AKINESIA IN PARKINSONS-DISEASE .2. EFFECTS OF SUBTHRESHOLD REPETITIVE TRANSCRANIAL MOTOR CORTEX STIMULATION

被引:226
作者
PASCUALLEONE, A
VALLSSOLE, J
BRASILNETO, JP
CAMMAROTA, A
GRAFMAN, J
HALLETT, M
机构
[1] NINCDS, MED NEUROL BRANCH, HUMAN MOTOR CONTROL SECT, HUMAN CORT PHYSIOL UNIT, BETHESDA, MD 20892 USA
[2] NINCDS, MED NEUROL BRANCH, COGNIT NEUROSCI SECT, BETHESDA, MD 20892 USA
关键词
D O I
10.1212/WNL.44.5.892
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We studied the effects of repetitive transcranial stimulation of the motor cortex (rTMS) on choice reaction time (cRT), movement time (MT), and error rate (ER) in a serial reaction-time task in six medicated patients with Parkinson's disease (PD) and 10 age-matched normal controls. In normal subjects, subthreshold 5-Hz rTMS did not significantly change cRT, slightly shortened MT, but increased ER. In the patients, rTMS significantly shortened cRT and MT without affecting ER. These effects did not impair procedural learning. Performance on a grooved pegboard test was improved by rTMS in the same PD patients, especially when they were off medications, but worsened in the normal subjects. Repetitive, subthreshold motor cortex stimulation can improve performance in patients with PD and could be useful therapeutically.
引用
收藏
页码:892 / 898
页数:7
相关论文
共 54 条
[1]   PERFORMANCE OF SIMULTANEOUS MOVEMENTS IN PATIENTS WITH PARKINSONS-DISEASE [J].
BENECKE, R ;
ROTHWELL, JC ;
DICK, JPR ;
DAY, BL ;
MARSDEN, CD .
BRAIN, 1986, 109 :739-757
[2]   SIMPLE AND COMPLEX MOVEMENTS OFF AND ON TREATMENT IN PATIENTS WITH PARKINSONS-DISEASE [J].
BENECKE, R ;
ROTHWELL, JC ;
DICK, JPR ;
DAY, BL ;
MARSDEN, CD .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1987, 50 (03) :296-303
[3]  
BLOXHAM CA, 1984, BRAIN, V107, P371, DOI 10.1093/brain/107.2.371
[4]   FOCAL TRANSCRANIAL MAGNETIC STIMULATION AND RESPONSE BIAS IN A FORCED-CHOICE TASK [J].
BRASILNETO, JP ;
PASCUALLEONE, A ;
VALLSSOLE, J ;
COHEN, LG ;
HALLETT, M .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1992, 55 (10) :964-966
[5]   OPTIMAL FOCAL TRANSCRANIAL MAGNETIC ACTIVATION OF THE HUMAN MOTOR CORTEX - EFFECTS OF COIL ORIENTATION, SHAPE OF THE INDUCED CURRENT PULSE, AND STIMULUS-INTENSITY [J].
BRASILNETO, JP ;
COHEN, LG ;
PANIZZA, M ;
NILSSON, J ;
ROTH, BJ ;
HALLETT, M .
JOURNAL OF CLINICAL NEUROPHYSIOLOGY, 1992, 9 (01) :132-136
[6]   KINDLING WITH LOW-FREQUENCY STIMULATION - GENERALITY, TRANSFER, AND RECRUITING EFFECTS [J].
CAIN, DP ;
CORCORAN, ME .
EXPERIMENTAL NEUROLOGY, 1981, 73 (01) :219-232
[7]   DEVELOPING A MORE FOCAL MAGNETIC STIMULATOR .1. SOME BASIC PRINCIPLES [J].
COHEN, D ;
CUFFIN, BN .
JOURNAL OF CLINICAL NEUROPHYSIOLOGY, 1991, 8 (01) :102-111
[8]   EFFECTS OF COIL DESIGN ON DELIVERY OF FOCAL MAGNETIC STIMULATION - TECHNICAL CONSIDERATIONS [J].
COHEN, LG ;
ROTH, BJ ;
NILSSON, J ;
DANG, N ;
PANIZZA, M ;
BANDINELLI, S ;
FRIAUF, W ;
HALLETT, M .
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1990, 75 (04) :350-357
[9]  
Cooper I S, 1977, Neurosurgery, V1, P203
[10]   CHRONIC CEREBELLAR STIMULATION IN CEREBRAL-PALSY [J].
COOPER, IS ;
RIKLAN, M ;
AMIN, I ;
WALTZ, JM ;
CULLINAN, T .
NEUROLOGY, 1976, 26 (08) :744-753