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The Current Evidence Levels for Biofeedback and Neurofeedback Interventions in Treating Depression: A Narrative Review. 生物反馈和神经反馈干预治疗抑郁症的证据水平:叙述性回顾。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-04 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8878857
Mikhail Ye Melnikov

This article is aimed at showing the current level of evidence for the usage of biofeedback and neurofeedback to treat depression along with a detailed review of the studies in the field and a discussion of rationale for utilizing each protocol. La Vaque et al. criteria endorsed by the Association for Applied Psychophysiology and Biofeedback and International Society for Neuroregulation & Research were accepted as a means of study evaluation. Heart rate variability (HRV) biofeedback was found to be moderately supportable as a treatment of MDD while outcome measure was a subjective questionnaire like Beck Depression Inventory (level 3/5, "probably efficacious"). Electroencephalographic (EEG) neurofeedback protocols, namely, alpha-theta, alpha, and sensorimotor rhythm upregulation, all qualify for level 2/5, "possibly efficacious." Frontal alpha asymmetry protocol also received limited evidence of effect in depression (level 2/5, "possibly efficacious"). Finally, the two most influential real-time functional magnetic resonance imaging (rt-fMRI) neurofeedback protocols targeting the amygdala and the frontal cortices both demonstrate some effectiveness, though lack replications (level 2/5, "possibly efficacious"). Thus, neurofeedback specifically targeting depression is moderately supported by existing studies (all fit level 2/5, "possibly efficacious"). The greatest complication preventing certain protocols from reaching higher evidence levels is a relatively high number of uncontrolled studies and an absence of accurate replications arising from the heterogeneity in protocol details, course lengths, measures of improvement, control conditions, and sample characteristics.

本文旨在展示生物反馈和神经反馈治疗抑郁症的证据水平,并对该领域的研究进行详细回顾,并讨论使用每种方案的基本原理。应用心理生理学与生物反馈协会和国际神经调节与研究协会认可的La Vaque等人的标准被接受为研究评估的手段。心率变异性(HRV)生物反馈被认为是中度支持的重度抑郁症治疗方法,而结果测量是主观问卷调查,如贝克抑郁量表(水平3/5,“可能有效”)。脑电图(EEG)神经反馈方案,即α - θ, α和感觉运动节律上调,均符合2/5级,“可能有效”。额叶α不对称疗法对抑郁症也有有限的疗效(2/5级,“可能有效”)。最后,两种最具影响力的实时功能磁共振成像(rt-fMRI)针对杏仁核和额叶皮质的神经反馈方案都显示出一定的有效性,尽管缺乏可重复性(2/5级,“可能有效”)。因此,专门针对抑郁症的神经反馈得到了现有研究的适度支持(均符合2/5级,“可能有效”)。阻碍某些方案达到更高证据水平的最大并发症是相对较多的非对照研究和由于方案细节、疗程长度、改善措施、控制条件和样本特征的异质性而导致的缺乏准确的重复。
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引用次数: 16
A Synchronization Criterion for Two Hindmarsh-Rose Neurons with Linear and Nonlinear Coupling Functions Based on the Laplace Transform Method. 基于拉普拉斯变换的两个具有线性和非线性耦合函数的Hindmarsh-Rose神经元的同步判据。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-02 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6692132
Chunlin Su, Bin Zhen, Zigen Song

In this paper, an analytical criterion is proposed to investigate the synchronization between two Hindmarsh-Rose neurons with linear and nonlinear coupling functions based on the Laplace transform method. Different from previous works, the synchronization error system is expressed in its integral form, which is more convenient to analyze. The synchronization problem of two HR coupled neurons is ultimately converted into the stability problem of roots to a nonlinear algebraic equation. Then, an analytical criterion for synchronization between the two HR neurons can be given by using the Routh-Hurwitz criterion. Numerical simulations show that the synchronization criterion derived in this paper is valid, regardless of the periodic spikes or burst-spike chaotic behavior of the two HR neurons. Furthermore, the analytical results have almost the same accuracy as the conditional Lyapunov method. In addition, the calculation quantities always are small no matter the linear and nonlinear coupling functions, which show that the approach presented in this paper is easy to be developed to study synchronization between a large number of HR neurons.

