MovDisordV3, PascalFrancis, Checkpoint, bibRecord, 000F69

Beneficial Effect of Transcranial Magnetic Stimulation on Sleep in Parkinson's Disease

Identifieur interne : 000F69 ( PascalFrancis/Checkpoint ); précédent : 000F68; suivant : 000F70

Beneficial Effect of Transcranial Magnetic Stimulation on Sleep in Parkinson's Disease

Auteurs : Karin D. Van Dijk [Pays-Bas] ; Els I. S. M St [Pays-Bas] ; Eus J. W. Van Someren [Pays-Bas] ; Henk W. Berendse [Pays-Bas] ; Ysbrand D. Van Der Werf [Pays-Bas]

Source :

Movement disorders [ 0885-3185 ] ; 2009.

RBID : Pascal:09-0223231

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Pathologie du système nerveux, Stimulation magnétique transcrânienne, Sommeil, Actigraphie.

English descriptors

KwdEn :
- Actigraphy, Nervous system diseases, Parkinson disease, Sleep, Transcranial magnetic stimulation.

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.

Affiliations:

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Beneficial Effect of Transcranial Magnetic Stimulation on Sleep in Parkinson's Disease</title>
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<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>
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</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Pathologie du   système nerveux central</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>41</s5>
</fC07>
<fN21><s1>166</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Pays-Bas</li>
</country>
<region><li>Hollande-Septentrionale</li>
</region>
<settlement><li>Amsterdam</li>
</settlement>
</list>
<tree><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>
<name sortKey="Berendse, Henk W" sort="Berendse, Henk W" uniqKey="Berendse H" first="Henk W." last="Berendse">Henk W. 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="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 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>
<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>
<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>
</country>
</tree>
</affiliations>
</record>

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	Movement Disorders (revue)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Movement Disorders (revue)

Beneficial Effect of Transcranial Magnetic Stimulation on Sleep in Parkinson's Disease

Beneficial Effect of Transcranial Magnetic Stimulation on Sleep in Parkinson's Disease

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