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重复性主动和被动认知刺激可诱发雷特综合征患者的脑电图变化。

Repetitive active and passive cognitive stimulations induce EEG changes in patients with Rett syndrome.

作者信息

Tost Ana, Bachiller Alejandro, Medina-Rivera Inés, Romero Sergio, Serna Leidy-Yanet, Rojas-Martínez Monica, García-Cazorla Ángeles, Mañanas Miguel Ángel

机构信息

Department of Automatic Control (ESAII), Biomedical Engineering Research Centre (CREB), Universitat Politècnica de Catalunya (UPC), Barcelona, Spain.

Institut de Recerca Sant Joan de Déu, Barcelona, Spain.

出版信息

Pediatr Res. 2025 Feb;97(2):751-762. doi: 10.1038/s41390-024-03254-9. Epub 2024 Jul 16.

Abstract

BACKGROUND

Despite being considered a rare disease, Rett syndrome is a leading cause of profound cognitive impairment in females. This study explores game-based cognitive stimulation to enhance attention during learning tasks, offering an alternative treatment perspective.

METHODS

Fifteen diagnosed Rett syndrome girls participated in four 24-minute sessions, including a 5-minute initial resting state recording. Primary indicators for analysis included relative power and spectral entropy.

RESULTS

Significant findings indicated variations among conditions (resting state, active task, passive task) in response to stimulation. Notably, over four days, evolution occurred, characterized by decreasing delta power and increasing theta and beta power. Topographic maps confirmed these shifts, highlighting affected brain areas. Linear regression emphasized the most significant impact on the first day, with subsequent shifts towards higher frequencies, particularly during the resting state. By the fourth day, resting-state patterns resembled those during cognitive activities.

CONCLUSION

Findings suggest cognitive stimulation induces substantial EEG spectral changes, potentially linked to cognitive enhancements in Rett syndrome. The shift towards higher frequency bands and increased spectral entropy align with enhanced brain activation during cognitive sessions, underscoring the potential of cognitive stimulation therapies and calling for further research to optimize abilities in individuals with Rett syndrome.

IMPACT

Game-based cognitive stimulation induces substantial EEG changes in individuals with Rett syndrome, enhancing cognitive functions, notably attention during learning. This study conducts a distinctive examination, assessing the habituation paradigm through the combination of game-based cognitive stimulation and learning, providing valuable insights into enhancing attention in Rett syndrome. Impacting understanding of cognitive processes in Rett syndrome, this research reveals significant EEG variations during tasks, emphasizing the potential of cognitive stimulation for attention enhancement and the need for further research in tailored interventions.

摘要

背景

尽管雷特综合征被认为是一种罕见疾病,但它是导致女性严重认知障碍的主要原因。本研究探索基于游戏的认知刺激,以增强学习任务中的注意力,提供一种替代治疗视角。

方法

15名被诊断为雷特综合征的女孩参加了四个24分钟的时段,包括一个5分钟的初始静息状态记录。分析的主要指标包括相对功率和频谱熵。

结果

显著发现表明,在静息状态、主动任务、被动任务等条件下对刺激的反应存在差异。值得注意的是,在四天时间里发生了演变,其特征是δ波功率降低,θ波和β波功率增加。地形图证实了这些变化,突出了受影响的脑区。线性回归强调第一天的影响最为显著,随后向更高频率转变,尤其是在静息状态期间。到第四天,静息状态模式类似于认知活动期间的模式。

结论

研究结果表明,认知刺激会引起脑电图频谱的显著变化,这可能与雷特综合征的认知增强有关。向更高频段的转变和频谱熵的增加与认知过程中大脑激活增强相一致,强调了认知刺激疗法的潜力,并呼吁进一步研究以优化雷特综合征患者的能力。

影响

基于游戏的认知刺激会引起雷特综合征患者脑电图的显著变化,增强认知功能,尤其是学习过程中的注意力。本研究进行了独特的检验,通过基于游戏的认知刺激与学习相结合来评估习惯化范式,为增强雷特综合征患者的注意力提供了有价值的见解。这项研究影响了对雷特综合征认知过程的理解,揭示了任务期间脑电图的显著变化,强调了认知刺激对增强注意力的潜力以及对定制干预措施进行进一步研究的必要性。

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