经皮脊髓随机噪声刺激可增强人类的运动记忆巩固和皮质脊髓传导。

Transcutaneous spinal random noise stimulation enhances motor memory consolidation and corticospinal transmission in humans.

作者信息

Nito Mitsuhiro, Kudo Daisuke, Koseki Tadaki, Nojima Ippei, Tanabe Shigeo, Yamaguchi Tomofumi

机构信息

Department of Occupational Therapy, Yamagata Prefectural University of Health Sciences, Kamiyanagi, Yamagata, Japan.

Department of Physical Therapy, Yamagata Prefectural University of Health Sciences, Kamiyanagi, Yamagata, Japan.

出版信息

J Physiol. 2025 Aug;603(16):4637-4657. doi: 10.1113/JP287804. Epub 2025 Jul 30.

Abstract

Stochastic resonance sensory input modulates the central nervous system's excitability, thereby possibly influencing motor skill learning and retention. We investigated the effects of transcutaneous spinal random noise stimulation (tsRNS) at the cervical level on motor skill learning and corticospinal transmission in healthy humans. Participants performed a 20 min visuomotor tracking training task requiring rapid shifts in pinch force, with motor performance tests conducted before, immediately after, 1 day after and 7 days after the training to assess motor skill learning and retention. During the task, participants received real or sham tsRNS for 20 and 0.5 min, respectively. Motor performance improved equally in both groups immediately after training; however, the real tsRNS group showed a higher performance than the sham group at 1 and 7 days post-training. Beta-band corticomuscular coherence increased immediately after training in both groups, and higher performance on 1 day after the training was positively correlated with a greater change in corticomuscular coherence. To elucidate the mechanisms contributing to the enhanced motor memory retention induced by tsRNS, we investigated its effects on cortical and spinal excitability. We observed increased intracortical facilitation and somatosensory evoked potential amplitude following tsRNS; however, the efficacy of cortico-motoneuronal synaptic transmissions and the excitability of spinal motoneurons remained unchanged. Collectively, tsRNS can enhance the corticospinal drive to spinal motoneurons indirectly by increasing the ascending afferent input strength and cortical excitability via the augmented activity of facilitatory interneurons, resulting in improved motor memory retention. Thus, tsRNS may have important clinical applications for rehabilitation after central nervous system lesions. KEY POINTS: Stochastic resonance sensory input modulates the excitability of the central nervous system and may influence motor skill learning and motor memory retention. Transcutaneous spinal random noise stimulation (tsRNS) applied at the cervical level can enhance motor skill learning and motor memory retention in healthy humans. tsRNS can increase the ascending afferent input to the cortex and the excitability of the intracortical circuits rather than directly modulating the descending motor output, resulting in improved motor memory retention. These findings suggest that tsRNS is an effective strategy for promoting functional motor recovery of the upper limb after the development of central nervous system lesions.

摘要

随机共振感觉输入调节中枢神经系统的兴奋性,从而可能影响运动技能的学习和保持。我们研究了颈部经皮脊髓随机噪声刺激(tsRNS)对健康人运动技能学习和皮质脊髓传导的影响。参与者进行了一项20分钟的视觉运动跟踪训练任务,该任务需要快速改变捏力,并在训练前、训练后立即、训练后1天和7天进行运动表现测试,以评估运动技能的学习和保持。在任务期间,参与者分别接受了20分钟的真实tsRNS和0.5分钟的假tsRNS。训练后两组的运动表现立即均有同等程度的改善;然而,在训练后1天和7天,真实tsRNS组的表现高于假刺激组。两组在训练后皮质-肌肉β频段相干性立即增加,训练后1天更高的表现与皮质-肌肉相干性的更大变化呈正相关。为了阐明tsRNS诱导运动记忆保持增强的机制,我们研究了其对皮质和脊髓兴奋性的影响。我们观察到tsRNS后皮质内易化和体感诱发电位幅度增加;然而,皮质-运动神经元突触传递的效能和脊髓运动神经元的兴奋性保持不变。总体而言,tsRNS可通过增加促进性中间神经元的活动,提高上行传入输入强度和皮质兴奋性,间接增强皮质脊髓对脊髓运动神经元的驱动,从而改善运动记忆保持。因此,tsRNS可能在中枢神经系统损伤后的康复中具有重要的临床应用价值。要点:随机共振感觉输入调节中枢神经系统的兴奋性,并可能影响运动技能学习和运动记忆保持。颈部应用经皮脊髓随机噪声刺激(tsRNS)可增强健康人的运动技能学习和运动记忆保持。tsRNS可增加向皮质的上行传入输入和皮质内回路的兴奋性,而非直接调节下行运动输出,从而改善运动记忆保持。这些发现表明,tsRNS是促进中枢神经系统损伤后上肢功能性运动恢复的有效策略。

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