本文提出了一种基于拉普拉斯变换的分析准则来研究两个具有线性和非线性耦合函数的Hindmarsh-Rose神经元之间的同步问题。与以往的工作不同,同步误差系统以积分形式表示,更便于分析。两个HR耦合神经元的同步问题最终转化为一个非线性代数方程的根稳定性问题。然后,利用Routh-Hurwitz准则给出了两个HR神经元同步的解析判据。数值模拟结果表明,无论两个HR神经元的周期尖峰或突发尖峰混沌行为如何,本文推导的同步准则都是有效的。此外,分析结果与条件李亚普诺夫方法具有几乎相同的精度。此外,无论线性耦合函数还是非线性耦合函数,计算量都很小,这表明本文方法易于发展到研究大量HR神经元之间的同步。
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引用次数: 2
Comparing Two Different Modes of Task Practice during Lower Limb Constraint-Induced Movement Therapy in People with Stroke: A Randomized Clinical Trial. 在脑卒中患者下肢约束诱导运动治疗中比较两种不同任务练习模式:一项随机临床试验。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-01 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6664058
Auwal Abdullahi, Naima Umar Aliyu, Ushotanefe Useh, Muhammad Aliyu Abba, Mukadas Oyeniran Akindele, Steven Truijen, Wim Saeys

Background: Constraint-induced movement therapy (CIMT) is used for the rehabilitation of motor function after stroke.

Objectives: The aim of this study was to compare the effects of lower limb CIMT that uses number of repetition of tasks with the one that uses number of hours of practice.

Method: The study was a randomized clinical trial approved by the Ethics Committee of Kano State Ministry of Health. Fifty-eight people with stroke participated in the study. Groups 1 and 2 performed daily 600 repetitions and 3 hours of task practice, respectively, 5 times weekly for 4 weeks. Motor impairment (primary outcome), balance, functional mobility, knee extensor spasticity, walking speed and endurance, and exertion before and after commencement of activities were assessed at baseline and postintervention. The data was analyzed using Friedmann and Mann-Whitney U tests.

Result: The results showed that there was only significant difference (p < 0.05) in knee extensor spasticity (group 1 (median = 0(0), mean rank = 27.50); group 2 (median = 0(0), mean rank = 31.64)), exertion before commencement of activities (group 1 (median = 0(0.5), mean rank = 21.90); group 2 (median = 1(0.5), mean rank = 37.64)), and exertion after commencement of activities (group 1 (median = 1(1), mean rank = 20.07); group 2 (median = 1(0), mean rank = 39.61) postintervention in favour of the experimental group (group 1)).

Conclusion: The group 1 protocol is more effective at improving outcomes after stroke.

背景:约束诱导运动疗法(CIMT)用于脑卒中后运动功能的康复。目的:本研究的目的是比较使用任务重复次数和使用练习小时数的下肢CIMT的效果。方法:该研究是卡诺州卫生部伦理委员会批准的一项随机临床试验。58名中风患者参与了这项研究。组1和组2每天重复600次,任务练习3小时,每周5次,连续4周。在基线和干预后评估活动开始前后的运动障碍(主要结局)、平衡、功能活动、膝关节伸肌痉挛、步行速度和耐力以及运动强度。使用Friedmann和Mann-Whitney U检验对数据进行分析。结果:两组患者仅膝关节伸肌痉挛有显著性差异(p < 0.05)(组1(中位数= 0(0),平均秩= 27.50);2组(中位数= 0(0),平均排名= 31.64)),活动开始前运动(1组(中位数= 0(0.5),平均排名= 21.90);2组(中位数= 1(0.5),平均排名= 37.64)),活动开始后用力(1组(中位数= 1(1),平均排名= 20.07);第2组(中位数= 1(0),平均秩= 39.61)干预后偏向实验组(第1组)。结论:1组方案在改善脑卒中后预后方面更为有效。
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引用次数: 13
Altered Topological Properties of Grey Matter Structural Covariance Networks in Complete Thoracic Spinal Cord Injury Patients: A Graph Theoretical Network Analysis. 完全胸椎脊髓损伤患者灰质结构协方差网络拓扑特性的改变:图理论网络分析。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-01 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8815144
Wen-Li Wang, Yu-Lin Li, Mou-Xiong Zheng, Xu-Yun Hua, Jia-Jia Wu, Fei-Fei Yang, Nan Yang, Xia He, Li-Juan Ao, Jian-Guang Xu

Purpose: This study is aimed at investigating brain structural changes and structural network properties in complete spinal cord injury (SCI) patients, as well as their relationship with clinical variables.

