Gómez Lázaro, Vidal Belkis, Maragoto Carlos, Morales Lilia Maria, Berrillo Sheyla, Vera Cuesta Héctor, Baez Margarita, Denis Marlén, Marín Tairí, Cabrera Yaumara, Sánchez Abel, Alarcón Celia, Selguera Maribel, Llanez Yaima, Dieguez Lucila, Robinson María
Non Invasive Brain Stimulation Unit, International Center for Neurological Restoration, 25th Ave, Playa, Havana 15805, Cuba.
Clinical Neurophysiology Lab., International Center for Neurological Restoration, 25th Ave. Playa, Havana 15805, Cuba.
Behav Sci (Basel). 2017 Sep 17;7(3):63. doi: 10.3390/bs7030063.
Non-Invasive Brain Stimulation (NIBS) is a relatively new therapeutic approach that has shown beneficial effects in Autism Spectrum Disorder (ASD). One question to be answered is how enduring its neuromodulatory effect could be. Twenty-four patients with ASD (mean age: 12.2 years) received 20 sessions of NIBS over the left dorsolateral prefrontal cortex (L-DLPFC). They were randomized into two groups with two (G1) or three (G2) clinical evaluations before NIBS. Both groups had a complete follow-up at six months after the intervention, with the aim of determining the short-term outcome using the total score on the Autism Behavior Checklist, Autism Treatment Evaluation Checklist, and the Autism Diagnostic Interview. Transcranial Direct Current Stimulation (tDCS) was used in ASD patients aged <11 years, and repetitive Transcranial Magnetic Stimulation (rTMS) for 11-13-year-olds. Observation points were at one, three, and six months after completing all the sessions of NIBS. A significant reduction in the total score on the three clinical scales was observed and maintained during the first six months after treatment, with a slight and non-significant tendency to increase the scores in the last evaluation. Twenty sessions of NIBS over the L-DLPFC improves autistic symptoms in ASD children, with a lasting effect of six months.
非侵入性脑刺激(NIBS)是一种相对较新的治疗方法,已在自闭症谱系障碍(ASD)中显示出有益效果。一个有待回答的问题是其神经调节作用能持续多久。24名ASD患者(平均年龄:12.2岁)在左侧背外侧前额叶皮层(L-DLPFC)接受了20次NIBS治疗。他们被随机分为两组,在NIBS治疗前分别进行两次(G1组)或三次(G2组)临床评估。两组在干预后六个月均进行了完整的随访,目的是使用自闭症行为检查表、自闭症治疗评估检查表和自闭症诊断访谈的总分来确定短期结果。年龄小于11岁的ASD患者使用经颅直流电刺激(tDCS),11至13岁的患者使用重复经颅磁刺激(rTMS)。观察点为完成所有NIBS治疗后的1个月、3个月和6个月。在治疗后的前六个月观察到并维持了三个临床量表总分的显著降低,在最后一次评估中分数有轻微且不显著的上升趋势。在L-DLPFC上进行20次NIBS可改善ASD儿童的自闭症症状,且有持续六个月的效果。