健康志愿者在预刺激放松状态下,持续20秒的连续theta爆发刺激(cTBS 300)与持续40秒的连续theta爆发刺激(cTBS 600)的对比研究。

Comparative Study of a Continuous Train of Theta-Burst Stimulation for a Duration of 20 s (cTBS 300) versus a Duration of 40 s (cTBS 600) in a Pre-Stimulation Relaxed Condition in Healthy Volunteers.

作者信息

Haeckert Jan, Rothwell John, Hannah Ricci, Hasan Alkomiet, Strube Wolfgang

机构信息

Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg, BKH Augsburg, Dr.-Mack-Str. 1, 86156 Augsburg, Germany.

Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK.

出版信息

Brain Sci. 2021 Jun 1;11(6):737. doi: 10.3390/brainsci11060737.

Abstract

As variable after effects have been observed following phasic muscle contraction prior to continuous theta-burst stimulation (cTBS), we here investigated two cTBS protocols (cTBS300 and cTBS600) in 20 healthy participants employing a pre-relaxed muscle condition including visual feedback on idle peripheral surface EMG activity. Furthermore, we assessed corticospinal excitability measures also from a pre-relaxed state to better understand the potential impact of these proposed contributors to TBS. Motor-evoked potential (MEP) magnitude changes were assessed for 30 min. The linear model computed across both experimental paradigms (cTBS300 and cTBS600) revealed a main effect of TIME COURSE ( = 0.044). Separate exploratory analysis for cTBS300 revealed a main effect of TIME COURSE ( = 0.031), which did not maintain significance after Greenhouse-Geisser correction ( = 0.073). For cTBS600, no main effects were observed. An exploratory analysis revealed a correlation between relative SICF at 2.0 ms ( = 0.006) and after effects (relative mean change) of cTBS600, which did not survive correction for multiple testing. Our findings thereby do not support the hypothesis of a specific excitability modulating effect of cTBS applied to the human motor-cortex in setups with pre-relaxed muscle conditions.

摘要

由于在连续theta爆发刺激(cTBS)之前的相位性肌肉收缩后观察到了可变的后效应,我们在此对20名健康参与者采用预放松肌肉状态(包括对闲置外周表面肌电图活动的视觉反馈)研究了两种cTBS方案(cTBS300和cTBS600)。此外,我们还从预放松状态评估了皮质脊髓兴奋性指标,以更好地理解这些提出的cTBS因素的潜在影响。在30分钟内评估运动诱发电位(MEP)幅度变化。对两种实验范式(cTBS300和cTBS600)计算的线性模型显示了时间进程的主效应( = 0.044)。对cTBS300的单独探索性分析显示了时间进程的主效应( = 0.031),在进行Greenhouse-Geisser校正后该效应不再具有显著性( = 0.073)。对于cTBS600,未观察到主效应。一项探索性分析显示,在2.0毫秒时的相对静息期皮质内抑制(SICF)( = 0.006)与cTBS600的后效应(相对平均变化)之间存在相关性,但在多重检验校正后该相关性不显著。因此,我们的研究结果不支持在预放松肌肉状态设置下,应用于人类运动皮层的cTBS具有特定兴奋性调节作用的假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad25/8230207/73db4a06108e/brainsci-11-00737-g001.jpg

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