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Modulation of High-Frequency rTMS on Reward Circuitry in Individuals with Nicotine Dependence: A Preliminary fMRI Study. 高频经颅磁刺激对尼古丁依赖者奖赏回路的调节:一项初步的 fMRI 研究
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5673579
Tao Wang, Ruiyang Li, Dongyan Chen, Mei Xie, Zhiqiang Li, Huan Mao, Yuting Ling, Xiaoyun Liang, Guojun Xu, Jianjun Zhang

Although previous studies have shown that repetitive transcranial magnetic stimulation (rTMS) can ameliorate addictive behaviors and cravings, the underlying neural mechanisms remain unclear. This study aimed to investigate the effect of high-frequency rTMS with the left dorsolateral prefrontal cortex (L-DLPFC) as a target region on smoking addiction in nicotine-dependent individuals by detecting the change of spontaneous brain activity in the reward circuitry. We recruited 17 nicotine-dependence participants, who completed 10 sessions of 10 Hz rTMS over a 2-week period and underwent evaluation of several dependence-related scales, and resting-state fMRI scan before and after the treatment. Functional connectivity (FC) analysis was conducted with reward-related brain regions as seeds, including ventral tegmental area, bilateral nucleus accumbens (NAc), bilateral DLPFC, and bilateral amygdala. We found that, after the treatment, individuals showed reduced nicotine dependence, alleviated tobacco withdrawal symptoms, and diminished smoking cravings. The right NAc showed increased FC with right fusiform gyrus, inferior temporal gyrus (ITG), calcarine fissure and surrounding cortex, superior occipital gyrus (SOG), lingual gyrus, and bilateral cuneus. No significant FC changes were observed in other seed regions. Moreover, the changes in FC between the right NAc and the right ITG as well as SOG before and after rTMS were negatively correlated with changes in smoking scale scores. Our findings suggest that high-frequency L-DLPFC-rTMS reduces nicotine dependence and improves tobacco withdrawal symptoms, and the dysfunctional connectivity in reward circuitry may be the underlying neural mechanism for nicotine addiction and its therapeutic target.

尽管之前的研究表明重复经颅磁刺激(rTMS)可以改善成瘾行为和渴求,但其潜在的神经机制仍不清楚。本研究旨在通过检测奖赏回路中大脑自发活动的变化,研究以左侧背外侧前额叶皮层(L-DLPFC)为靶区的高频经颅磁刺激对尼古丁依赖者吸烟成瘾的影响。我们招募了17名尼古丁依赖者,他们在两周内完成了10次10赫兹经颅磁刺激治疗,并在治疗前后接受了与依赖相关的量表评估和静息态fMRI扫描。我们以奖赏相关脑区为种子,进行了功能连接(FC)分析,包括腹侧被盖区、双侧伏隔核(NAc)、双侧DLPFC和双侧杏仁核。我们发现,经过治疗后,患者对尼古丁的依赖性降低,烟草戒断症状减轻,吸烟渴望减弱。右侧 NAc 与右侧纺锤形回、颞下回(ITG)、钙裂及其周围皮层、枕上回(SOG)、舌回和双侧楔皮层的 FC 值均有所增加。其他种子区域没有观察到明显的 FC 变化。此外,经颅磁刺激前后右侧 NAc 和右侧 ITG 以及 SOG 之间的 FC 变化与吸烟量表评分的变化呈负相关。我们的研究结果表明,高频L-DLPFC经颅磁刺激可降低尼古丁依赖性并改善烟草戒断症状,奖赏回路的功能障碍连接可能是尼古丁成瘾的潜在神经机制及其治疗靶点。
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引用次数: 0
Identifying ADHD-Related Abnormal Functional Connectivity with a Graph Convolutional Neural Network 利用图卷积神经网络识别与多动症相关的异常功能连接性
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2024-04-30 DOI: 10.1155/2024/8862647
Yilin Hu, Junling Ran, Rui Qiao, Jiayang Xu, Congming Tan, Liangliang Hu, Yin Tian
Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that is characterized by inattention, hyperactivity, and impulsivity. The neural mechanisms underlying ADHD remain inadequately understood, and current approaches do not well link neural networks and attention networks within brain networks. Our objective is to investigate the neural mechanisms related to attention and explore neuroimaging biological tags that can be generalized within the attention networks. In this paper, we utilized resting-state functional magnetic resonance imaging data to examine the differential functional connectivity network between ADHD and typically developing individuals. We employed a graph convolutional neural network model to identify individuals with ADHD. After classification, we visualized brain regions with significant contributions to the classification results. Our results suggest that the frontal, temporal, parietal, and cerebellar regions are likely the primary areas of dysfunction in individuals with ADHD. We also explored the relationship between regions of interest and attention networks, as well as the connection between crucial nodes and the distribution of positively and negatively correlated connections. This analysis allowed us to pinpoint the most discriminative brain regions, including the right orbitofrontal gyrus, the left rectus gyrus and bilateral insula, the right inferior temporal gyrus and bilateral transverse temporal gyrus in the temporal region, and the lingual gyrus of the occipital lobe, multiple regions of the basal ganglia and the upper cerebellum. These regions are primarily involved in the attention executive control network and the attention orientation network. Dysfunction in the functional connectivity of these regions may contribute to the underlying causes of ADHD.
注意缺陷多动障碍(ADHD)是一种常见的神经发育障碍,以注意力不集中、多动和冲动为特征。人们对注意力缺陷多动障碍(ADHD)的神经机制仍然认识不足,目前的研究方法也不能很好地将大脑网络中的神经网络和注意力网络联系起来。我们的目标是研究与注意力相关的神经机制,并探索可在注意力网络中推广的神经影像生物学标记。在本文中,我们利用静息态功能性磁共振成像数据,研究了多动症患者和典型发育患者之间不同的功能连接网络。我们采用图卷积神经网络模型来识别多动症患者。分类后,我们将对分类结果有显著贡献的脑区可视化。我们的结果表明,额叶、颞叶、顶叶和小脑区域可能是多动症患者功能障碍的主要区域。我们还探讨了感兴趣区与注意力网络之间的关系,以及关键节点之间的联系和正负相关联系的分布。通过分析,我们确定了最具辨别力的脑区,包括右侧眶额回、左侧直肌回和双侧岛叶、颞区的右侧颞下回和双侧颞横回、枕叶的舌回、基底神经节的多个区域以及小脑上部。这些区域主要参与注意执行控制网络和注意定向网络。这些区域的功能连接功能失调可能是导致多动症的根本原因。
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引用次数: 0
The Application of tDCS to Treat Pain and Psychocognitive Symptoms in Cancer Patients: A Scoping Review 应用 tDCS 治疗癌症患者的疼痛和心理认知症状:范围综述
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2024-04-13 DOI: 10.1155/2024/6344925
Benedetta Capetti, Lorenzo Conti, Chiara Marzorati, Roberto Grasso, Roberta Ferrucci, Gabriella Pravettoni
Background. The use of transcranial direct current stimulation (tDCS) to modulate pain, psychological aspects, and cognitive functions has increased in recent years. The present scoping review aims to investigate the use of tDCS in cancer patients and its significant impact on psychocognitive and pain related symptoms. Methods. From the earliest available date to June 2023, a comprehensive search was conducted in three electronic scientific databases—PubMed, Scopus, and Embase—and other supplementary sources. Ten relevant studies were identified and included, comprising single case studies, randomized controlled trials, pilot studies, and one retrospective study. PRISMA guidelines for scoping reviews were followed. Results. These studies investigated the use of tDCS to improve pain and psychocognitive aspects in patients with various types of cancer, including breast, oral, bladder, lung, pancreatic, head and neck cancer, hepatocellular carcinoma, and meningioma. Overall, the results suggest that tDCS has shown efficacy in relieving pain, reducing anxiety and depression, and improving cognitive function in cancer patients. Conclusion. Due to the limited number and high heterogeneity of the existing literature in this field, more investigation and the establishment of standardized protocols would be required to obtain more conclusive evidence.
