Suppr超能文献

重复每周两次经颅直流电刺激对多发性硬化症患者疲劳和易疲劳的影响。

Effects of repetitive twice-weekly transcranial direct current stimulations on fatigue and fatigability in people with multiple sclerosis.

机构信息

Department of Neurology, Otto-von-Guericke-University Magdeburg, Leipziger Street 44, 39120, Magdeburg, Germany.

Center for Behavioral Brain Sciences (CBBS), 39106, Magdeburg, Germany.

出版信息

Sci Rep. 2023 Apr 11;13(1):5878. doi: 10.1038/s41598-023-32779-y.

Abstract

Fatigue is associated with a dramatically decreased quality of life in people with multiple sclerosis (pwMS). It refers to a constant subjective feeling of exhaustion and performance decline, known as fatigability. However, inconsistency and heterogeneity in defining and assessing fatigue have led to limited advances in understanding and treating MS-associated fatigue. Transcranial direct current stimulation (tDCS) has emerged as a promising, non-pharmaceutical treatment strategy for subjective fatigue. However, whether repetitive tDCS also have long-term effects on time-on-task performance has not yet been investigated. This pseudorandomized, single-blinded, and sham-controlled study investigated tDCS effects on behavioral and electrophysiological parameters. 18 pwMS received eight twice-weekly 30 min stimulations over the left dorsolateral prefrontal cortex. Fatigability was operationalized as time-on-task-related changes in reaction time variability and P300 amplitude. Additionally, subjective trait and state fatigue ratings were assessed. The results revealed an overall decrease in subjective trait fatigue ratings that lasted at least four weeks after the stimulations. However, the ratings declined after both anodal and sham tDCS. No effects were found on subjective state fatigue and objective fatigability parameters. Linear Mixed Models and Bayesian Regression models likewise favored the absence of a tDCS effect on fatigability parameters. The results confirm the complex relationship between MS-associated fatigue and fatigability. Reliable and clinically relevant parameters need to be established to extend the potential of tDCS for treating fatigability. Furthermore, our results indicate that consecutive stimulations rather than twice-weekly stimulations should be the preferred stimulation scheme in future studies.

摘要

疲劳与多发性硬化症(pwMS)患者的生活质量显著下降有关。它指的是一种持续的主观疲惫感和表现下降,即疲劳性。然而,由于对疲劳的定义和评估不一致且存在异质性,导致对 MS 相关疲劳的理解和治疗进展有限。经颅直流电刺激(tDCS)已成为一种有前途的非药物治疗策略,可用于治疗主观疲劳。然而,重复 tDCS 是否对任务持续时间的表现也有长期影响尚未得到研究。这项随机、单盲、假对照研究调查了 tDCS 对行为和电生理参数的影响。18 名 pwMS 患者接受了 8 次左背外侧前额叶皮质的每周两次 30 分钟刺激。疲劳性通过反应时变异性和 P300 振幅与任务持续时间相关的变化来操作化。此外,还评估了主观特质和状态疲劳评分。结果显示,主观特质疲劳评分总体下降,至少在刺激后持续四周。然而,在阳极和假刺激后评分都下降了。主观状态疲劳和客观疲劳性参数均无影响。线性混合模型和贝叶斯回归模型同样支持 tDCS 对疲劳性参数没有影响。结果证实了 MS 相关疲劳与疲劳性之间的复杂关系。需要建立可靠且与临床相关的参数,以扩展 tDCS 治疗疲劳性的潜力。此外,我们的结果表明,在未来的研究中,连续刺激而不是每周两次的刺激应该是首选的刺激方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a98/10090173/adcf117efea0/41598_2023_32779_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验