Section of Movement Disorders and Neurostimulation, Department of Neurology, Focus Program Translational Neuroscience (FTN), University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
MRC Brain Network Dynamics Unit, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Nat Commun. 2024 Apr 12;15(1):3166. doi: 10.1038/s41467-024-47555-3.
Increasing evidence suggests a considerable role of pre-movement beta bursts for motor control and its impairment in Parkinson's disease. However, whether beta bursts occur during precise and prolonged movements and if they affect fine motor control remains unclear. To investigate the role of within-movement beta bursts for fine motor control, we here combine invasive electrophysiological recordings and clinical deep brain stimulation in the subthalamic nucleus in 19 patients with Parkinson's disease performing a context-varying task that comprised template-guided and free spiral drawing. We determined beta bursts in narrow frequency bands around patient-specific peaks and assessed burst amplitude, duration, and their immediate impact on drawing speed. We reveal that beta bursts occur during the execution of drawing movements with reduced duration and amplitude in comparison to rest. Exclusively when drawing freely, they parallel reductions in acceleration. Deep brain stimulation increases the acceleration around beta bursts in addition to a general increase in drawing velocity and improvements of clinical function. These results provide evidence for a diverse and task-specific role of subthalamic beta bursts for fine motor control in Parkinson's disease; suggesting that pathological beta bursts act in a context dependent manner, which can be targeted by clinical deep brain stimulation.
越来越多的证据表明,运动前β爆发在运动控制中起着重要作用,而帕金森病患者的这种作用受损。然而,在精确和长时间的运动中是否会发生β爆发,以及它们是否会影响精细运动控制仍不清楚。为了研究运动过程中β爆发对精细运动控制的作用,我们在此结合了 19 名帕金森病患者的侵入性电生理记录和临床深部脑刺激(subthalamic nucleus, STN),这些患者执行了一个包含模板引导和自由螺旋绘制的上下文变化任务。我们在患者特定峰周围的窄频带中确定了β爆发,并评估了爆发的幅度、持续时间及其对绘图速度的即时影响。我们发现,与休息相比,β爆发在绘图运动执行过程中出现,其持续时间和幅度都减少了。仅在自由绘制时,它们与加速度的降低呈平行关系。深部脑刺激除了普遍增加绘图速度和改善临床功能外,还增加了β爆发周围的加速度。这些结果为帕金森病患者的精细运动控制中 STNβ爆发的多样化和任务特异性作用提供了证据;表明病理性β爆发以依赖于上下文的方式起作用,可以通过临床深部脑刺激来靶向。