Beneficial effect of transcranial magnetic stimulation on sleep in Parkinson's disease.
Identifieur interne : 002559 ( Ncbi/Merge ); précédent : 002558; suivant : 002560Beneficial effect of transcranial magnetic stimulation on sleep in Parkinson's disease.
Auteurs : Karin D. Van Dijk [Pays-Bas] ; Els I S. M St ; Eus J W. Van Someren ; Henk W. Berendse ; Ysbrand D. Van Der WerfSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2009.
English descriptors
- KwdEn :
- Aged, Case-Control Studies, Electric Stimulation (methods), Female, Humans, Male, Middle Aged, Motor Cortex (physiology), Parietal Lobe (physiology), Parkinson Disease (complications), Parkinson Disease (psychology), Pressure, Regression Analysis, Sleep Disorders (etiology), Sleep Disorders (therapy), Transcranial Magnetic Stimulation (methods).
- MESH :
- complications : Parkinson Disease.
- etiology : Sleep Disorders.
- methods : Electric Stimulation, Transcranial Magnetic Stimulation.
- physiology : Motor Cortex, Parietal Lobe.
- psychology : Parkinson Disease.
- therapy : Sleep Disorders.
- Aged, Case-Control Studies, Female, Humans, Male, Middle Aged, Pressure, Regression Analysis.
Abstract
Sleep disorders are common in Parkinson's disease (PD) and have profound negative influences on quality of life. Sleep structure in healthy participants can be changed by repetitive transcranial magnetic stimulation (rTMS), but this has never been studied systematically in PD. Therefore, we characterized sleep in PD patients and examined effects of rTMS using a combination of actigraphy and a pressure sensitive pad. Thirteen PD patients received 5 Hz rTMS over the motor or parietal cortex. Actigraphic sleep estimates were obtained before, during and after rTMS, as well as compared with 8 healthy, age-matched controls. Motor symptoms and mood were evaluated before and after rTMS. Mixed-model regression analyses indicated that PD patients slept shorter (350 +/- 17 vs. 419 +/- 24 min., P = 0.02), more fragmented (fragmentation index 41 +/- 4 vs. 22 +/- 2, P = 0.0004) and had a lower sleep efficiency (77 +/- 2 vs. 86 +/- 2%, P = 0.002) and longer nocturnal awakenings (3.4 +/- 0.2 vs. 2.3 +/- 0.2 min., P = 0.003) than healthy controls. rTMS over the parietal, but not over the motor cortex improved sleep fragmentation (P = 0.0002) and sleep efficiency (P = 0.0002) and reduced the average duration of nocturnal awakenings (P = 0.02). No change of motor symptoms or mood was observed. Disturbed sleep in PD patients may partly be reversed by parietal rTMS, without affecting motor symptoms or mood.
DOI: 10.1002/mds.22462
PubMed: 19224604
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Beneficial effect of transcranial magnetic stimulation on sleep in Parkinson's disease.</title><author><name sortKey="Van Dijk, Karin D" sort="Van Dijk, Karin D" uniqKey="Van Dijk K" first="Karin D" last="Van Dijk">Karin D. Van Dijk</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, VU University Medical Center Amsterdam, De Boelelaan 1118, Amsterdam, The Netherlands. Karin.vandijk@vumc.nl</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Neurology, VU University Medical Center Amsterdam, De Boelelaan 1118, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="M St, Els I S" sort="M St, Els I S" uniqKey="M St E" first="Els I S" last="M St">Els I S. M St</name></author><author><name sortKey="Van Someren, Eus J W" sort="Van Someren, Eus J W" uniqKey="Van Someren E" first="Eus J W" last="Van Someren">Eus J W. Van Someren</name></author><author><name sortKey="Berendse, Henk W" sort="Berendse, Henk W" uniqKey="Berendse H" first="Henk W" last="Berendse">Henk W. Berendse</name></author><author><name sortKey="Van Der Werf, Ysbrand D" sort="Van Der Werf, Ysbrand D" uniqKey="Van Der Werf Y" first="Ysbrand D" last="Van Der Werf">Ysbrand D. Van Der Werf</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="doi">10.1002/mds.22462</idno><idno type="RBID">pubmed:19224604</idno><idno type="pmid">19224604</idno><idno type="wicri:Area/PubMed/Corpus">001E18</idno><idno type="wicri:Area/PubMed/Curation">001E18</idno><idno type="wicri:Area/PubMed/Checkpoint">001F37</idno><idno type="wicri:Area/Ncbi/Merge">002559</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Beneficial effect of transcranial magnetic stimulation on sleep in Parkinson's disease.</title><author><name sortKey="Van Dijk, Karin D" sort="Van Dijk, Karin D" uniqKey="Van Dijk K" first="Karin D" last="Van Dijk">Karin D. Van Dijk</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, VU University Medical Center Amsterdam, De Boelelaan 1118, Amsterdam, The Netherlands. Karin.vandijk@vumc.nl</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Neurology, VU University Medical Center Amsterdam, De Boelelaan 1118, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="M St, Els I S" sort="M St, Els I S" uniqKey="M St E" first="Els I S" last="M St">Els I S. M St</name></author><author><name sortKey="Van Someren, Eus J W" sort="Van Someren, Eus J W" uniqKey="Van Someren E" first="Eus J W" last="Van Someren">Eus J W. Van Someren</name></author><author><name sortKey="Berendse, Henk W" sort="Berendse, Henk W" uniqKey="Berendse H" first="Henk W" last="Berendse">Henk