Materials and methods: Structural MRI of brain was acquired in 24 complete thoracic SCI patients (38.50 ± 11.19 years, 22 males) within the first postinjury year, while 26 age- and gender-matched healthy participants (38.38 ± 10.63 years, 24 males) were enrolled as control. The voxel-based morphometry (VBM) approach and graph theoretical network analysis based on cross-subject grey matter volume- (GMV-) based structural covariance networks (SCNs) were conducted to investigate the impact of SCI on brain structure. Partial correlation analysis was performed to explore the relationship between the GMV of structurally changed brain regions and SCI patients' clinical variables, including injury duration, injury level, Visual Analog Scale (VAS), American Spinal Injury Association Impairment Scale (AIS), International Classification of Functioning, Disability and Health (ICF) scale, Self-rating Depression Scale (SDS), and Self-rating Anxiety Scale (SAS), after removing the effects of age and gender.

Results: Compared with healthy controls, SCI patients showed higher SDS score (t = 4.392 and p < 0.001). In the VBM analysis, significant GMV reduction was found in the left middle frontal cortex, right superior orbital frontal cortex (OFC), and left inferior OFC. No significant difference was found in global network properties between SCI patients and healthy controls. In the regional network properties, significantly higher betweenness centrality (BC) was noted in the right anterior cingulum cortex (ACC) and left inferior OFC and higher nodal degree and efficiency in bilateral middle OFCs, while decreased BC was noted in the right putamen in SCI patients. Only negative correlation was found between GMV of right middle OFC and SDS score in SCI patients (r = -0.503 and p = 0.017), while no significant correlation between other abnormal brain regions and any of the clinical variables (all p > 0.05).

Conclusions: SCI patients would experience depressive and/or anxious feelings at the early stage. Their GMV reduction mainly involved psychology-cognition related rather than sensorimotor brain regions. The efficiency of regional information transmission in psychology-cognition regions increased. Greater GMV reduction in psychology region was related with more severe depressive feelings. Therefore, early neuropsychological intervention is suggested to prevent psychological and cognitive dysfunction as well as irreversible brain structure damage.

目的:本研究旨在探讨完全性脊髓损伤(SCI)患者脑结构变化、结构网络特性及其与临床变量的关系。材料与方法:对24例完全性胸椎脊髓损伤患者(38.50±11.19岁,男性22例)损伤后第一年内进行脑结构MRI检查,同时选取26例年龄和性别匹配的健康受试者(38.38±10.63岁,男性24例)作为对照组。采用基于体素的形态测量(VBM)方法和基于跨学科灰质体积(GMV)的结构协方差网络(SCNs)的图论网络分析来研究脊髓损伤对脑结构的影响。采用偏相关分析,探讨脑结构改变区GMV与损伤持续时间、损伤程度、视觉模拟量表(VAS)、美国脊髓损伤协会损伤量表(AIS)、国际功能、残疾与健康分类量表(ICF)、抑郁自评量表(SDS)、焦虑自评量表(SAS)等临床变量在剔除年龄和性别影响后的关系。结果:与健康对照组相比,脊髓损伤患者SDS评分较高(t = 4.392, p < 0.001)。在VBM分析中,发现左侧额叶中皮质、右侧眶额上皮质和左侧眶额下皮质GMV明显减少。脊髓损伤患者与健康对照组的全局网络特性无显著差异。在区域网络特性上,右侧前扣带皮质(ACC)和左侧下OFC的中间中心性(between - centrality, BC)显著提高,双侧中OFC的节度和效率显著提高,而脊髓损伤患者右侧壳核的BC显著降低。脊髓损伤患者仅右中OFC GMV与SDS评分呈负相关(r = -0.503, p = 0.017),其他异常脑区与临床变量均无显著相关性(p > 0.05)。结论:脊髓损伤患者在早期会有抑郁和/或焦虑的感觉。他们的GMV减少主要涉及与心理认知相关的脑区,而不是感觉运动脑区。心理认知区域信息传递效率提高。心理区GMV降低越大,抑郁情绪越严重。因此,建议早期进行神经心理干预,以预防心理和认知功能障碍以及不可逆的脑结构损伤。
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引用次数: 6
Neuroprotective Effects of ZiBuPiYin Recipe on db/db Mice via PI3K-Akt Signaling Pathway by Activating Grb2. 滋补脾饮方通过激活Grb2激活PI3K-Akt信号通路对db/db小鼠的神经保护作用
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8825698
Wei-Ming Ren, Ze-Bin Weng, Xin Li, Li-Bin Zhan

