Cerebellar rTMS for motor control in progressive supranuclear palsy.
Identifieur interne : 000200 ( Main/Curation ); précédent : 000199; suivant : 000201Cerebellar rTMS for motor control in progressive supranuclear palsy.
Auteurs : M L Dale [États-Unis] ; W H Devries [États-Unis] ; M. Mancini [États-Unis] ; M S George [États-Unis]Source :
- Brain stimulation [ 1876-4754 ]
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Cervelet (physiologie), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Paralysie supranucléaire progressive (diagnostic), Paralysie supranucléaire progressive (physiopathologie), Paralysie supranucléaire progressive (thérapie), Parole (physiologie), Potentiels évoqués moteurs (physiologie), Projets pilotes (MeSH), Stimulation magnétique transcrânienne (méthodes), Équilibre postural (physiologie).
- MESH :
- diagnostic : Paralysie supranucléaire progressive.
- méthodes : Stimulation magnétique transcrânienne.
- physiologie : Cervelet, Parole, Potentiels évoqués moteurs, Équilibre postural.
- physiopathologie : Paralysie supranucléaire progressive.
- thérapie : Paralysie supranucléaire progressive.
- Adulte d'âge moyen, Femelle, Humains, Mâle, Projets pilotes.
English descriptors
- KwdEn :
- Cerebellum (physiology), Evoked Potentials, Motor (physiology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pilot Projects (MeSH), Postural Balance (physiology), Speech (physiology), Supranuclear Palsy, Progressive (diagnosis), Supranuclear Palsy, Progressive (physiopathology), Supranuclear Palsy, Progressive (therapy), Transcranial Magnetic Stimulation (methods).
- MESH :
- diagnosis : Supranuclear Palsy, Progressive.
- methods : Transcranial Magnetic Stimulation.
- physiology : Cerebellum, Evoked Potentials, Motor, Postural Balance, Speech.
- physiopathology : Supranuclear Palsy, Progressive.
- therapy : Supranuclear Palsy, Progressive.
- Female, Humans, Male, Middle Aged, Pilot Projects.
Abstract
BACKGROUND
Stimulatory cerebellar TMS is a promising tool to improve motor control in neurodegenerative disorders.
OBJECTIVE/HYPOTHESIS
Our goal was to use 10Hz cerebellar rTMS to augment cerebellar-brain inhibition (CBI) for improved postural stability and speech in patients with progressive supranuclear palsy (PSP).
METHODS
We performed CBI assessments with neuronavigation before and after high frequency cerebellar rTMS or sham TMS in two patients with PSP, using a double cone coil for the conditioning pulse and a figure-of-eight coil for the test pulse and treatments. We collected posturography data and speech samples before and after treatment.
RESULTS
After treatment, CBI increased by 50% in subject 1 and by 32% in subject 2, and postural stability and speech improved. The protocol was well tolerated, but the sham was not consistently believable.
CONCLUSION
Cerebellar rTMS may improve postural stability and speech in PSP, but cooled coils with vibrotactile sham capability are needed for larger future studies.
DOI: 10.1016/j.brs.2019.07.017
PubMed: 31378601
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Electronic address: dalem@ohsu.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Murray Center for Research on Parkinson's & Related Disorders, Department of Neurology, Medical University of South Carolina, Charleston, SC</wicri:regionArea></affiliation></author><author><name sortKey="Devries, W H" sort="Devries, W H" uniqKey="Devries W" first="W H" last="Devries">W H Devries</name><affiliation wicri:level="1"><nlm:affiliation>Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC</wicri:regionArea></affiliation></author><author><name sortKey="Mancini, M" sort="Mancini, M" uniqKey="Mancini M" first="M" last="Mancini">M. 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Electronic address: dalem@ohsu.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Murray Center for Research on Parkinson's & Related Disorders, Department of Neurology, Medical University of South Carolina, Charleston, SC</wicri:regionArea></affiliation></author><author><name sortKey="Devries, W H" sort="Devries, W H" uniqKey="Devries W" first="W H" last="Devries">W H Devries</name><affiliation wicri:level="1"><nlm:affiliation>Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC</wicri:regionArea></affiliation></author><author><name sortKey="Mancini, M" sort="Mancini, M" uniqKey="Mancini M" first="M" last="Mancini">M. Mancini</name><affiliation wicri:level="1"><nlm:affiliation>Balance Disorders Laboratory, Department of Neurology, Oregon Health & Science University, Portland, OR, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Balance Disorders Laboratory, Department of Neurology, Oregon Health & Science University, Portland, OR</wicri:regionArea></affiliation></author><author><name sortKey="George, M S" sort="George, M S" uniqKey="George M" first="M S" last="George">M S George</name><affiliation wicri:level="1"><nlm:affiliation>Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC</wicri:regionArea></affiliation></author></analytic><series><title level="j">Brain stimulation</title><idno type="eISSN">1876-4754</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cerebellum (physiology)</term><term>Evoked Potentials, Motor (physiology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pilot Projects (MeSH)</term><term>Postural Balance (physiology)</term><term>Speech (physiology)</term><term>Supranuclear Palsy, Progressive (diagnosis)</term><term>Supranuclear Palsy, Progressive (physiopathology)</term><term>Supranuclear Palsy, Progressive (therapy)</term><term>Transcranial Magnetic Stimulation (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Cervelet (physiologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Paralysie supranucléaire progressive (diagnostic)</term><term>Paralysie supranucléaire progressive (physiopathologie)</term><term>Paralysie supranucléaire progressive (thérapie)</term><term>Parole (physiologie)</term><term>Potentiels évoqués moteurs (physiologie)</term><term>Projets pilotes (MeSH)</term><term>Stimulation magnétique transcrânienne (méthodes)</term><term>Équilibre postural (physiologie)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Supranuclear Palsy, Progressive</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Paralysie supranucléaire progressive</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Transcranial Magnetic Stimulation</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Stimulation magnétique transcrânienne</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Cervelet</term><term>Parole</term><term>Potentiels évoqués moteurs</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Cerebellum</term><term>Evoked Potentials, Motor</term><term>Postural Balance</term><term>Speech</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Paralysie supranucléaire progressive</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Supranuclear Palsy, Progressive</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Supranuclear Palsy, Progressive</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Paralysie supranucléaire progressive</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Projets pilotes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Stimulatory cerebellar TMS is a promising tool to improve motor control in neurodegenerative disorders.