经颅磁刺激在儿童到成年不同年龄组中运动诱发电位特征的发育模型。

Developmental models of motor-evoked potential features by transcranial magnetic stimulation across age groups from childhood to adulthood.

机构信息

Department of Technical Physics, University of Eastern Finland, POB 1627, 70211, Kuopio, Finland.

Department of Clinical Neurophysiology, Kuopio University Hospital, POB 100, 70029 KYS, Kuopio, Finland.

出版信息

Sci Rep. 2023 Jun 30;13(1):10604. doi: 10.1038/s41598-023-37775-w.

Abstract

To derive the maturation of neurophysiological processes from childhood to adulthood reflected by the change of motor-evoked potential (MEP) features. 38 participants were recruited from four groups (age mean in years [SD in months], number (males)): children (7.3 [4.2], 7(4)), preadolescents (10.3 [6.9], 10(5)), adolescents (15.3 [9.8], 11(5)), and adults (26.9 [46.2], 10(5)). The navigated transcranial magnetic stimulation was performed on both hemispheres at seven stimulation intensity (SI) levels from sub- to supra-threshold and targeted to the representative cortical area of abductor pollicis brevis muscle. MEPs were measured from three hand- and two forearm-muscles. The input-output (I/O) curves of MEP features across age groups were constructed using linear mixed-effect models. Age and SI significantly affected MEP features, whereas the stimulated side had a minor impact. MEP size and duration increased from childhood to adulthood. MEP onset- and peak-latency dropped in adolescence, particularly in hand muscles. Children had the smallest MEPs with the highest polyphasia, whereas I/O curves were similar among preadolescents, adolescents, and adults. This study illustrates some of the changing patterns of MEP features across the ages, suggesting developing patterns of neurophysiological processes activated by TMS, and to motivate studies with larger sample size.

摘要

从童年到成年,神经生理过程的成熟可以反映在运动诱发电位(MEP)特征的变化上。我们从四个组别的 38 名参与者中招募到(年龄均值[标准差],人数[男性]):儿童(7.3[4.2],7[4])、青春期前儿童(10.3[6.9],10[5])、青少年(15.3[9.8],11[5])和成年人(26.9[46.2],10[5])。在七个刺激强度(SI)水平下(从亚阈值到阈值以上),在双侧半球上对代表性的拇短展肌皮质区进行导航经颅磁刺激,MEP 是从三个手部和两个前臂肌肉中测量出来的。使用线性混合效应模型构建了跨年龄组的 MEP 特征的输入-输出(I/O)曲线。年龄和 SI 显著影响 MEP 特征,而刺激侧的影响较小。MEP 大小和持续时间从童年到成年逐渐增加。MEP 的起始和峰值潜伏期在青少年期下降,尤其是手部肌肉。儿童的 MEP 最小,多相性最高,而 I/O 曲线在青春期前儿童、青少年和成年人之间相似。本研究说明了 MEP 特征在不同年龄段的一些变化模式,提示了 TMS 激活的神经生理过程的发展模式,并激励了更大样本量的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d468/10313665/505d64983b0a/41598_2023_37775_Fig1_HTML.jpg

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