W. Berendse</name></author><author><name sortKey="Van Der Werf, Ysbrand D" sort="Van Der Werf, Ysbrand D" uniqKey="Van Der Werf Y" first="Ysbrand D" last="Van Der Werf">Ysbrand D. Van Der Werf</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Case-Control Studies</term><term>Electric Stimulation (methods)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motor Cortex (physiology)</term><term>Parietal Lobe (physiology)</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (psychology)</term><term>Pressure</term><term>Regression Analysis</term><term>Sleep Disorders (etiology)</term><term>Sleep Disorders (therapy)</term><term>Transcranial Magnetic Stimulation (methods)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Sleep Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation</term><term>Transcranial Magnetic Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Cortex</term><term>Parietal Lobe</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sleep Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pressure</term><term>Regression Analysis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sleep disorders are common in Parkinson's disease (PD) and have profound negative influences on quality of life. Sleep structure in healthy participants can be changed by repetitive transcranial magnetic stimulation (rTMS), but this has never been studied systematically in PD. Therefore, we characterized sleep in PD patients and examined effects of rTMS using a combination of actigraphy and a pressure sensitive pad. Thirteen PD patients received 5 Hz rTMS over the motor or parietal cortex. Actigraphic sleep estimates were obtained before, during and after rTMS, as well as compared with 8 healthy, age-matched controls. Motor symptoms and mood were evaluated before and after rTMS. Mixed-model regression analyses indicated that PD patients slept shorter (350 +/- 17 vs. 419 +/- 24 min., P = 0.02), more fragmented (fragmentation index 41 +/- 4 vs. 22 +/- 2, P = 0.0004) and had a lower sleep efficiency (77 +/- 2 vs. 86 +/- 2%, P = 0.002) and longer nocturnal awakenings (3.4 +/- 0.2 vs. 2.3 +/- 0.2 min., P = 0.003) than healthy controls. rTMS over the parietal, but not over the motor cortex improved sleep fragmentation (P = 0.0002) and sleep efficiency (P = 0.0002) and reduced the average duration of nocturnal awakenings (P = 0.02). No change of motor symptoms or mood was observed. Disturbed sleep in PD patients may partly be reversed by parietal rTMS, without affecting motor symptoms or mood.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19224604</PMID><DateCreated><Year>2009</Year><Month>05</Month><Day>04</Day></DateCreated><DateCompleted><Year>2009</Year><Month>07</Month><Day>29</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>24</Volume><Issue>6</Issue><PubDate><Year>2009</Year><Month>Apr</Month><Day>30</Day></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Beneficial effect of transcranial magnetic stimulation on sleep in Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>878-84</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.22462</ELocationID><Abstract><AbstractText>Sleep disorders are common in Parkinson's disease (PD) and have profound negative influences on quality of life. Sleep structure in healthy participants can be changed by repetitive transcranial magnetic stimulation (rTMS), but this has never been studied systematically in PD. Therefore, we characterized sleep in PD patients and examined effects of rTMS using a combination of actigraphy and a pressure sensitive pad. Thirteen PD patients received 5 Hz rTMS over the motor or parietal cortex. Actigraphic sleep estimates were obtained before, during and after rTMS, as well as compared with 8 healthy, age-matched controls. Motor symptoms and mood were evaluated before and after rTMS. Mixed-model regression analyses indicated that PD patients slept shorter (350 +/- 17 vs. 419 +/- 24 min., P = 0.02), more fragmented (fragmentation index 41 +/- 4 vs. 22 +/- 2, P = 0.0004) and had a lower sleep efficiency (77 +/- 2 vs. 86 +/- 2%, P = 0.002) and longer nocturnal awakenings (3.4 +/- 0.2 vs. 2.3 +/- 0.2 min., P = 0.003) than healthy controls. rTMS over the parietal, but not over the motor cortex improved sleep fragmentation (P = 0.0002) and sleep efficiency (P = 0.0002) and reduced the average duration of nocturnal awakenings (P = 0.02). No change of motor symptoms or mood was observed. 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Berendse</name><name sortKey="M St, Els I S" sort="M St, Els I S" uniqKey="M St E" first="Els I S" last="M St">Els I S. M St</name><name sortKey="Van Der Werf, Ysbrand D" sort="Van Der Werf, Ysbrand D" uniqKey="Van Der Werf Y" first="Ysbrand D" last="Van Der Werf">Ysbrand D. Van Der Werf</name><name sortKey="Van Someren, Eus J W" sort="Van Someren, Eus J W" uniqKey="Van Someren E" first="Eus J W" last="Van Someren">Eus J W. Van Someren</name></noCountry><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Van Dijk, Karin D" sort="Van Dijk, Karin D" uniqKey="Van Dijk K" first="Karin D" last="Van Dijk">Karin D. Van Dijk</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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