文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

帕金森病双侧重复经颅磁刺激和脑电图引导神经反馈的临床和神经生理学效果:一项随机、四臂对照试验。

Clinical and neurophysiological effects of bilateral repetitive transcranial magnetic stimulation and EEG-guided neurofeedback in Parkinson's disease: a randomized, four-arm controlled trial.

机构信息

Brain Injury and Movement Disorders Neurorehabilitation Group (GINDAT), Institute of Life Sciences, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Spain.

Facultad de Ciencias Experimentales, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Spain.

出版信息

J Neuroeng Rehabil. 2024 Aug 5;21(1):135. doi: 10.1186/s12984-024-01427-5.


DOI:10.1186/s12984-024-01427-5
PMID:39103947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11299373/
Abstract

BACKGROUND: Repetitive Transcranial Magnetic Stimulation (rTMS) and EEG-guided neurofeedback techniques can reduce motor symptoms in Parkinson's disease (PD). However, the effects of their combination are unknown. Our objective was to determine the immediate and short-term effects on motor and non-motor symptoms, and neurophysiological measures, of rTMS and EEG-guided neurofeedback, alone or combined, compared to no intervention, in people with PD. METHODS: A randomized, single-blinded controlled trial with 4 arms was conducted. Group A received eight bilateral, high-frequency (10 Hz) rTMS sessions over the Primary Motor Cortices; Group B received eight 30-minute EEG-guided neurofeedback sessions focused on reducing average bilateral alpha and beta bands; Group C received a combination of A and B; Group D did not receive any therapy. The primary outcome measure was the UPDRS-III at post-intervention and two weeks later. Secondary outcomes were functional mobility, limits of stability, depression, health-related quality-of-life and cortical silent periods. Treatment effects were obtained by longitudinal analysis of covariance mixed-effects models. RESULTS: Forty people with PD participated (27 males, age = 63 ± 8.26 years, baseline UPDRS-III = 15.63 ± 6.99 points, H&Y = 1-3). Group C showed the largest effect on motor symptoms, health-related quality-of-life and cortical silent periods, followed by Group A and Group B. Negligible differences between Groups A-C and Group D for functional mobility or limits of stability were found. CONCLUSIONS: The combination of rTMS and EEG-guided neurofeedback diminished overall motor symptoms and increased quality-of-life, but this was not reflected by changes in functional mobility, postural stability or depression levels. TRIAL REGISTRATION: NCT04017481.

摘要

背景:重复经颅磁刺激(rTMS)和基于脑电图的神经反馈技术可减轻帕金森病(PD)的运动症状。然而,其联合应用的效果尚不清楚。我们的目的是确定 rTMS 和基于脑电图的神经反馈单独或联合应用与不干预相比,对 PD 患者的运动和非运动症状以及神经生理指标的即刻和短期影响。

方法:进行了一项随机、单盲对照试验,共分为 4 组。A 组接受 8 次双侧高频(10 Hz)rTMS 治疗,刺激部位为初级运动皮质;B 组接受 8 次 30 分钟的基于脑电图的神经反馈治疗,重点是降低双侧平均 alpha 和 beta 频段;C 组接受 A 和 B 的联合治疗;D 组未接受任何治疗。主要结局测量指标为干预后和两周后的 UPDRS-III。次要结局指标为功能性移动能力、稳定性极限、抑郁、健康相关生活质量和皮质静息期。采用纵向协方差混合效应模型进行治疗效果的分析。

结果:共有 40 名 PD 患者(27 名男性,年龄 63 ± 8.26 岁,基线 UPDRS-III 为 15.63 ± 6.99 分,H&Y 为 1-3)参与了研究。C 组在运动症状、健康相关生活质量和皮质静息期方面的改善效果最大,其次是 A 组和 B 组。A-C 组和 D 组之间在功能性移动能力或稳定性极限方面没有发现明显差异。

结论:rTMS 和基于脑电图的神经反馈联合应用可减轻整体运动症状,提高生活质量,但这并未反映在功能性移动能力、姿势稳定性或抑郁水平的变化上。

试验注册:NCT04017481。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f21/11299373/1d67ce145204/12984_2024_1427_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f21/11299373/c3863f9ba33f/12984_2024_1427_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f21/11299373/c953738df6bc/12984_2024_1427_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f21/11299373/1d67ce145204/12984_2024_1427_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f21/11299373/c3863f9ba33f/12984_2024_1427_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f21/11299373/c953738df6bc/12984_2024_1427_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f21/11299373/1d67ce145204/12984_2024_1427_Fig3_HTML.jpg

相似文献

[1]
Clinical and neurophysiological effects of bilateral repetitive transcranial magnetic stimulation and EEG-guided neurofeedback in Parkinson's disease: a randomized, four-arm controlled trial.

