Harnessing Brainwave Entrainment: A Non-invasive Strategy To Alleviate Neurological Disorder Symptoms

IF 12.5 1区 医学 Q1 CELL BIOLOGY Ageing Research Reviews Pub Date : 2024-10-16 DOI:10.1016/j.arr.2024.102547
Mehar Sahu , Rashmi K. Ambasta , Suman R. Das , Manoj K. Mishra , Anil Shanker , Pravir Kumar
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Abstract

From 1990–2019, the burden of neurological disorders varied considerably across countries and regions. Psychiatric disorders, often emerging in early to mid-adulthood, are linked to late-life neurodegenerative diseases like Alzheimer’s disease and Parkinson’s disease. Individuals with conditions such as Major Depressive Disorder, Anxiety Disorder, Schizophrenia, and Bipolar Disorder face up to four times higher risk of developing neurodegenerative disorders. Contrarily, 65 % of those with neurodegenerative conditions experience severe psychiatric symptoms during their illness. Further, the limitation of medical resources continues to make this burden a significant global and local challenge. Therefore, brainwave entrainment provides therapeutic avenues for improving the symptoms of diseases. Brainwaves are rhythmic oscillations produced either spontaneously or in response to stimuli. Key brainwave patterns include gamma, beta, alpha, theta, and delta waves, yet the underlying physiological mechanisms and the brain's ability to shift between these dynamic states remain areas for further exploration. In neurological disorders, brainwaves are often disrupted, a phenomenon termed "oscillopathy". However, distinguishing these impaired oscillations from the natural variability in brainwave activity across different regions and functional states poses significant challenges. Brainwave-mediated therapeutics represents a promising research field aimed at correcting dysfunctional oscillations. Herein, we discuss a range of non-invasive techniques such as non-invasive brain stimulation (NIBS), neurologic music therapy (NMT), gamma stimulation, and somatosensory interventions using light, sound, and visual stimuli. These approaches, with their minimal side effects and cost-effectiveness, offer potential therapeutic benefits. When integrated, they may not only help in delaying disease progression but also contribute to the development of innovative medical devices for neurological care.
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利用脑波诱导:缓解神经紊乱症状的非侵入性策略。
从 1990 年到 2019 年,不同国家和地区的神经系统疾病负担差异很大。精神障碍通常在成年早中期出现,与阿尔茨海默病和帕金森病等晚年神经退行性疾病有关。患有重度抑郁症、焦虑症、精神分裂症和双相情感障碍等疾病的人罹患神经退行性疾病的风险要高出四倍。相反,65% 的神经退行性疾病患者在患病期间会出现严重的精神症状。此外,由于医疗资源的限制,这一负担仍然是全球和地方面临的重大挑战。因此,脑波诱导为改善疾病症状提供了治疗途径。脑电波是自发产生或在刺激下产生的有节奏的振荡。主要的脑电波模式包括伽马波、贝塔波、阿尔法波、θ波和δ波,但其潜在的生理机制和大脑在这些动态状态之间转换的能力仍有待进一步探索。在神经系统疾病中,脑电波通常会受到干扰,这种现象被称为 "振荡病"。然而,如何将这些受损的振荡与不同区域和功能状态下脑电波活动的自然变异性区分开来,是一项重大挑战。以脑电波为媒介的疗法是一个前景广阔的研究领域,旨在纠正功能失调的振荡。在此,我们将讨论一系列非侵入性技术,如非侵入性脑部刺激(NIBS)、神经音乐疗法(NMT)、伽马刺激以及使用光、声和视觉刺激的体感干预。这些方法副作用小、成本效益高,具有潜在的治疗效果。如果将这些方法结合起来,不仅有助于延缓疾病的发展,还有助于开发用于神经护理的创新医疗设备。
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来源期刊
Ageing Research Reviews
Ageing Research Reviews 医学-老年医学
CiteScore
19.80
自引率
2.30%
发文量
216
审稿时长
55 days
期刊介绍: With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends. ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research. The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.
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