Background: Diabetes-associated cognitive decline (DACD) is one of the nervous system dysfunctions induced by diabetes mellitus with cognitive impairment as the major symptom. In a previous preliminary proteomic study, we found that endoplasmic reticulum processing and PI3K-Akt signaling pathway might be impaired in DACD pathogenesis. In addition, growth factor receptor-bound protein 2 might be a crucial protein as a molecular target of the neuroprotective effects of ZiBuPiYin recipe (ZBPYR).

Methods: In this study, 6-8 weeks aged db/db mice were treated with excipients or ZBPYR for 6 weeks. Body weight and RBG were recorded weekly. Oral glucose tolerance and insulin tolerance tests were used to assess insulin sensitivity. Morris water maze (MWM) tests were used to assess memory function. The expression of Grb2, Gab2, Akt, and GSK3β in mouse hippocampus and cerebral cortex were analyzed by Western blotting.

Results: ZBPYR not only significantly reduced RGB and improved glucose tolerance and insulin resistance, but also improved spatial cognition in DACD mice. The expression of Grb2 and Gab2 in hippocampus and cerebral cortex of db/db mice was upregulated after treated with ZBPYR, and then affected the PI3K/Akt signaling pathway, and inhibited GSK3β overactivity.

Conclusions: This study showed that ZBPYR could enhance the memory and learning ability of db/db mice. Such neuroprotective effect might be related to the activation of Grb2-PI3K/Akt signaling which might provide a novel therapeutic target for the clinical treatment of DACD.