J Neuroeng Rehabil. 2024-8-5

[2]
Controlled study of 50-Hz repetitive transcranial magnetic stimulation for the treatment of Parkinson disease.

Neurorehabil Neural Repair. 2012-5-15

[3]
Efficacy of personalized repetitive transcranial magnetic stimulation based on functional reserve to enhance ambulatory function in patients with Parkinson's disease: study protocol for a randomized controlled trial.

Trials. 2024-8-16

[4]
In PD, Non-Invasive Trans-Spinal Magnetic Stimulation Enhances the Effect of Transcranial Magnetic Stimulation on Axial Motor Symptoms: A Double-Blind Randomized Clinical Trial.

Neurorehabil Neural Repair. 2025-2

[5]
Mechanisms of 1 Hz Inhibitory and 5 Hz Excitatory Repetitive Transcranial Magnetic Stimulations in Parkinson's Disease: A Functional Magnetic Resonance Imaging Study.

Brain Connect. 2023-5

[6]
A Study on the Effects of Repetitive Transcranial Magnetic Stimulation on EEG Microstate in Patients With Parkinson's Disease.

IEEE Trans Neural Syst Rehabil Eng. 2024

[7]
High-Frequency Repetitive Transcranial Magnetic Stimulation Can Improve Depression in Parkinson's Disease: A Randomized, Double-Blind, Placebo-Controlled Study.

Neuropsychobiology. 2016

[8]
High-frequency repetitive transcranial magnetic stimulation over the primary foot motor area in Parkinson's disease.

Brain Stimul. 2013-5-29

[9]
Repetitive transcranial magnetic stimulation of the primary motor cortex in the treatment of motor signs in Parkinson's disease: A quantitative review of the literature.

Mov Disord. 2015-3-18

[10]
High-frequency repetitive transcranial magnetic stimulation over the primary motor cortex relieves musculoskeletal pain in patients with Parkinson's disease: A randomized controlled trial.

Parkinsonism Relat Disord. 2020-11

引用本文的文献

[1]
Biofeedback for Motor and Cognitive Rehabilitation in Parkinson's Disease: A Comprehensive Review of Non-Invasive Interventions.

Brain Sci. 2025-7-4

[2]
Repetitive transcranial magnetic stimulation across neurodegenerative diseases: a systematic review and dose-response meta-analysis.

Front Aging Neurosci. 2025-7-10

[3]
Enhancing Attention Network Spatiotemporal Dynamics for Motor Rehabilitation in Parkinson's Disease.

Cyborg Bionic Syst. 2025-6-19

本文引用的文献

[1]
Identification of Parkinson's Disease Subtypes from Resting-State Electroencephalography.

Mov Disord. 2023-8

[2]
Spectral features of resting-state EEG in Parkinson's Disease: A multicenter study using functional data analysis.

Clin Neurophysiol. 2023-7

[3]
Review of EEG-based neurofeedback as a therapeutic intervention to treat depression.

Psychiatry Res Neuroimaging. 2023-3

[4]
The effectiveness of immersive virtual reality in physical recovery of stroke patients: A systematic review.

Front Syst Neurosci. 2022-9-22

[5]
Resting state functional networks predict different aspects of postural control in Parkinson's disease.

Gait Posture. 2022-9

[6]
Efficacy of repetitive transcranial magnetic stimulation in Parkinson's disease: A systematic review and meta-analysis of randomised controlled trials.

EClinicalMedicine. 2022-7-29

[7]
Deep brain stimulation for Parkinson's Disease: A Review and Future Outlook.

Biomed Eng Lett. 2022-4-19

[8]
Repetitive Transcranial Magnetic Stimulation of the Primary Motor Cortex beyond Motor Rehabilitation: A Review of the Current Evidence.

Brain Sci. 2022-6-10

[9]
Effects of Repetitive Transcranial Magnetic Stimulation on Motor Symptoms in Parkinson's Disease: A Meta-Analysis.

Neurorehabil Neural Repair. 2022-7

[10]
Neurofeedback-guided kinesthetic motor imagery training in Parkinson's disease: Randomized trial.

Neuroimage Clin. 2022

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

推荐工具

医学文档翻译智能文献检索