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早期帕金森病中平衡控制及认知-运动交互的神经生理学基础

Neurophysiological underpinnings of balance control and cognitive-motor interaction in early Parkinson's disease.

作者信息

Peskar Manca, Manganotti Paolo, Marusic Uros, Gramann Klaus

机构信息

Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000, Koper, Slovenia.

Biological Psychology and Neuroergonomics, Department of Psychology and Ergonomics, Faculty V: Mechanical Engineering and Transport Systems, Technische Universität Berlin, Berlin, Germany.

出版信息

Sci Rep. 2025 Jul 11;15(1):25082. doi: 10.1038/s41598-025-06777-1.


DOI:10.1038/s41598-025-06777-1
PMID:40645984
Abstract

People with Parkinson's Disease (PD) often compensate for impaired automatic balance control by engaging additional attentional resources for motor tasks. With disease progression, their cognitive system too becomes increasingly affected, further impairing postural stability. The interaction between cognitive and motor systems in the early disease stages, however, remains poorly investigated. The present study aimed to elucidate behavioral and neurophysiological changes in early-stage PD to identify with greater accuracy the specific disease-related discrepancies from healthy functioning on both cognitive and motor systems. Eighteen participants with PD (aged 62.9 ± 6.6 years) and 18 healthy matched controls (aged 62.9 ± 6.4 years) performed (i) a balancing single task in a semi-tandem stance (ST-sts), (ii) a single visual oddball task with conflicting Stroop color-word stimuli (ST-Stroop), and (iii) a dual-task (DT) combining the two single tasks. Centre of pressure displacement using a force plate and 128-channel electroencephalography (EEG) were recorded. Participants with PD exhibited reduced postural sway compared to controls, and postural sway was lower in DT as opposed to ST. Reduced sway in PD might be attributed to postural rigidity and tonic muscle activation, while in the DT, it might reflect resource conflicts. EEG analyses indicated distinct spectral activity patterns: the central midline low-frequency (δ, θ) power increased with cognitive load, centroparietal β desynchronization intensified with motor load, and parietal α desynchronization heightened during DT in both PD and control groups, underscoring specific frequency bands' governing roles in cognitive-motor processing. Furthermore, PD participants exhibited heightened or prolonged responses in ERP components related to working memory (frontocentral P2) and conflict resolution (P300), possibly reflecting compensatory neural strategies. Overall, these findings suggest that cognitive capacities, particularly selective attention, might be more affected than sensory acuity in early PD, highlighting areas for targeted interventions.

摘要

帕金森病(PD)患者常通过为运动任务投入额外的注意力资源来代偿受损的自动平衡控制。随着疾病进展,他们的认知系统也会受到越来越大的影响,进而进一步损害姿势稳定性。然而,在疾病早期阶段,认知和运动系统之间的相互作用仍未得到充分研究。本研究旨在阐明早期PD患者的行为和神经生理变化,以便更准确地识别与健康功能相比,认知和运动系统中特定的疾病相关差异。18名PD患者(年龄62.9±6.6岁)和18名健康匹配对照组(年龄62.9±6.4岁)进行了以下操作:(i)在半串联姿势(ST-sts)下进行平衡单任务,(ii)进行带有冲突的斯特鲁普颜色-文字刺激的视觉单奇异性任务(ST-斯特鲁普),以及(iii)将两个单任务结合起来的双任务(DT)。使用测力板记录压力中心位移,并记录128通道脑电图(EEG)。与对照组相比,PD患者的姿势摆动减少,并且与单任务相比,双任务中的姿势摆动更低。PD患者摆动减少可能归因于姿势僵硬和紧张性肌肉激活,而在双任务中,这可能反映了资源冲突。EEG分析表明存在明显的频谱活动模式:中央中线低频(δ、θ)功率随认知负荷增加,中央顶叶β去同步化随运动负荷增强,并且在双任务期间,PD组和对照组的顶叶α去同步化均增强,这突出了特定频段在认知-运动处理中的主导作用。此外,PD参与者在与工作记忆(额中央P2)和冲突解决(P300)相关的ERP成分中表现出增强或延长的反应,这可能反映了代偿性神经策略。总体而言,这些发现表明,在早期PD中,认知能力,特别是选择性注意力,可能比感觉敏锐度受到的影响更大,突出了有针对性干预的领域。

相似文献

[1]
Neurophysiological underpinnings of balance control and cognitive-motor interaction in early Parkinson's disease.

Sci Rep. 2025-7-11

[2]
Cortical changes induced by increased cognitive task difficulty during dual task balancing correlate with postural instability in elders and patients with Parkinson's disease.

J Neural Eng. 2025-7-30

[3]
Modulation of Cerebellar Oscillations with Subthalamic Stimulation in Patients with Parkinson's Disease.

J Parkinsons Dis. 2024

[4]
Physical exercise for people with Parkinson's disease: a systematic review and network meta-analysis.

Cochrane Database Syst Rev. 2024-4-8

[5]
Physical exercise for people with Parkinson's disease: a systematic review and network meta-analysis.

Cochrane Database Syst Rev. 2023-1-5

[6]
Short-Term Memory Impairment

2025-1

[7]
Supervised aerobic-strength exercise reduces postural sway and improves dual-task gait in Parkinson's disease.

Sci Rep. 2025-7-1

[8]
Naturalistic Eye Movement Tasks in Parkinson's Disease: A Systematic Review.

J Parkinsons Dis. 2024

[9]
One-year practice effects predict long-term cognitive outcomes in Parkinson's disease.

J Parkinsons Dis. 2025-4-29

[10]
Wearable sensor use for assessing standing balance and walking stability in people with Parkinson's disease: a systematic review.

PLoS One. 2015-4-20

本文引用的文献

[1]
Interaction between visual working memory and upright postural control in young adults: an event-related potential study based on the n-back paradigm.

Front Neurosci. 2024-6-26

[2]
Multisensory mechanisms of gait and balance in Parkinson's disease: an integrative review.

Neural Regen Res. 2025-1-1

[3]
Mobile neuroimaging: What we have learned about the neural control of human walking, with an emphasis on EEG-based research.

Neurosci Biobehav Rev. 2024-7

[4]
Non-invasive brain imaging to advance the understanding of human balance.

Curr Opin Biomed Eng. 2023-12

[5]
Neuromuscular assessment of force development, postural, and gait performance under cognitive-motor dual-tasking in healthy older adults and people with early Parkinson's disease: Study protocol for a cross-sectional Mobile Brain/Body Imaging (MoBI) study.

Open Res Eur. 2023-11-10

[6]
Electrocortical activity correlated with locomotor adaptation during split-belt treadmill walking.

J Physiol. 2023-9

[7]
Stroop in motion: Neurodynamic modulation underlying interference control while sitting, standing, and walking.

Biol Psychol. 2023-3

[8]
Muscular and cortical activation during dynamic and static balance in the elderly: A scoping review.

Aging Brain. 2021-4-7

[9]
Predictive Power of Cognitive Biomarkers in Neurodegenerative Disease Drug Development: Utility of the P300 Event-Related Potential.

Neural Plast. 2022

[10]
Brain activity during dual-task standing in older adults.

J Neuroeng Rehabil. 2022-11-11

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