背景。近年来,使用经颅直流电刺激(tDCS)来调节疼痛、心理和认知功能的情况越来越多。本综述旨在研究 tDCS 在癌症患者中的应用及其对心理认知和疼痛相关症状的重大影响。研究方法在三个电子科学数据库--PubMed、Scopus 和 Embase 以及其他补充资料来源中进行了全面检索,检索时间从最早可用日期到 2023 年 6 月。确定并纳入了 10 项相关研究,包括单个病例研究、随机对照试验、试点研究和一项回顾性研究。范围界定审查遵循 PRISMA 指南。研究结果这些研究调查了使用 tDCS 改善乳腺癌、口腔癌、膀胱癌、肺癌、胰腺癌、头颈癌、肝细胞癌和脑膜瘤等各类癌症患者疼痛和心理认知方面的情况。总之,研究结果表明,tDCS 在缓解癌症患者疼痛、减轻焦虑和抑郁以及改善认知功能方面具有疗效。结论由于该领域现有文献数量有限且异质性较高,因此需要进行更多调查并制定标准化方案,以获得更多确凿证据。
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引用次数: 0
Clinical Comparison between HD-tDCS and tDCS for Improving Upper Limb Motor Function: A Randomized, Double-Blinded, Sham-Controlled Trial HD-tDCS 与 tDCS 在改善上肢运动功能方面的临床比较:随机、双盲、假对照试验
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2024-03-31 DOI: 10.1155/2024/2512796
Yaqin Zeng, Ruidong Cheng, Li Zhang, Shan Fang, Shaomin Zhang, Minmin Wang, Qian Lv, Yunlan Dai, Xinyi Gong, Feng Liang
Background. Stroke is a common and frequently occurring disease among middle-aged and elderly people, with approximately 55%−75% of patients remaining with upper limb dysfunction. How to promote the recovery of motor function at an early stage is crucial to the life of the patient. Objectives. This study aimed to investigate whether high-definition transcranial direct current stimulation (HD-tDCS) of the primary motor cortex (M1) functional area in poststroke patients in the subacute phase is more effective in improving upper limb function than conventional tDCS. Methods. This randomized, sham-controlled clinical trial included 69 patients with subcortical stroke. They were randomly divided into the HD-tDCS, anodal tDCS (a-tDCS), and sham groups. Each group received 20 sessions of stimulation. The patients were assessed using the Action Research Arm Test, Fugl–Meyer score for upper extremities, Motor Function Assessment Scale, and modified Barthel index (MBI) pretreatment and posttreatment. Results. The intragroup comparison scores improved after 4 weeks of treatment. The HD-tDCS group showed a slightly greater, but nonsignificant improvement as compared to a-tDCS group in terms of mean change observed in function of trained items. The MBI score of the HD-tDCS group was maintained up to 8 weeks of follow-up and was higher than that in the a-tDCS group. Conclusion. Both HD-tDCS and a-tDCS can improve upper limb motor function and daily activities of poststroke patients in the subacute stage. This trial is registered with ChiCTR2000031314.
