Transcranial direct current stimulation for the treatment of focal hand dystonia
Identifieur interne : 001303 ( Main/Exploration ); précédent : 001302; suivant : 001304Transcranial direct current stimulation for the treatment of focal hand dystonia
Auteurs : David H. Benninger [États-Unis, Suisse] ; Mikhail Lomarev [États-Unis, Russie] ; Grisel Lopez [États-Unis] ; Natassja Pal [États-Unis] ; David A. Luckenbaugh [États-Unis] ; Mark Hallett [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-08-01.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Aged, Biomechanical Phenomena, Direct current, Double-Blind Method, Dystonia, Dystonic Disorders (therapy), Encephalon, Female, Hand, Handwriting, Humans, Male, Middle Aged, Nervous system diseases, Neural Conduction (physiology), Neurophysiology (methods), Pain Measurement, Transcranial Magnetic Stimulation (methods), Treatment, focal hand dystonia, noninvasive brain stimulation, therapeutic study, transcranial direct current stimulation (tDCS).
- MESH :
- methods : Neurophysiology, Transcranial Magnetic Stimulation.
- physiology : Neural Conduction.
- therapy : Dystonic Disorders.
- Adult, Aged, Biomechanical Phenomena, Double-Blind Method, Female, Handwriting, Humans, Male, Middle Aged, Pain Measurement.
Abstract
The treatment of writer's cramp, a task‐specific focal hand dystonia, needs new approaches. A deficiency of inhibition in the motor cortex might cause writer's cramp. Transcranial direct current stimulation modulates cortical excitability and may provide a therapeutic alternative. In this randomized, double‐blind, sham‐controlled study, we investigated the efficacy of cathodal stimulation of the contralateral motor cortex in 3 sessions in 1 week. Assessment over a 2‐week period included clinical scales, subjective ratings, kinematic handwriting analysis, and neurophysiological evaluation. Twelve patients with unilateral dystonic writer's cramp were investigated; 6 received transcranial direct current and 6 sham stimulation. Cathodal transcranial direct current stimulation had no favorable effects on clinical scales and failed to restore normal handwriting kinematics and cortical inhibition. Subjective worsening remained unexplained, leading to premature study termination. Repeated sessions of cathodal transcranial direct current stimulation of the motor cortex yielded no favorable results supporting a therapeutic potential in writer's cramp. © 2011 Movement Disorder Society
Url:
- https://api.istex.fr/document/544E8CDAE45C262C94B6E22A8FE4D6B45142B239/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4180819
DOI: 10.1002/mds.23691
Affiliations:
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Le document en format XML
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A deficiency of inhibition in the motor cortex might cause writer's cramp. Transcranial direct current stimulation modulates cortical excitability and may provide a therapeutic alternative. In this randomized, double‐blind, sham‐controlled study, we investigated the efficacy of cathodal stimulation of the contralateral motor cortex in 3 sessions in 1 week. Assessment over a 2‐week period included clinical scales, subjective ratings, kinematic handwriting analysis, and neurophysiological evaluation. Twelve patients with unilateral dystonic writer's cramp were investigated; 6 received transcranial direct current and 6 sham stimulation. Cathodal transcranial direct current stimulation had no favorable effects on clinical scales and failed to restore normal handwriting kinematics and cortical inhibition. Subjective worsening remained unexplained, leading to premature study termination. Repeated sessions of cathodal transcranial direct current stimulation of the motor cortex yielded no favorable results supporting a therapeutic potential in writer's cramp. © 2011 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Russie</li><li>Suisse</li><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Benninger, David H" sort="Benninger, David H" uniqKey="Benninger D" first="David H." last="Benninger">David H. Benninger</name></region><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name><name sortKey="Lomarev, Mikhail" sort="Lomarev, Mikhail" uniqKey="Lomarev M" first="Mikhail" last="Lomarev">Mikhail Lomarev</name><name sortKey="Lopez, Grisel" sort="Lopez, Grisel" uniqKey="Lopez G" first="Grisel" last="Lopez">Grisel Lopez</name><name sortKey="Luckenbaugh, David A" sort="Luckenbaugh, David A" uniqKey="Luckenbaugh D" first="David A." last="Luckenbaugh">David A. Luckenbaugh</name><name sortKey="Pal, Natassja" sort="Pal, Natassja" uniqKey="Pal N" first="Natassja" last="Pal">Natassja Pal</name></country><country name="Suisse"><noRegion><name sortKey="Benninger, David H" sort="Benninger, David H" uniqKey="Benninger D" first="David H." last="Benninger">David H. Benninger</name></noRegion></country><country name="Russie"><noRegion><name sortKey="Lomarev, Mikhail" sort="Lomarev, Mikhail" uniqKey="Lomarev M" first="Mikhail" last="Lomarev">Mikhail Lomarev</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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