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双侧经颅直流电刺激重塑静息态脑网络:一项脑磁图评估。

Bilateral Transcranial Direct Current Stimulation Reshapes Resting-State Brain Networks: A Magnetoencephalography Assessment.

机构信息

San Camillo Hospital IRCCS, Venice, Italy.

NeXT: Neurophysiology and Neuroengineering of Human-Technology Interaction Research Unit, Campus Bio-Medico University, Rome, Italy.

出版信息

Neural Plast. 2018 Jan 11;2018:2782804. doi: 10.1155/2018/2782804. eCollection 2018.

Abstract

Transcranial direct current stimulation (tDCS) can noninvasively induce brain plasticity, and it is potentially useful to treat patients affected by neurological conditions. However, little is known about tDCS effects on resting-state brain networks, which are largely involved in brain physiological functions and in diseases. In this randomized, sham-controlled, double-blind study on healthy subjects, we have assessed the effect of bilateral tDCS applied over the sensorimotor cortices on brain and network activity using a whole-head magnetoencephalography system. Bilateral tDCS, with the cathode (-) centered over C4 and the anode (+) centered over C3, reshapes brain networks in a nonfocal fashion. Compared to sham stimulation, tDCS reduces left frontal alpha, beta, and gamma power and increases global connectivity, especially in delta, alpha, beta, and gamma frequencies. The increase of connectivity is consistent across bands and widespread. These results shed new light on the effects of tDCS and may be of help in personalizing treatments in neurological disorders.

摘要

经颅直流电刺激(tDCS)可无创地诱导大脑产生可塑性,因此对于治疗受神经疾病影响的患者具有潜在的应用价值。然而,人们对于 tDCS 对静息态脑网络的影响知之甚少,因为静息态脑网络在很大程度上与大脑的生理功能和疾病有关。在这项针对健康受试者的随机、假刺激对照、双盲研究中,我们使用全头磁脑图系统评估了双侧刺激应用于感觉运动皮质对大脑和网络活动的影响。双侧 tDCS 采用阴极(-)置于 C4 中心,阳极(+)置于 C3 中心,以非焦点方式重塑大脑网络。与假刺激相比,tDCS 降低了左额区的 alpha、beta 和 gamma 功率,并增加了全局连通性,特别是在 delta、alpha、beta 和 gamma 频率下。这种连通性的增加在各个频段和广泛的区域内都是一致的。这些结果为 tDCS 的作用提供了新的认识,并可能有助于在神经疾病的个性化治疗中发挥作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc8/5821992/9971d3ffa1ba/NP2018-2782804.001.jpg

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