背景。脑卒中是中老年人的常见病和多发病,约 55%-75% 的患者遗留上肢功能障碍。如何尽早促进运动功能的恢复对患者的生活至关重要。研究目的本研究旨在探讨对处于亚急性期的脑卒中后患者的初级运动皮层(M1)功能区进行高清晰度经颅直流电刺激(HD-tDCS)是否比传统的 tDCS 更能有效改善上肢功能。方法。这项随机假对照临床试验包括 69 名皮层下中风患者。他们被随机分为 HD-tDCS、阳极 tDCS(a-tDCS)和假组。每组接受 20 次刺激。患者在治疗前和治疗后均接受了行动研究臂测试、上肢 Fugl-Meyer 评分、运动功能评估量表和改良巴特尔指数(MBI)的评估。结果显示治疗 4 周后,组内比较得分有所提高。与 a-tDCS 组相比,HD-tDCS 组在训练项目功能方面的平均变化略大,但不显著。HD-tDCS 组的 MBI 分数在随访 8 周后仍保持不变,且高于 a-tDCS 组。结论HD-tDCS和a-tDCS均能改善处于亚急性阶段的脑卒中后患者的上肢运动功能和日常活动能力。本试验已在 ChiCTR2000031314 注册。
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引用次数: 0
The Alterations in the Brain Corresponding to Low Back Pain: Recent Insights and Advances 与腰背痛相对应的大脑变化:最新见解与进展
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2024-03-18 DOI: 10.1155/2024/5599046
Xuyang Li, Fancheng Meng, Wenye Huang, Yue Cui, Fanbo Meng, Shengxi Wu, Hui Xu
Low back pain (LBP) is a leading cause of global disabilities. Numerous molecular, cellular, and anatomical factors are implicated in LBP. Current issues regarding neurologic alterations in LBP have focused on the reorganization of peripheral nerve and spinal cord, but neural mechanisms of exactly what LBP impacts on the brain required further researches. Based on existing clinical studies that chronic pain problems were accompanying alterations in brain structures and functions, researchers proposed logical conjectures that similar alterations occur in LBP patients as well. With recent extensive studies carried out using noninvasive neuroimaging technique, increasing number of abnormalities and alterations has been identified. Here, we reviewed brain alterations including white matters, grey matters, and neural circuits between brain areas, which are involved in chronic LBP. Moreover, brain structural and functional connectivity abnormalities are correlated to the happening and transition of LBP. The negative emotions related to back pain indicate possible alterations in emotional brain regions. Thus, the aim of this review is to summarize current findings on the alterations corresponding to LBP in the brain. It will not only further our understanding of etiology of LBP and understanding of negative emotions accompanying with back pain but also provide ideas and basis for new accesses to the diagnosis, treatment, and rehabilitation afterward based on integral medicine.
腰背痛(LBP)是导致全球残疾的主要原因之一。许多分子、细胞和解剖学因素都与腰背痛有关。目前有关腰背痛神经系统改变的问题主要集中在周围神经和脊髓的重组上,但腰背痛对大脑产生影响的神经机制还需要进一步研究。根据现有的临床研究,慢性疼痛问题伴随着大脑结构和功能的改变,研究人员提出了枸杞多糖症患者也会发生类似改变的逻辑猜想。随着近年来使用无创神经成像技术进行的广泛研究,越来越多的异常和改变被发现。在此,我们回顾了与慢性枸杞痛有关的脑部改变,包括白质、灰质和脑区之间的神经回路。此外,大脑结构和功能连接异常与腰背痛的发生和转归相关。与背痛相关的负面情绪表明情绪性脑区可能发生了改变。因此,本综述的目的是总结目前关于与腰背痛相应的大脑变化的研究结果。这不仅将进一步加深我们对枸杞痛病因的理解和对背痛伴随的负面情绪的认识,还将为基于整体医学的诊断、治疗和康复提供新的思路和依据。
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引用次数: 0
Electroacupuncture Therapy Effectively Protects the Rat Brain after Intracerebral Hemorrhage 电针疗法能有效保护脑出血后的大鼠大脑
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2024-02-15 DOI: 10.1155/2024/4784818
Li Huang, Xuehui Fan, Yao Chen, Heng Lin, Xiaoqian Jiang, Chaoxian Yang