背景:糖尿病相关性认知衰退(daca)是糖尿病引起的以认知功能障碍为主要症状的神经系统功能障碍之一。在之前的初步蛋白质组学研究中,我们发现内质网加工和PI3K-Akt信号通路可能在daca发病过程中受损。此外,生长因子受体结合蛋白2可能是滋补脾饮神经保护作用的重要分子靶点。方法:6 ~ 8周龄db/db小鼠分别给予辅料或ZBPYR治疗6周。每周记录体重和RBG。采用口服葡萄糖耐量和胰岛素耐量试验评估胰岛素敏感性。Morris水迷宫(Morris water maze, MWM)测试记忆功能。Western blotting分析小鼠海马和大脑皮层中Grb2、Gab2、Akt和GSK3β的表达。结果:ZBPYR不仅能显著降低RGB,改善葡萄糖耐量和胰岛素抵抗,还能改善daca小鼠的空间认知能力。ZBPYR处理后,db/db小鼠海马和大脑皮层中Grb2和Gab2的表达上调,进而影响PI3K/Akt信号通路,抑制GSK3β过活性。结论:ZBPYR可增强db/db小鼠的记忆和学习能力。这种神经保护作用可能与激活Grb2-PI3K/Akt信号有关,可能为临床治疗daca提供新的治疗靶点。
{"title":"Neuroprotective Effects of ZiBuPiYin Recipe on db/db Mice via PI3K-Akt Signaling Pathway by Activating Grb2.","authors":"Wei-Ming Ren,&nbsp;Ze-Bin Weng,&nbsp;Xin Li,&nbsp;Li-Bin Zhan","doi":"10.1155/2021/8825698","DOIUrl":"https://doi.org/10.1155/2021/8825698","url":null,"abstract":"<p><strong>Background: </strong>Diabetes-associated cognitive decline (DACD) is one of the nervous system dysfunctions induced by diabetes mellitus with cognitive impairment as the major symptom. In a previous preliminary proteomic study, we found that endoplasmic reticulum processing and PI3K-Akt signaling pathway might be impaired in DACD pathogenesis. In addition, growth factor receptor-bound protein 2 might be a crucial protein as a molecular target of the neuroprotective effects of ZiBuPiYin recipe (ZBPYR).</p><p><strong>Methods: </strong>In this study, 6-8 weeks aged db/db mice were treated with excipients or ZBPYR for 6 weeks. Body weight and RBG were recorded weekly. Oral glucose tolerance and insulin tolerance tests were used to assess insulin sensitivity. Morris water maze (MWM) tests were used to assess memory function. The expression of Grb2, Gab2, Akt, and GSK3<i>β</i> in mouse hippocampus and cerebral cortex were analyzed by Western blotting.</p><p><strong>Results: </strong>ZBPYR not only significantly reduced RGB and improved glucose tolerance and insulin resistance, but also improved spatial cognition in DACD mice. The expression of Grb2 and Gab2 in hippocampus and cerebral cortex of db/db mice was upregulated after treated with ZBPYR, and then affected the PI3K/Akt signaling pathway, and inhibited GSK3<i>β</i> overactivity.</p><p><strong>Conclusions: </strong>This study showed that ZBPYR could enhance the memory and learning ability of db/db mice. Such neuroprotective effect might be related to the activation of Grb2-PI3K/Akt signaling which might provide a novel therapeutic target for the clinical treatment of DACD.</p>","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":"2021 ","pages":"8825698"},"PeriodicalIF":3.1,"publicationDate":"2021-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7868140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25382884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Effect of Cognitive Function on Balance and Posture Control after Stroke. 脑卒中后认知功能对平衡和姿势控制的影响。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6636999
Hui-Xian Yu, Zhao-Xia Wang, Chang-Bin Liu, Pei Dai, Yue Lan, Guang-Qing Xu

Hemiplegic gait is the most common sequela of stroke. Patients with hemiplegic gait are at a risk of falling because of poor balance. The theory of cognitive-motor networks paved the way for a new field of research. However, the mechanism of the relationship of cognition with gait or posture control networks is unclear because of the dynamic characteristics of walking and changing postures. To explore differences in the balance function and fall risk between patients with and without cognitive impairment after stroke, we utilized the Berg balance scale, Timed "Up and Go" test, and 10 m walking test. Patients were divided into two groups: the observation group (16 patients, female 6 and male 10), comprising patients with cognitive impairment after stroke, and the control group (16 patients, female 7 and male 9), comprising patients without cognitive impairment after stroke. We found that patients with cognitive impairment had worse balance function and a higher risk of falls. They needed a longer time to turn around or sit down. Our findings indicated that posture control in turning around and sitting down required more cognitive resources in daily life.

偏瘫步态是中风最常见的后遗症。偏瘫患者由于平衡能力差,有摔倒的危险。认知-运动网络理论为一个新的研究领域铺平了道路。然而,由于行走和姿势变化的动态特性,认知与步态或姿势控制网络的关系机制尚不清楚。为了探讨脑卒中后认知障碍患者与非认知障碍患者平衡功能和跌倒风险的差异,我们采用Berg平衡量表、定时“Up and Go”测试和10米步行测试。患者分为两组:观察组16例,女性6例,男性10例,包括脑卒中后认知功能障碍患者;对照组16例,女性7例,男性9例,包括脑卒中后无认知功能障碍患者。我们发现认知障碍患者的平衡功能更差,摔倒的风险更高。他们需要更长的时间才能转身或坐下。我们的研究结果表明,在日常生活中,转身和坐下时的姿势控制需要更多的认知资源。
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引用次数: 12
An Adaptive EEG Feature Extraction Method Based on Stacked Denoising Autoencoder for Mental Fatigue Connectivity. 基于堆叠去噪自编码器的脑电特征提取方法。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3965385
Zhongliang Yu, Lili Li, Wenwei Zhang, Hangyuan Lv, Yun Liu, Umair Khalique

