f7c8/fnhum-10-00487-g0001.jpg

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