Sandyk R
NeuroCommunication Research Laboratories, Danbury, CT 06811.
Int J Neurosci. 1993 Dec;73(3-4):207-19. doi: 10.3109/00207459308986671.
Drawing tasks, both free and copied, have achieved a central position in the neuropsychological evaluation of constructional abilities in brain injured patients. The Rey-Osterrieth Complex Figure Test was devised in early 1940s as a tool to investigate perceptual organization and visual memory. The Bicycle Drawing Test is used as a measure of mechanical reasoning as well as visuographic functioning. Recent reports have demonstrated that extracranial treatment with magnetic fields (MF) in the picoTesla range improves constructional abilities including visuoperceptive functions in Parkinsonian patients. To evaluate further the effects of these extremely weak MF on cognitive functions in Parkinsonism, I investigated in a 69 year old fully medicated Parkinsonian patient the influence of a single, extracranial application of MF on the patient's performance on the Complex Figure (copy and recall) as well as the Bicycle Drawing Test. Results of the trial showed that a 30 minute application of MF produced a dramatic improvement in the patient's ability to copy and recall the Complex Figure. This treatment was also associated with a marked improvement in the performance of bicycle drawing with reversal of the Parkinsonian micrographia. Collectively, these findings demonstrate that this treatment modality may reverse some of the cognitive impairments associated with Parkinsonism which usually are not improved by treatment with dopaminergic or anticholinergic medications.
绘画任务,包括自由绘画和临摹,在脑损伤患者结构能力的神经心理学评估中占据核心地位。雷-奥斯特里思复杂图形测试于20世纪40年代早期设计出来,作为一种研究知觉组织和视觉记忆的工具。自行车绘画测试被用作机械推理以及视觉图形功能的一项测量指标。最近的报告表明,皮特斯拉范围内的颅外磁场(MF)治疗可改善帕金森病患者的结构能力,包括视觉感知功能。为了进一步评估这些极弱磁场对帕金森病认知功能的影响,我对一名69岁、药物治疗充分的帕金森病患者进行了研究,观察单次颅外施加磁场对该患者在复杂图形测试(临摹和回忆)以及自行车绘画测试中的表现的影响。试验结果显示,30分钟的磁场施加使患者临摹和回忆复杂图形的能力有了显著提高。这种治疗还与自行车绘画表现的明显改善以及帕金森病性小写症的逆转有关。总体而言,这些发现表明,这种治疗方式可能会逆转一些与帕金森病相关的认知障碍,而这些障碍通常不会因多巴胺能或抗胆碱能药物治疗而得到改善。