Mental fatigue is a common psychobiological state elected by prolonged cognitive activities. Although, the performance and the disadvantage of the mental fatigue have been well known, its connectivity among the multiareas of the brain has not been thoroughly studied yet. This is important for the clarification of the mental fatigue mechanism. However, the common method of connectivity analysis based on EEG cannot get rid of the interference from strong noise. In this paper, an adaptive feature extraction model based on stacked denoising autoencoder has been proposed. The signal to noise ratio of the extracted feature has been analyzed. Compared with principal component analysis, the proposed method can significantly improve the signal to noise ratio and suppress the noise interference. The proposed method has been applied on the analysis of mental fatigue connectivity. The causal connectivity among the frontal, motor, parietal, and visual areas under the awake, fatigue, and sleep deprivation conditions has been analyzed, and different patterns of connectivity between conditions have been revealed. The connectivity direction under awake condition and sleep deprivation condition is opposite. Moreover, there is a complex and bidirectional connectivity relationship, from the anterior areas to the posterior areas and from the posterior areas to the anterior areas, under fatigue condition. These results imply that there are different brain patterns on the three conditions. This study provides an effective method for EEG analysis. It may be favorable to disclose the underlying mechanism of mental fatigue by connectivity analysis.

精神疲劳是由于长期的认知活动而产生的一种常见的心理生理状态。尽管人们对精神疲劳的表现和危害已经了解得很清楚,但对其在大脑多区域间的连通性研究还不够深入。这对阐明精神疲劳的机制具有重要意义。然而,常用的基于脑电图的连通性分析方法无法消除强噪声的干扰。本文提出了一种基于叠置去噪自编码器的自适应特征提取模型。分析了提取的特征的信噪比。与主成分分析方法相比,该方法能显著提高信号的信噪比,抑制噪声干扰。该方法已应用于心理疲劳连通性分析。在清醒、疲劳和睡眠剥夺条件下,分析了额叶、运动、顶叶和视觉区域之间的因果联系,揭示了不同条件下的不同连接模式。清醒状态和睡眠剥夺状态下的连接方向相反。此外,在疲劳状态下,从前区到后区,从后区到前区存在复杂的双向连接关系。这些结果表明,在这三种情况下存在不同的大脑模式。本研究为脑电图分析提供了一种有效的方法。通过连通性分析有助于揭示心理疲劳的潜在机制。
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引用次数: 5
Distinction of High- and Low-Frequency Repetitive Transcranial Magnetic Stimulation on the Functional Reorganization of the Motor Network in Stroke Patients. 高低频重复经颅磁刺激对脑卒中患者运动网络功能重组的影响。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8873221
Zhiwei Guo, Yu Jin, Xi Bai, Binghu Jiang, Lin He, Morgan A McClure, Qiwen Mu

Objective: To investigate the functional reorganization of the motor network after repetitive transcranial magnetic stimulation (rTMS) in stroke patients with motor dysfunction and the distinction between high-frequency rTMS (HF-rTMS) and low-frequency rTMS (LF-rTMS).

Methods: Thirty-three subcortical stroke patients were enrolled and assigned to the HF-rTMS group, LF-rTMS group, and sham group. Each patient of rTMS groups received either 10.0 Hz rTMS over the ipsilesional primary motor cortex (M1) or 1.0 Hz rTMS over the contralesional M1 for 10 consecutive days. A resting-state functional magnetic resonance imaging (fMRI) scan and neurological examinations were performed at baseline and after rTMS. The motor network and functional connectivities intramotor network with the core brain regions including the bilateral M1, premotor area (PMA), and supplementary motor area (SMA) were calculated. Comparisons of functional connectivities and Pearson correlation analysis between functional connectivity changes and behavioral improvement were calculated.