Objective. Electroacupuncture (Ea) is a useful complementary and alternative therapy for intracerebral hemorrhage (ICH). However, the neurobiological basis for the Ea treatment of ICH is still unclear. The primary aim of the present study was to explore whether Ea prevents brain edema, apoptosis, excitotoxicity, and neuroinflammation in rats after hemorrhagic stroke. Methods. Rats were randomly divided into Sham, Control, and Ea groups. We used modified neurological severity score (mNSS) and gait analysis to estimate neurological function in rats, and PET/CT to assess glucose uptake and the hemorrhagic focus volume. Measurement of the brain water content and TUNEL staining were used to evaluate brain edema and cell apoptosis, respectively. The serum myelin basic protein (MBP), neuron-specific enolase (NSE), calcium-binding protein B (S100B), and tumor necrosis factor-α (TNF-α) concentrations were examined with ELISA. The expression levels of the CD68, GALC, Arg-1, iNOS, NR2A, Glu2R, AQP4, MAP2, GFAP, AQP9, Bcl-2, Bax, and Glu proteins around the hematoma were detected via immunohistochemistry staining. Western blot was used to analyze the levels of the AQP4, AQP9, Bax, Bcl-2, iNOS, and Arg-1 proteins. Results. Ea treatment improved neurological function and reduced the hemorrhagic area and brain water content in rats after ICH. The serum concentrations of MBP, NSE, S100B, and TNF-α all decreased significantly in the Ea group compared with the Control group. Expression levels of the Glu, NR2A, AQP4, AQP9, Bax, GFAP, iNOS, and CD68 proteins in brain tissue surrounding the hematoma were obviously suppressed in ICH rats following Ea treatment. Moreover, Ea stimulation increased the levels of the MAP2, GALC, Glu2R, Arg-1, and Bcl-2 proteins, but reduced the number of TUNEL-positive cells in rats after ICH. Conclusion. The results of this study suggest that Ea may exert neuroprotective effects by suppressing brain edema, apoptosis, excitotoxicity, and neuroinflammation.
目的。电针(Ea)是治疗脑出血(ICH)的一种有效的补充和替代疗法。然而,电针治疗 ICH 的神经生物学基础仍不清楚。本研究的主要目的是探讨 Ea 是否能预防出血性中风后大鼠的脑水肿、细胞凋亡、兴奋毒性和神经炎症。研究方法将大鼠随机分为 Sham 组、对照组和 Ea 组。我们使用改良神经严重程度评分(mNSS)和步态分析来评估大鼠的神经功能,并使用 PET/CT 评估葡萄糖摄取量和出血灶体积。脑含水量测量和 TUNEL 染色分别用于评估脑水肿和细胞凋亡。用 ELISA 检测血清髓鞘碱性蛋白(MBP)、神经元特异性烯醇化酶(NSE)、钙结合蛋白 B(S100B)和肿瘤坏死因子-α(TNF-α)的浓度。通过免疫组化染色检测血肿周围 CD68、GALC、Arg-1、iNOS、NR2A、Glu2R、AQP4、MAP2、GFAP、AQP9、Bcl-2、Bax 和 Glu 蛋白的表达水平。利用 Western 印迹分析 AQP4、AQP9、Bax、Bcl-2、iNOS 和 Arg-1 蛋白的水平。结果Ea 治疗改善了 ICH 大鼠的神经功能,减少了出血面积和脑水含量。与对照组相比,Ea 组大鼠血清中 MBP、NSE、S100B 和 TNF-α 的浓度均显著下降。Ea 治疗后,ICH 大鼠血肿周围脑组织中 Glu、NR2A、AQP4、AQP9、Bax、GFAP、iNOS 和 CD68 蛋白的表达水平明显下降。此外,Ea 刺激可提高 ICH 大鼠体内 MAP2、GALC、Glu2R、Arg-1 和 Bcl-2 蛋白的水平,但会减少 TUNEL 阳性细胞的数量。结论本研究结果表明,Ea 可通过抑制脑水肿、细胞凋亡、兴奋毒性和神经炎症发挥神经保护作用。
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引用次数: 0
Chronic Ultrasound Prenatal Stress Altered the Brain’s Neurochemical Systems in Newborn Rats 慢性超声产前应激改变了新生大鼠大脑的神经化学系统
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2024-02-13 DOI: 10.1155/2024/3829941
Olga Abramova, Yana Zorkina, Konstantin Pavlov, Valeria Ushakova, Anna Morozova, Eugene Zubkov, Olga Pavlova, Zinaida Storozheva, Olga Gurina, Vladimir Chekhonin
