肖松林, 章楚怡, 沈斌, 徐振, 李静静, 周俊鸿, 傅维杰. 个体化高精度经颅直流电刺激对慢性踝关节不稳人群脑功能的影响[J]. 体育科学, 2024, 44(7): 87-96. DOI: 10.16469/J.css.2024KX014
    引用本文: 肖松林, 章楚怡, 沈斌, 徐振, 李静静, 周俊鸿, 傅维杰. 个体化高精度经颅直流电刺激对慢性踝关节不稳人群脑功能的影响[J]. 体育科学, 2024, 44(7): 87-96. DOI: 10.16469/J.css.2024KX014
    XIAO Songlin, ZHANG Chuyi, SHEN Bin, XU Zhen, LI Jingjing, ZHOU Junhong, FU Weijie. Effects of Individualized High-Definition Transcranial Direct Current Stimulation on Brain Function in Individuals with Chronic Ankle Instability[J]. China Sport Science, 2024, 44(7): 87-96. DOI: 10.16469/J.css.2024KX014
    Citation: XIAO Songlin, ZHANG Chuyi, SHEN Bin, XU Zhen, LI Jingjing, ZHOU Junhong, FU Weijie. Effects of Individualized High-Definition Transcranial Direct Current Stimulation on Brain Function in Individuals with Chronic Ankle Instability[J]. China Sport Science, 2024, 44(7): 87-96. DOI: 10.16469/J.css.2024KX014

    个体化高精度经颅直流电刺激对慢性踝关节不稳人群脑功能的影响

    Effects of Individualized High-Definition Transcranial Direct Current Stimulation on Brain Function in Individuals with Chronic Ankle Instability

    • 摘要: 目的:探究个体化高精度经颅直流电刺激(HD-tDCS)对慢性踝关节不稳人群脑功能的影响。方法:选取34名慢性踝关节不稳患者,随机分为HD-tDCS组和假刺激组(各17人),相应进行随机双盲的个体化HD-tDCS真刺激(持续20 min个体化电流强度的刺激)和假刺激(仅在开始时提供60 s的渐入渐出刺激)。分别在干预前、后采集受试者功能性磁共振成像(fMRI)数据,采用重复测量双因素(刺激方案×刺激前后)方差分析自变量对受试者的脑功能各指标的影响。结果:受试者全部完成干预且无报道相关副作用和不良反应,推测刺激类型总体错误为44.12%,致盲效果良好。与干预前和假刺激相比:1)单次个体化HD-tDCS能够显著增强跖−背屈任务下双侧顶下小叶、双侧中央后回、双侧扣带回、双侧辅助运动区(SMA)的激活;2)单次个体化HD-tDCS能够显著提升右侧SMA与左侧小脑、左侧额内侧回、右侧扣带回之间的功能连接,增强左侧中央前回与左侧小脑之间的功能连接。结论:研究为慢性踝关节不稳人群构建了个体化HD-tDCS方案,并证实个体化HD-tDCS能够显著改善慢性踝关节不稳人群的脑功能(增强脑区激活和功能连接),提示该方案具备恢复慢性踝关节不稳人群脑功能的潜力。

       

      Abstract: Objective: To investigate the effects of individualized high-definition transcranial direct current stimulation (HD-tDCS) on brain function in individuals with chronic ankle instability (CAI). Methods: Thirty-four CAI were recruited and randomly divided into either real stimulation group or sham stimulation group (n=17 in each group), the individualized HD-tDCS stimulation (20 minutes of individualized current intensity stimulation) and sham stimulation (only 60 seconds of fade-in and fade-out at the beginning of stimulation) were conducted in these two groups, respectively. The participants’ functional magnetic resonance imaging (fMRI) data were collected before and after stimulation. Two-way repeated measures ANOVA was used to examine the effects of individualized HD-tDCS on brain function in individuals with CAI. Results: All participants completed the assessments and no unexpected side effects or adverse events were reported. The blinding effect was good as the total error rate of subjective guesses in stimulation was 44.12%. Compared with pre-intervention and sham stimulation: 1) Single individualized HD-tDCS enhanced the cortical activation of bilateral inferior parietal lobules, bilateral posterior cingulate gyri, bilateral precentral gyrus, and bilateral supplementary motor area (SMA) during the dorsi-plantarflexion task (SMA); 2) single individualized HD-tDCS significantly improved the functional connectivity between the right SMA and the left cerebellum, the left medial frontal gyrus and the right cingulate gyrus, and enhanced the functional connectivity between the left precentral gyrus and the left cerebellum. Conclusions: This study established an HD-tDCS protocol for treating chronic ankle instability, and the results showed that the individualized HD-tDCS can significantly improve brain function (improvement of cortical activation and functional connectivity) in CAI, suggesting that this protocol has certain effects in restoring brain function in CAI.

       

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