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE/HYPOTHESIS</b></p><p>Our goal was to use 10Hz cerebellar rTMS to augment cerebellar-brain inhibition (CBI) for improved postural stability and speech in patients with progressive supranuclear palsy (PSP).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We performed CBI assessments with neuronavigation before and after high frequency cerebellar rTMS or sham TMS in two patients with PSP, using a double cone coil for the conditioning pulse and a figure-of-eight coil for the test pulse and treatments. We collected posturography data and speech samples before and after treatment.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>After treatment, CBI increased by 50% in subject 1 and by 32% in subject 2, and postural stability and speech improved. The protocol was well tolerated, but the sham was not consistently believable.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Cerebellar rTMS may improve postural stability and speech in PSP, but cooled coils with vibrotactile sham capability are needed for larger future studies.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31378601</PMID><DateCompleted><Year>2020</Year><Month>02</Month><Day>24</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1876-4754</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>6</Issue><PubDate><MedlineDate>2019 Nov - Dec</MedlineDate></PubDate></JournalIssue><Title>Brain stimulation</Title><ISOAbbreviation>Brain Stimul</ISOAbbreviation></Journal><ArticleTitle>Cerebellar rTMS for motor control in progressive supranuclear palsy.</ArticleTitle><Pagination><MedlinePgn>1588-1591</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1935-861X(19)30301-8</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.brs.2019.07.017</ELocationID><Abstract><AbstractText Label="BACKGROUND">Stimulatory cerebellar TMS is a promising tool to improve motor control in neurodegenerative disorders.</AbstractText><AbstractText Label="OBJECTIVE/HYPOTHESIS">Our goal was to use 10Hz cerebellar rTMS to augment cerebellar-brain inhibition (CBI) for improved postural stability and speech in patients with progressive supranuclear palsy (PSP).</AbstractText><AbstractText Label="METHODS">We performed CBI assessments with neuronavigation before and after high frequency cerebellar rTMS or sham TMS in two patients with PSP, using a double cone coil for the conditioning pulse and a figure-of-eight coil for the test pulse and treatments. We collected posturography data and speech samples before and after treatment.</AbstractText><AbstractText Label="RESULTS">After treatment, CBI increased by 50% in subject 1 and by 32% in subject 2, and postural stability and speech improved. The protocol was well tolerated, but the sham was not consistently believable.</AbstractText><AbstractText Label="CONCLUSION">Cerebellar rTMS may improve postural stability and speech in PSP, but cooled coils with vibrotactile sham capability are needed for larger future studies.</AbstractText><CopyrightInformation>Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dale</LastName><ForeName>M L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Murray Center for Research on Parkinson's & Related Disorders, Department of Neurology, Medical University of South Carolina, Charleston, SC, USA. Electronic address: dalem@ohsu.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>DeVries</LastName><ForeName>W H</ForeName><Initials>WH</Initials><AffiliationInfo><Affiliation>Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mancini</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Balance Disorders Laboratory, Department of Neurology, Oregon Health & Science University, Portland, OR, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>George</LastName><ForeName>M S</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016422">Letter</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>07</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Brain Stimul</MedlineTA><NlmUniqueID>101465726</NlmUniqueID><ISSNLinking>1876-4754</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002531" MajorTopicYN="N">Cerebellum</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019054" MajorTopicYN="N">Evoked Potentials, Motor</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013060" MajorTopicYN="N">Speech</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013494" MajorTopicYN="N">Supranuclear Palsy, Progressive</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D050781" MajorTopicYN="N">Transcranial Magnetic Stimulation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Balance</Keyword><Keyword MajorTopicYN="Y">Cerebellum</Keyword><Keyword MajorTopicYN="Y">Posturography</Keyword><Keyword MajorTopicYN="Y">Progressive supranuclear palsy</Keyword><Keyword MajorTopicYN="Y">Speech</Keyword><Keyword MajorTopicYN="Y">Transcranial magnetic stimulation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>06</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>07</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>07</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>8</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>2</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>8</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31378601</ArticleId><ArticleId IdType="pii">S1935-861X(19)30301-8</ArticleId><ArticleId IdType="doi">10.1016/j.brs.2019.07.017</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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