Movement Disorders (revue)

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Cerebellar stimulation fails to modulate motor cortex plasticity in writing dystonia.

Identifieur interne : 000513 ( PubMed/Curation ); précédent : 000512; suivant : 000514

Cerebellar stimulation fails to modulate motor cortex plasticity in writing dystonia.

Auteurs : Anna Sadnicka [Royaume-Uni] ; Masashi Hamada ; Kailash P. Bhatia ; John C. Rothwell ; Mark J. Edwards

Source :

RBID : pubmed:24797030

English descriptors

Abstract

Primary dystonia is characterized neurophysiologically by reduced inhibitory mechanisms and abnormal regulation of plasticity responses. The potential of anodal cerebellar transcranial direct current stimulation as a therapeutic tool in writing dystonia was examined, after the observation that cerebellar stimulation reduces responses to an associative plasticity protocol in healthy subjects.

DOI: 10.1002/mds.25881
PubMed: 24797030

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Le document en format XML

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<title xml:lang="en">Cerebellar stimulation fails to modulate motor cortex plasticity in writing dystonia.</title>
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<name sortKey="Sadnicka, Anna" sort="Sadnicka, Anna" uniqKey="Sadnicka A" first="Anna" last="Sadnicka">Anna Sadnicka</name>
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<nlm:affiliation>Shared first authorship, London, United Kingdom; Sobell Department of Motor Neuroscience and Movement Disorders, University College London, London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Shared first authorship, London, United Kingdom; Sobell Department of Motor Neuroscience and Movement Disorders, University College London, London</wicri:regionArea>
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<name sortKey="Hamada, Masashi" sort="Hamada, Masashi" uniqKey="Hamada M" first="Masashi" last="Hamada">Masashi Hamada</name>
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<name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P" last="Bhatia">Kailash P. Bhatia</name>
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<name sortKey="Rothwell, John C" sort="Rothwell, John C" uniqKey="Rothwell J" first="John C" last="Rothwell">John C. Rothwell</name>
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<name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J" last="Edwards">Mark J. Edwards</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="eISSN">1531-8257</idno>
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<term>Cerebellum (physiology)</term>
<term>Dystonic Disorders (therapy)</term>
<term>Electroencephalography</term>
<term>Evoked Potentials, Motor (physiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Cortex (physiopathology)</term>
<term>Muscle, Skeletal (innervation)</term>
<term>Transcranial Magnetic Stimulation (methods)</term>
<term>Writing</term>
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<keywords scheme="MESH" qualifier="innervation" xml:lang="en">
<term>Muscle, Skeletal</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Transcranial Magnetic Stimulation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Cerebellum</term>
<term>Evoked Potentials, Motor</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Motor Cortex</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Dystonic Disorders</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Electroencephalography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
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<term>Writing</term>
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<div type="abstract" xml:lang="en">Primary dystonia is characterized neurophysiologically by reduced inhibitory mechanisms and abnormal regulation of plasticity responses. The potential of anodal cerebellar transcranial direct current stimulation as a therapeutic tool in writing dystonia was examined, after the observation that cerebellar stimulation reduces responses to an associative plasticity protocol in healthy subjects.</div>
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<Day>11</Day>
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<Year>2015</Year>
<Month>05</Month>
<Day>14</Day>
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<Month>Sep</Month>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>Cerebellar stimulation fails to modulate motor cortex plasticity in writing dystonia.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Primary dystonia is characterized neurophysiologically by reduced inhibitory mechanisms and abnormal regulation of plasticity responses. The potential of anodal cerebellar transcranial direct current stimulation as a therapeutic tool in writing dystonia was examined, after the observation that cerebellar stimulation reduces responses to an associative plasticity protocol in healthy subjects.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ten patients with writing dystonia completed a two-part study (sham and anodal) in which cerebellar stimulation was given simultaneously with paired associative stimulation. Electrophysiological and clinical parameters were measured before and after stimulation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Clinical symptoms were unchanged by cerebellar stimulation. Patients exhibited much variability in the size and direction of their plasticity responses. Excessive or topographically abnormal plasticity responses were not observed. In the subgroup of patients with facilitatory responses to paired associative stimulation in the sham condition, anodal cerebellar stimulation retained its ability to reduce the magnitude of plasticity response.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our limited understanding of intersubject variability of plasticity responses in writing dystonia currently undermines cerebellar stimulation as a novel treatment in this subset of dystonia. Cerebellar stimulation may be beneficial in other neurological disorders with consistently exaggerated plasticity.</AbstractText>
<CopyrightInformation>© 2014 International Parkinson and Movement Disorder Society.</CopyrightInformation>
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<Keyword MajorTopicYN="N">cerebellar stimulation</Keyword>
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<Keyword MajorTopicYN="N">plasticity</Keyword>
<Keyword MajorTopicYN="N">writers' cramp</Keyword>
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