Effect of intermittent theta-burst stimulation on akinesia and sensorimotor integration in patients with Parkinson's disease.
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| Title: | Effect of intermittent theta-burst stimulation on akinesia and sensorimotor integration in patients with Parkinson's disease. |
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| Authors: | Degardin, Adrian (AUTHOR), Devos, David (AUTHOR), Defebvre, Luc (AUTHOR), Destée, Alain (AUTHOR), Plomhause, Lucie (AUTHOR), Derambure, Philippe (AUTHOR), Devanne, Hervé (AUTHOR) |
| Source: | European Journal of Neuroscience. Sep2012, Vol. 36 Issue 5, p2669-2678. 10p. 1 Diagram, 3 Charts, 4 Graphs. |
| Subjects: | Parkinson's disease, Transcranial magnetic stimulation, Sensorimotor integration, Dopamine, Dopa, Motor cortex, Afferent pathways |
| Abstract: | High-frequency (HF) repetitive transcranial magnetic stimulation (rTMS) over the primary motor cortex (M1) has been shown to reduce akinesia in Parkinson's disease (PD). Given that the processing of sensory afferents is deficient in PD and might be involved in akinesia, we sought to determine whether or not the application of very HF rTMS [intermittent theta-burst stimulation (iTBS) protocol] over the M1 affected sensorimotor integration (SMI) and akinesia. The experiments were carried out in: (i) 11 patients taking their usual dopaminergic treatment ('on-drug'); (ii) eight of the latter patients after withdrawal of dopaminergic treatment ('off-drug'); and (iii) 10 de novo (drug-naive) patients. Sham stimulation was applied in 11 other patients in the 'on-drug' condition. SMI was investigated by conditioning a supra-threshold transcranial magnetic stimulation pulse in the motor region controlling the abductor pollicis brevis with a nerve shock over the median nerve at time intervals corresponding to short- and long-latency afferent inhibition (SAI and LAI) and afferent-induced facilitation (AIF). Akinesia was assessed with a pointing test. In on-drug, off-drug and de novo patients, akinesia in the contralateral arm was lower after iTBS. Sham stimulation had no effect. In on-drug patients (but not other groups), SMI was also influenced by iTBS, with an increase in AIF. No changes in SAI and LAI were observed. Our data suggest that iTBS might improve both akinesia and sensory processing in patients with PD taking levodopa. [ABSTRACT FROM AUTHOR] |
| Copyright of European Journal of Neuroscience is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 79611640 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Effect of intermittent theta-burst stimulation on akinesia and sensorimotor integration in patients with Parkinson's disease. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Degardin%2C+Adrian%22">Degardin, Adrian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Devos%2C+David%22">Devos, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Defebvre%2C+Luc%22">Defebvre, Luc</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Destée%2C+Alain%22">Destée, Alain</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Plomhause%2C+Lucie%22">Plomhause, Lucie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Derambure%2C+Philippe%22">Derambure, Philippe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Devanne%2C+Hervé%22">Devanne, Hervé</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Journal+of+Neuroscience%22">European Journal of Neuroscience</searchLink>. Sep2012, Vol. 36 Issue 5, p2669-2678. 10p. 1 Diagram, 3 Charts, 4 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Parkinson's+disease%22">Parkinson's disease</searchLink><br /><searchLink fieldCode="DE" term="%22Transcranial+magnetic+stimulation%22">Transcranial magnetic stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Sensorimotor+integration%22">Sensorimotor integration</searchLink><br /><searchLink fieldCode="DE" term="%22Dopamine%22">Dopamine</searchLink><br /><searchLink fieldCode="DE" term="%22Dopa%22">Dopa</searchLink><br /><searchLink fieldCode="DE" term="%22Motor+cortex%22">Motor cortex</searchLink><br /><searchLink fieldCode="DE" term="%22Afferent+pathways%22">Afferent pathways</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: High-frequency (HF) repetitive transcranial magnetic stimulation (rTMS) over the primary motor cortex (M1) has been shown to reduce akinesia in Parkinson's disease (PD). Given that the processing of sensory afferents is deficient in PD and might be involved in akinesia, we sought to determine whether or not the application of very HF rTMS [intermittent theta-burst stimulation (iTBS) protocol] over the M1 affected sensorimotor integration (SMI) and akinesia. The experiments were carried out in: (i) 11 patients taking their usual dopaminergic treatment ('on-drug'); (ii) eight of the latter patients after withdrawal of dopaminergic treatment ('off-drug'); and (iii) 10 de novo (drug-naive) patients. Sham stimulation was applied in 11 other patients in the 'on-drug' condition. SMI was investigated by conditioning a supra-threshold transcranial magnetic stimulation pulse in the motor region controlling the abductor pollicis brevis with a nerve shock over the median nerve at time intervals corresponding to short- and long-latency afferent inhibition (SAI and LAI) and afferent-induced facilitation (AIF). Akinesia was assessed with a pointing test. In on-drug, off-drug and de novo patients, akinesia in the contralateral arm was lower after iTBS. Sham stimulation had no effect. In on-drug patients (but not other groups), SMI was also influenced by iTBS, with an increase in AIF. No changes in SAI and LAI were observed. Our data suggest that iTBS might improve both akinesia and sensory processing in patients with PD taking levodopa. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Journal of Neuroscience is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/j.1460-9568.2012.08158.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 2669 Subjects: – SubjectFull: Parkinson's disease Type: general – SubjectFull: Transcranial magnetic stimulation Type: general – SubjectFull: Sensorimotor integration Type: general – SubjectFull: Dopamine Type: general – SubjectFull: Dopa Type: general – SubjectFull: Motor cortex Type: general – SubjectFull: Afferent pathways Type: general Titles: – TitleFull: Effect of intermittent theta-burst stimulation on akinesia and sensorimotor integration in patients with Parkinson's disease. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Degardin, Adrian – PersonEntity: Name: NameFull: Devos, David – PersonEntity: Name: NameFull: Defebvre, Luc – PersonEntity: Name: NameFull: Destée, Alain – PersonEntity: Name: NameFull: Plomhause, Lucie – PersonEntity: Name: NameFull: Derambure, Philippe – PersonEntity: Name: NameFull: Devanne, Hervé IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2012 Type: published Y: 2012 Identifiers: – Type: issn-print Value: 0953816X Numbering: – Type: volume Value: 36 – Type: issue Value: 5 Titles: – TitleFull: European Journal of Neuroscience Type: main |
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