Dumel Gaëlle, Bourassa Marie-Eve, Charlebois-Plante Camille, Desjardins Martine, Doyon Julien, Saint-Amour Dave, De Beaumont Louis
Centre de Recherche de l'Hôpital du Sacré-Coeur de Montréal, Montréal, QC, Canada.
Département de Psychologie, Université du Québec à Montréal, Montréal, QC, Canada.
Front Aging Neurosci. 2018 Oct 24;10:335. doi: 10.3389/fnagi.2018.00335. eCollection 2018.
Healthy aging is associated with decline of motor function that can generate serious consequences on the quality of life and safety. Our studies aim to explore the 3-month effects of a 5-day multisession anodal transcranial direct current stimulation (a-tDCS) protocol applied over the primary motor cortex (M1) during motor sequence learning in elderly. The present sham-controlled aging study investigated whether tDCS-induced motor improvements previously observed 1 day after the intervention persist beyond 3 months. A total of 37 cognitively-intact aging participants performed five consecutive daily 20-min sessions of the serial-reaction time task (SRTT) concomitant with either anodal ( = 18) or sham ( = 19) tDCS over M1. All participants performed the Purdue Pegboard Test and transcranial magnetic stimulation (TMS) measures of cortical excitability were collected before, 1 day after and 3 months after the intervention. The last follow-up session also included the execution of the trained SRTT. The main findings are the demonstration of durable effects of a 5-day anodal tDCS intervention at the trained skill, while the active intervention did not differ from the sham intervention at both the untrained task and on measures of M1-disinhibition. Thus, the current article revealed for the first time the durability of functional effects of a-tDCS combined with motor training after only 5 days of intervention in an aging population. This finding provides evidence that the latter treatment alternative is effective in achieving our primary motor rehabilitation goal, that is to allow durable motor training effects in an aging population.
健康衰老与运动功能衰退相关,这可能对生活质量和安全产生严重影响。我们的研究旨在探讨在老年人群体的运动序列学习过程中,对初级运动皮层(M1)进行为期5天、多疗程的阳极经颅直流电刺激(a-tDCS)方案所产生的3个月效果。本项有假刺激对照的衰老研究调查了干预后1天观察到的tDCS诱导的运动改善是否能持续超过3个月。共有37名认知功能正常的老年参与者连续5天每天进行20分钟的序列反应时任务(SRTT),同时对M1施加阳极(n = 18)或假刺激(n = 19)tDCS。所有参与者在干预前、干预后1天和干预后3个月进行普渡钉板测试,并收集皮层兴奋性的经颅磁刺激(TMS)测量数据。最后一次随访还包括执行经过训练的SRTT。主要研究结果表明,为期5天的阳极tDCS干预对训练技能具有持久影响,而在未训练任务和M1去抑制测量方面,主动干预与假刺激干预没有差异。因此,本文首次揭示了在老年人群体中仅进行5天干预后,a-tDCS与运动训练相结合所产生的功能效果的持久性。这一发现提供了证据,表明后一种治疗方法在实现我们的主要运动康复目标方面是有效的,即在老年人群体中实现持久的运动训练效果。