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反射环路变化解释帕金森病震颤

Parkinson's disease tremor explained by reflex loop changes.

作者信息

Gorinevsky Dimitry

机构信息

Department of Electrical Engineering, Stanford University, Stanford, CA, USA.

出版信息

Sci Rep. 2025 Jul 1;15(1):20835. doi: 10.1038/s41598-025-02734-0.

DOI:10.1038/s41598-025-02734-0
PMID:40592885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12215779/
Abstract

Many Parkinson's Disease tremor behaviors that were considered hard to interpret can be explained by control systems modeling of mid-level motor control. The model in this paper includes stretch reflex loop with feedback delay and tonically controlled antagonist muscles. It also includes Basal Ganglia circuit that commands (schedules) gain changes in the reflex feedback loop. Computational analysis of the control systems model shows how the gain changes might turn the tremor on and off between pose maintenance and voluntary motion in the disease and normal state. The results might be useful for interpreting and tuning the effects of Parkinson's Disease treatments. They also provide new control systems engineering insight into mid-level motor control.

摘要

许多曾被认为难以解释的帕金森病震颤行为,都可以通过中级运动控制的控制系统建模来解释。本文中的模型包括具有反馈延迟的牵张反射回路和张力控制的拮抗肌。它还包括基底神经节回路,该回路控制(安排)反射反馈回路中的增益变化。控制系统模型的计算分析表明,在疾病和正常状态下,增益变化是如何在姿势维持和自主运动之间开启和关闭震颤的。这些结果可能有助于解释和调整帕金森病治疗的效果。它们还为中级运动控制提供了新的控制系统工程见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/4ab4de2674a0/41598_2025_2734_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/b56d3365d0f7/41598_2025_2734_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/b9cca9202572/41598_2025_2734_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/cd5f539d758b/41598_2025_2734_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/0c4b35ae8410/41598_2025_2734_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/8f429744af88/41598_2025_2734_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/e5c621d8cb90/41598_2025_2734_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/06edd434c0b3/41598_2025_2734_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/4ab4de2674a0/41598_2025_2734_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/b56d3365d0f7/41598_2025_2734_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/b9cca9202572/41598_2025_2734_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/cd5f539d758b/41598_2025_2734_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/0c4b35ae8410/41598_2025_2734_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/8f429744af88/41598_2025_2734_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/e5c621d8cb90/41598_2025_2734_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/06edd434c0b3/41598_2025_2734_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522c/12215779/4ab4de2674a0/41598_2025_2734_Fig8_HTML.jpg

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本文引用的文献

1
Rigidity in Parkinson's disease: evidence from biomechanical and neurophysiological measures.帕金森病的僵直:来自生物力学和神经生理学测量的证据。
Brain. 2023 Sep 1;146(9):3705-3718. doi: 10.1093/brain/awad114.
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The pathophysiology of Parkinson's disease tremor.帕金森病震颤的病理生理学。
J Neurol Sci. 2022 Apr 15;435:120196. doi: 10.1016/j.jns.2022.120196. Epub 2022 Feb 19.
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Vibrotactile coordinated reset stimulation for the treatment of Parkinson's disease.用于治疗帕金森病的振动触觉协调重置刺激
Neural Regen Res. 2022 Jul;17(7):1495-1497. doi: 10.4103/1673-5374.329001.
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A Review on Wearable Technologies for Tremor Suppression.用于震颤抑制的可穿戴技术综述
Front Neurol. 2021 Aug 9;12:700600. doi: 10.3389/fneur.2021.700600. eCollection 2021.
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Tremor in Parkinson's Disease May Arise from Interactions of Central Rhythms with Spinal Reflex Loop Oscillations.帕金森病震颤可能源于中枢节律与脊髓反射环路振荡的相互作用。
J Parkinsons Dis. 2020;10(2):383-392. doi: 10.3233/JPD-191715.
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Hierarchical motor control in mammals and machines.哺乳动物和机器中的层级式运动控制。
Nat Commun. 2019 Dec 2;10(1):5489. doi: 10.1038/s41467-019-13239-6.
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Current Principles of Motor Control, with Special Reference to Vertebrate Locomotion.当前的运动控制原理,特别参考了脊椎动物的运动。
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Longitudinal Recordings Reveal Transient Increase of Alpha/Low-Beta Power in the Subthalamic Nucleus Associated With the Onset of Parkinsonian Rest Tremor.纵向记录揭示了与帕金森静止性震颤发作相关的丘脑底核中α/低β功率的短暂增加。
Front Neurol. 2019 Mar 7;10:145. doi: 10.3389/fneur.2019.00145. eCollection 2019.
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