Prenatal stress (PS) affects the development and functioning of the central nervous system, but the exact mechanisms underpinning this effect have not been pinpointed yet. A promising model of PS is one based on chronic exposure of pregnant rodents to variable-frequency ultrasound (US PS), as it mimics the PS with a psychic nature that most adequately captures the human stressors in modern society. The aim of this study was to investigate the effects of US PS on the brain neurotransmitter, neuropeptide, and neurotrophic systems of newborn Wistar rats. We determined the concentration of neurotransmitters and their metabolites (serotonin, HIAA, dopamine, DOPAC, and norepinephrine), neuropeptides (α-MSH, β-endorphin, neurotensin, oxytocin, and substance P), and the neurotrophin brain-derived neurotrophic factor (BDNF) in rat brain tissues by HPLC-ED, ELISA, and multiplex ELISA. Correlation analysis and principal component analysis (PCA) were used to get a sense of the relationship between the biochemical parameters of the brain. The results demonstrated that US PS increases the concentration of serotonin () and DOPAC (
产前应激(PS)会影响中枢神经系统的发育和功能,但这种影响的确切机制尚未明确。一种很有前景的产前应激模型是让怀孕啮齿类动物长期暴露于变频超声波(US PS)中,因为它模拟了具有精神性质的产前应激,最充分地捕捉到了现代社会中的人类应激因素。本研究旨在探讨 US PS 对新生 Wistar 大鼠脑神经递质、神经肽和神经营养系统的影响。我们采用 HPLC-ED、ELISA 和多重 ELISA 方法测定了大鼠脑组织中神经递质及其代谢物(5-羟色胺、HIAA、多巴胺、DOPAC 和去甲肾上腺素)、神经肽(α-MSH、β-内啡肽、神经紧张素、催产素和 P 物质)和神经营养素脑源性神经营养因子(BDNF)的浓度。相关分析和主成分分析(PCA)用于了解大脑生化参数之间的关系。结果表明,美国 PS 增加了海马中血清素()和 DOPAC()的浓度,但对额叶皮层的神经递质系统没有影响,降低了整个男性大脑中 BDNF 的浓度(),增加了整个大脑中的神经肽 α-MSH()、β-内啡肽()、催产素()和 P 物质()。据观察,暴露于美国 PS 后,额叶皮层的神经递质系统网络具有一定程度的复杂性,海马体的网络也发生了变化。PCA 显示,暴露于 US PS 后,男性和女性额叶皮层和海马的神经递质系统相互作用模式相似。我们认为,US PS 可以改变神经系统的发育,而这种改变是由所研究的神经化学系统的变化介导的,从而影响动物的行为表型。
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引用次数: 0
Retracted: Molecular Basis of GABA Hypofunction in Adolescent Schizophrenia-Like Animals 撤回:青少年类精神分裂症动物 GABA 功能减退的分子基础
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2024-01-24 DOI: 10.1155/2024/9780493
N. Plasticity
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引用次数: 0
A Controlled Clinical Study of Accelerated High-Dose Theta Burst Stimulation in Patients with Obsessive–Compulsive Disorder 针对强迫症患者的加速大剂量θ脉冲刺激临床对照研究
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-12-07 DOI: 10.1155/2023/2741287
Jin Jiang, Ke Wan, Yueling Liu, Yan Tang, Wenxin Tang, Jian Liu, Jiehua Ma, Chuang Xue, Lu Chen, Huichang Qian, Dandan Liu, Xinxin Shen, Ruijuan Fan, Yongguang Wang, Kai Wang, Gongjun Ji, Chunyan Zhu
Background. Obsessive–compulsive disorder (OCD) is frequently treated using a combination of counseling, drugs, and, more recently various transcranial stimulation protocols, but all require several weeks to months for clinically significant improvement, so there is a need for treatments with faster onset. This study investigated whether an accelerated high-dose theta burst stimulation (ahTBS) protocol significantly improves the efficacy of OCD compared to traditional 1-Hz repetitive transcranial magnetic stimulation (rTMS) in