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有证据表明经颅直流电刺激可改善老年人的眼球扫视运动控制。

Evidence Transcranial Direct Current Stimulation Can Improve Saccadic Eye Movement Control in Older Adults.

作者信息

Chen Po Ling, Stenling Andreas, Machado Liana

机构信息

Department of Psychology and Brain Health Research Centre, University of Otago, Dunedin 9054, New Zealand.

Brain Research New Zealand, Auckland 1142, New Zealand.

出版信息

Vision (Basel). 2018 Dec 3;2(4):42. doi: 10.3390/vision2040042.

Abstract

Ageing is associated with declines in voluntary eye movement control, which negatively impact the performance of daily activities. Therapies treating saccadic eye movement control deficits are currently lacking. To address the need for an effective therapy to treat age-related deficits in saccadic eye movement control, the current study investigated whether saccadic behaviour in older adults can be improved by anodal transcranial direct current stimulation (tDCS) over the dorsolateral prefrontal cortex using a montage that has been proven to be effective at improving nonoculomotor control functions. The tDCS protocol entailed a 5 cm × 7 cm anodal electrode and an encephalic cathodal reference electrode positioned over the contralateral supraorbital area. In two experiments, healthy older men completed one active (1.5 mA current for 10 min) and one sham stimulation session, with the session order counterbalanced across participants, and eye movement testing following stimulation. In the first experiment, participants rested during the tDCS (offline), whereas in the follow-up experiment, participants engaged in antisaccades during the tDCS (online). Analyses revealed improvements in saccadic performance following active anodal tDCS relative to sham stimulation in the online experiment, but not in the offline experiment, which was presumably due to the activation of the relevant networks during tDCS promoting more targeted effects. These outcomes converge with findings pertaining to nonoculomotor cognitive functions, and provide evidence that tDCS can improve saccadic eye movement control in older adults.

摘要

衰老与自主眼球运动控制能力下降有关,这对日常活动表现产生负面影响。目前缺乏治疗眼球跳动控制缺陷的疗法。为了满足有效治疗与年龄相关的眼球跳动控制缺陷的需求,本研究调查了使用已被证明能有效改善非眼球运动控制功能的电极组合,对背外侧前额叶皮层进行阳极经颅直流电刺激(tDCS)是否能改善老年人的眼球跳动行为。tDCS方案包括一个5厘米×7厘米的阳极电极和一个置于对侧眶上区域的头皮阴极参考电极。在两个实验中,健康老年男性完成一次主动刺激(1.5毫安电流,持续10分钟)和一次假刺激疗程,疗程顺序在参与者之间进行平衡,并在刺激后进行眼球运动测试。在第一个实验中,参与者在tDCS期间休息(离线),而在后续实验中,参与者在tDCS期间进行反扫视(在线)。分析显示,在在线实验中,相对于假刺激,主动阳极tDCS后眼球跳动表现有所改善,但在离线实验中没有,这可能是由于tDCS期间相关网络的激活促进了更有针对性的效果。这些结果与关于非眼球运动认知功能的研究结果一致,并提供了证据表明tDCS可以改善老年人的眼球跳动控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f2/6835567/6a7ba2706143/vision-02-00042-g001.jpg

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