La maladie de Parkinson au Canada (serveur d'exploration)

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Repetitive Transcranial Magnetic Stimulation Improves Handwriting in Parkinson's Disease

Identifieur interne : 000C83 ( Main/Exploration ); précédent : 000C82; suivant : 000C84

Repetitive Transcranial Magnetic Stimulation Improves Handwriting in Parkinson's Disease

Auteurs : Bubblepreet K. Randhawa [Canada] ; Becky G. Farley [États-Unis] ; Lara A. Boyd [Canada]

Source :

RBID : PMC:3681307

Abstract

Background. Parkinson disease (PD) is characterized by hypometric movements resulting from loss of dopaminergic neurons in the substantia nigra. PD leads to decreased activation of the supplementary motor area (SMA); the net result of these changes is a poverty of movement. The present study determined the impact of 5 Hz repetitive transcranial magnetic stimulation (rTMS) over the SMA on a fine motor movement, handwriting (writing cursive “l”s), and on cortical excitability, in individuals with PD. Methods. In a cross-over design, ten individuals with PD were randomized to receive either 5 Hz or control stimulation over the SMA. Immediately following brain stimulation right handed writing was assessed. Results. 5 Hz stimulation increased vertical size of handwriting and diminished axial pressure. In addition, 5 Hz rTMS significantly decreased the threshold for excitability in the primary motor cortex. Conclusions. These data suggest that in the short term 5 Hz rTMS benefits functional fine motor task performance, perhaps by altering cortical excitability across a network of brain regions. Further, these data may provide the foundation for a larger investigation of the effects of noninvasive brain stimulation over the SMA in individuals with PD.


Url:
DOI: 10.1155/2013/751925
PubMed: 23841021
PubMed Central: 3681307


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<italic>Background</italic>
. Parkinson disease (PD) is characterized by hypometric movements resulting from loss of dopaminergic neurons in the substantia nigra. PD leads to decreased activation of the supplementary motor area (SMA); the net result of these changes is a poverty of movement. The present study determined the impact of 5 Hz repetitive transcranial magnetic stimulation (rTMS) over the SMA on a fine motor movement, handwriting (writing cursive “l”s), and on cortical excitability, in individuals with PD.
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. In a cross-over design, ten individuals with PD were randomized to receive either 5 Hz or control stimulation over the SMA. Immediately following brain stimulation right handed writing was assessed.
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. 5 Hz stimulation increased vertical size of handwriting and diminished axial pressure. In addition, 5 Hz rTMS significantly decreased the threshold for excitability in the primary motor cortex.
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. These data suggest that in the short term 5 Hz rTMS benefits functional fine motor task performance, perhaps by altering cortical excitability across a network of brain regions. Further, these data may provide the foundation for a larger investigation of the effects of noninvasive brain stimulation over the SMA in individuals with PD.</p>
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<name sortKey="Smyrnis, N" uniqKey="Smyrnis N">N Smyrnis</name>
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<name sortKey="Taira, M" uniqKey="Taira M">M Taira</name>
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