the routine clinical setting. Method. Forty-five patients with OCD were randomized into two groups and treated with ahTBS or 1-Hz rTMS for 5 days. Patients were assessed at baseline at the end of treatment using the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS). Results. After 5 days of treatment, there was a significant decrease in Y-BOCS scores in both groups (), and the difference between the two groups was not statistically significant (group × time interaction, F = 1.90, ). There was also no statistically significant difference in other secondary
背景。强迫症(OCD)通常采用心理咨询、药物和最近的各种经颅磁刺激方案相结合的方法进行治疗,但所有这些方法都需要数周至数月的时间才能取得明显的临床改善,因此需要起效更快的治疗方法。本研究调查了在常规临床环境中,与传统的 1 赫兹重复经颅磁刺激(rTMS)相比,加速高剂量θ爆发刺激(ahTBS)方案是否能显著提高强迫症的疗效。研究方法45名强迫症患者被随机分为两组,接受为期5天的ahTBS或1赫兹经颅磁刺激治疗。在治疗结束时使用耶鲁-布朗强迫症量表(Y-BOCS)对患者进行基线评估。治疗结果治疗5天后,两组患者的Y-BOCS评分均显著下降(),两组之间的差异无统计学意义(组别 × 时间交互作用,F = 1.90,)。其他次要结果指标,包括抑郁、焦虑症状和应答率,在统计学上也没有显著差异。不过,ahTBS 组的应答率呈上升趋势。神经心理学测试表明,两种治疗方法都没有对认知产生负面影响。结论在临床治疗强迫症方面,加速大剂量经颅磁刺激与传统的1赫兹经颅磁刺激同样安全,且短期疗效相当。还需要进一步的研究来探索最佳的 ahTBS 参数,验证这种治疗方式的效用,并确定预测快速临床反应的因素,以指导临床决策。该试验已注册为 NCT05221632。
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引用次数: 0
Premotor and Posterior Parietal Cortex Activity is Increased for Slow, as well as Fast Walking Poststroke: An fNIRS Study. 慢行和快走中风后运动前和后顶叶皮层活性增加:fNIRS研究。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-10-13 eCollection Date: 2023-01-01 DOI: 10.1155/2023/2403175
Shannon B Lim, Sue Peters, Chieh-Ling Yang, Lara A Boyd, Teresa Liu-Ambrose, Janice J Eng

Methods: Twenty individuals in the chronic stage of stroke walked: (1) at their normal pace, (2) slower than normal, and (3) as fast as possible. Functional near-infrared spectroscopy was used to assess bilateral prefrontal, premotor, sensorimotor, and posterior parietal cortices during walking.

Results: No significant differences in laterality were observed between walking speeds. The ipsilesional prefrontal cortex was overall more active than the contralesional prefrontal cortex. Premotor and posterior parietal cortex activity were larger during slow and fast walking compared to normal-paced walking with no differences between slow and fast walking. Greater increases in brain activation in the ipsilesional prefrontal cortex during fast compared to normal-paced walking related to greater gait speed modulation.

Conclusions: Brain activation is not linearly related to gait speed. Ipsilesional prefrontal cortex, bilateral premotor, and bilateral posterior parietal cortices are important areas for gait speed modulation and could be an area of interest for neurostimulation.

方法:20名处于中风慢性期的患者行走:(1)以正常速度行走,(2)比正常速度慢,(3)尽可能快。功能性近红外光谱用于评估行走过程中双侧前额叶、前运动、感觉运动和后顶叶皮层。结果:行走速度之间的偏侧性没有显著差异。同侧前额叶皮层总体上比对侧前额叶皮质更活跃。与正常步行相比,慢速和快速步行期间的运动前和后顶叶皮层活动更大,慢速和慢速步行之间没有差异。与正常步伐的行走相比,在快速行走过程中,同侧前额叶皮层的大脑激活增加更多,这与步态速度调节更大有关。结论:大脑活动与步态速度不存在线性关系。静息前额叶皮层、双侧前运动皮层和双侧后顶叶皮层是步态速度调节的重要区域,可能是神经刺激感兴趣的区域。
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引用次数: 0
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Neural Plasticity
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