Results: Significant motor improvement was found after rTMS in all groups which was larger in two rTMS groups than in the sham group. The functional connectivities of the motor network were significantly increased in bilateral M1, SMA, and contralesional PMA after real rTMS. These changes were only detected in the regions of the ipsilesional hemisphere in the HF-rTMS group and in the regions of the contralesional hemisphere in the LF-rTMS group. Significantly changed functional connectivities of the intramotor network were found between the ipsilesional M1 and SMA and contralesional PMA, between contralesional M1 and contralesional SMA, between contralesional SMA and ipsilesional SMA and contralesional PMA in the HF-rTMS group in which the changed connectivity between ipsilesional M1 and contralesional PMA was obviously correlated with the motor improvement. In addition, the functional connectivity of the intramotor network between ipsilesional M1 and contralesional PMA was significantly higher in the HF-rTMS group than in the LF-rTMS group.

Conclusion: Both HF-rTMS and LF-rTMS have a positive effect on motor recovery in patients with subcortical stroke and could promote the reorganization of the motor network. HF-rTMS may contribute more to the functional connectivity reorganization of the ipsilesional motor network and realize greater benefit to the motor recovery.

目的:探讨重复经颅磁刺激(rTMS)对脑卒中运动功能障碍患者运动网络的功能重组及高频rTMS (HF-rTMS)与低频rTMS (LF-rTMS)的区别。方法:将33例皮质下脑卒中患者分为HF-rTMS组、LF-rTMS组和假手术组。rTMS组的每名患者分别在同侧初级运动皮层(M1)上接受10.0 Hz rTMS或在对侧M1上接受1.0 Hz rTMS,连续10天。静息状态功能磁共振成像(fMRI)扫描和神经学检查分别在基线和rTMS后进行。计算运动网络和与双侧M1、运动前区(PMA)、辅助运动区(SMA)等核心脑区运动内网络的功能连接。计算功能连通性变化与行为改善之间的功能连通性比较和Pearson相关分析。结果:各组大鼠经rTMS后运动功能均有明显改善,且两组均较假手术组改善明显。在真正的rTMS后,双侧M1、SMA和对侧PMA的运动网络的功能连接显著增加。这些变化仅在HF-rTMS组的同侧半球区域和LF-rTMS组的对侧半球区域检测到。在HF-rTMS组中,同侧M1、SMA与对照性PMA之间、对照性M1与对照性SMA之间、对照性SMA与同侧SMA与对照性PMA之间的运动内网络功能连通性显著改变,其中同侧M1与对照性PMA之间连通性的改变与运动改善明显相关。此外,高频rtms组同侧M1和对侧PMA之间的运动内网络的功能连通性显著高于低频rtms组。结论:高频rtms和低频rtms对皮质下脑卒中患者的运动恢复均有积极作用,并能促进运动网络的重组。高频rtms可能更有助于同侧运动网络的功能连接重组,对运动恢复有更大的益处。
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引用次数: 15
Gamma Oscillations Facilitate Effective Learning in Excitatory-Inhibitory Balanced Neural Circuits. 伽马振荡促进兴奋抑制平衡神经回路的有效学习
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-19 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6668175
Kwan Tung Li, Junhao Liang, Changsong Zhou

Gamma oscillation in neural circuits is believed to associate with effective learning in the brain, while the underlying mechanism is unclear. This paper aims to study how spike-timing-dependent plasticity (STDP), a typical mechanism of learning, with its interaction with gamma oscillation in neural circuits, shapes the network dynamics properties and the network structure formation. We study an excitatory-inhibitory (E-I) integrate-and-fire neuronal network with triplet STDP, heterosynaptic plasticity, and a transmitter-induced plasticity. Our results show that the performance of plasticity is diverse in different synchronization levels. We find that gamma oscillation is beneficial to synaptic potentiation among stimulated neurons by forming a special network structure where the sum of excitatory input synaptic strength is correlated with the sum of inhibitory input synaptic strength. The circuit can maintain E-I balanced input on average, whereas the balance is temporal broken during the learning-induced oscillations. Our study reveals a potential mechanism about the benefits of gamma oscillation on learning in biological neural circuits.

