Hadoush Hikmat, Banihani Saleem A, Khalil Hanan, Al-Qaisi Yasir, Al-Sharman Alham, Al-Jarrah Muhammed
Department of Rehabilitation Sciences, Jordan University of Science & Technology, Irbid 22110, Jordan.
Department of Medical Laboratory Sciences, Jordan University of Science & Technology, Irbid 22110, Jordan.
Neurodegener Dis Manag. 2018 Jun;8(3):171-179. doi: 10.2217/nmt-2017-0048. Epub 2018 Jun 11.
To examine BDNF, dopamine, and motor function changes after bilateral anodal transcranial direct current stimulation (tDCS) in patients with Parkinson's disease.
20 patients undertook ten sessions of bilateral anodal tDCS stimulation applied simultaneously over FC1/FC2, targeting left and right prefrontal and motor areas. Dopamine and BDNF serum levels, and Movement Disorders Society - Unified Parkinson's Disease Rating Scale part three (MDS-UPDRS-III) total score and disability sub-scores were examined pre/post-tDCS stimulation.
BDNF serum level increased significantly and came with significant improvement in motor functions (decrease in MDS-UPDRS-III total score/sub-scores), whereas dopamine level showed no changes. However, there was no significant statistical correlation between the motor functions' improvement and BDNF level increase.
Bilateral anodal tDCS is a safe stimulation protocol that leads to motor functions' improvement and BDNF serum level increase in patients with Parkinson's disease, however the findings of this feasible study are preliminary and further study is needed.
研究帕金森病患者双侧阳极经颅直流电刺激(tDCS)后脑源性神经营养因子(BDNF)、多巴胺及运动功能的变化。
20例患者接受了10次双侧阳极tDCS刺激,同时施加于额中回1/额中回2(FC1/FC2),靶向左右前额叶和运动区。在tDCS刺激前后检测多巴胺和BDNF血清水平,以及运动障碍协会统一帕金森病评定量表第三部分(MDS-UPDRS-III)总分和残疾子分数。
BDNF血清水平显著升高,同时运动功能有显著改善(MDS-UPDRS-III总分/子分数降低),而多巴胺水平无变化。然而,运动功能改善与BDNF水平升高之间无显著统计学相关性。
双侧阳极tDCS是一种安全的刺激方案,可使帕金森病患者的运动功能得到改善,BDNF血清水平升高,但本可行性研究的结果是初步的,需要进一步研究。