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在健康受试者中,局灶性振动后的急性期,脑电图的感觉运动节律会受到调节。

Electroencephalographic sensorimotor rhythms are modulated in the acute phase following focal vibration in healthy subjects.

作者信息

Lopez Susanna, Bini Fabiano, Del Percio Claudio, Marinozzi Franco, Celletti Claudia, Suppa Antonio, Ferri Raffaele, Staltari Emanuela, Camerota Filippo, Babiloni Claudio

机构信息

Department of Physiology and Pharmacology, Sapienza University of Rome, Rome, Italy.

Department of Mechanical and Aerospace Engineering, Sapienza University of Rome, Rome, Italy.

出版信息

Neuroscience. 2017 Jun 3;352:236-248. doi: 10.1016/j.neuroscience.2017.03.015. Epub 2017 Mar 18.

Abstract

Few minutes of focal vibration (FV) on limb muscles can improve motor control in neurological (stroke, Parkinson) patients for unknown underlying neurophysiological mechanisms. Here we hypothesized that in healthy volunteers this FV would increase excitability in the primary sensorimotor cortex (S1-M1) during an isometric contraction of the stimulated muscle. The design included an initial control condition with no FV stimulation (Baseline) as well as three short experimental sessions of FV and a Sham (fake) session in a pseudo-random order. In the Baseline condition and immediately after those sessions, electroencephalographic (EEG) activity was recorded during a mild isometric muscle contraction of the right arm. Alpha and beta motor-related EEG power desynchronization (MRPD) at C4 and C3 electrodes overlying Rolandic regions were used as an index of the cortical excitation in S1-M1. Results showed that, compared to the Baseline (no FV) or Sham stimulation, the first two FV sessions showed a cumulative increase in alpha (but not beta) MRPD at C3 electrode, suggesting a specific effect of vibration on the excitability of contralateral S1-M1 generating EEG "mu" rhythms. FV over limb muscles modulates neurophysiological oscillations enhancing excitability of contralateral S1-M1 in healthy volunteers. The proposed mechanism may explain the clinical effects of vibratory rehabilitation in neurological patients with motor deficits.

摘要

对肢体肌肉进行几分钟的局部振动(FV)可改善神经疾病(中风、帕金森病)患者的运动控制,但其潜在的神经生理机制尚不清楚。在此,我们假设,对于健康志愿者,这种FV会在受刺激肌肉的等长收缩过程中增加初级感觉运动皮层(S1-M1)的兴奋性。实验设计包括一个无FV刺激的初始对照条件(基线),以及三个短暂的FV实验组和一个伪随机顺序的假刺激组。在基线条件下以及这些实验结束后立即记录右臂轻度等长肌肉收缩时的脑电图(EEG)活动。位于罗兰区上方的C4和C3电极处的α和β运动相关脑电图功率去同步化(MRPD)被用作S1-M1皮层兴奋性的指标。结果表明,与基线(无FV)或假刺激相比,前两个FV实验组在C3电极处的α(而非β)MRPD出现累积增加,这表明振动对产生脑电图“μ”节律的对侧S1-M1的兴奋性有特定影响。肢体肌肉上的FV可调节神经生理振荡,增强健康志愿者对侧S1-M1的兴奋性。所提出的机制可能解释振动康复对有运动缺陷的神经疾病患者的临床效果。

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