神经回路中的γ振荡被认为与大脑的有效学习有关,但其潜在机制尚不清楚。本文旨在研究尖峰计时依赖可塑性(STDP)这一典型的学习机制如何与神经回路中的γ振荡相互作用,形成网络动力学特性和网络结构。我们研究了一个具有三重 STDP、异突触可塑性和递质诱导可塑性的兴奋-抑制(E-I)整合-发射神经元网络。我们的研究结果表明,在不同的同步水平下,可塑性的表现各不相同。我们发现伽马振荡有利于受刺激神经元之间的突触电位,因为它形成了一种特殊的网络结构,即兴奋性输入突触强度总和与抑制性输入突触强度总和相关。该电路能平均维持E-I平衡输入,而在学习诱导的振荡中,这种平衡会在时间上被打破。我们的研究揭示了伽马振荡对生物神经回路学习的潜在机制。
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引用次数: 0
Excitability and Threshold Mechanism for Enhanced Neuronal Response Induced by Inhibition Preceding Excitation. 抑制先于兴奋诱导神经元反应增强的兴奋性和阈值机制
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6692411
Hanqing Ma, Bing Jia, Yuye Li, Huaguang Gu

Postinhibitory facilitation (PIF) of neural firing presents a paradoxical phenomenon that the inhibitory effect induces enhancement instead of reduction of the firing activity, which plays important roles in sound location of the auditory nervous system, awaited theoretical explanations. In the present paper, excitability and threshold mechanism for the PIF phenomenon is presented in the Morris-Lecar model with type I, II, and III excitabilities. Firstly, compared with the purely excitatory stimulations applied to the steady state, the inhibitory preceding excitatory stimulation to form pairs induces the firing rate increased for type II and III excitabilities instead of type I excitability, when the interval between the inhibitory and excitatory stimulation within each pair is suitable. Secondly, the threshold mechanism for the PIF phenomenon is acquired. For type II and III excitabilities, the inhibitory stimulation induces subthreshold oscillations around the steady state. During the middle and ending phase of the ascending part and the beginning phase of the descending part within a period of the subthreshold oscillations, the threshold to evoke an action potential by an excitatory stimulation becomes weaker, which is the cause for the PIF phenomenon. Last, a theoretical estimation for the range of the interval between the inhibitory and excitatory stimulation for the PIF phenomenon is acquired, which approximates half of the intrinsic period of the subthreshold oscillations for the relatively strong stimulations and becomes narrower for the relatively weak stimulations. The interval for the PIF phenomenon is much shorter for type III excitability, which is closer to the experiment observation, due to the shorter period of the subthreshold oscillations. The results present the excitability and threshold mechanism for the PIF phenomenon, which provide comprehensive and deep explanations to the PIF phenomenon.

神经发射的抑制后促进(PIF)是一种自相矛盾的现象,即抑制作用会引起发射活动的增强而非减弱,它在听觉神经系统的声音定位中起着重要作用,有待理论解释。本文在具有 I、II 和 III 型兴奋性的 Morris-Lecar 模型中提出了 PIF 现象的兴奋性和阈值机制。首先,与稳定状态下的纯兴奋性刺激相比,当每对兴奋性刺激中抑制性刺激和兴奋性刺激之间的间隔合适时,抑制性刺激先于兴奋性刺激形成对,会诱导Ⅱ型和Ⅲ型兴奋性的发射率增加,而不是Ⅰ型兴奋性的发射率增加。其次,获得了 PIF 现象的阈值机制。对于 II 型和 III 型兴奋性,抑制性刺激会引起稳定状态附近的阈下振荡。在阈下振荡期间的上升部分的中间和结束阶段以及下降部分的开始阶段,兴奋性刺激唤起动作电位的阈值变弱,这就是 PIF 现象的原因。最后,对 PIF 现象的抑制性刺激和兴奋性刺激之间的时间间隔范围进行了理论估算,在相对强的刺激下,时间间隔近似于阈下振荡固有周期的一半,而在相对弱的刺激下,时间间隔变窄。由于阈下振荡周期较短,III 型兴奋性的 PIF 现象间隔更短,更接近实验观察结果。这些结果提出了 PIF 现象的兴奋性和阈值机制,为 PIF 现象提供了全面而深刻的解释。
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Neural Plasticity
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