beta

Beta
  • 文章类型: Journal Article
    虽然皮层振荡的形状越来越被认为是生理和功能上的信息,它与老化的电机系统的相关性尚未确定。因此,我们检查了静止时记录的α和β带振荡的形状,以及在执行简单和执行/不执行反应时间任务期间,在33名年轻人(23.3±2.9岁,27名女性)和27岁以上(60.0±5.2岁,23名女性)成人。使用最近开发的涉及经验模式分解的管道来表征各个振荡周期的形状,在使用主成分分析分解为波形基序之前。这揭示了受任务和/或年龄影响的四个主要成分。这些描述了形状的特定尺寸,并倾向于在每个任务的反应阶段进行调制。我们的结果表明,尽管振荡形状与任务有关,这种影响的性质随着年龄的增长而改变,可能反映了皮质活动的改变。这些结果证明了这种方法对于理解衰老的神经生理效应的实用性。
    While the shape of cortical oscillations is increasingly recognised to be physiologically and functionally informative, its relevance to the aging motor system has not been established. We therefore examined the shape of alpha and beta band oscillations recorded at rest, as well as during performance of simple and go/no-go reaction time tasks, in 33 young (23.3 ± 2.9 years, 27 females) and 27 older (60.0 ± 5.2 years, 23 females) adults. The shape of individual oscillatory cycles was characterised using a recently developed pipeline involving empirical mode decomposition, before being decomposed into waveform motifs using principal component analysis. This revealed four principal components that were uniquely influenced by task and/or age. These described specific dimensions of shape and tended to be modulated during the reaction phase of each task. Our results suggest that although oscillation shape is task-dependent, the nature of this effect is altered by advancing age, possibly reflecting alterations in cortical activity. These outcomes demonstrate the utility of this approach for understanding the neurophysiological effects of ageing.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    运动是对抗骨骼肌衰老的有效刺激。为了研究临床前运动对肌肉的影响,我们为小鼠开发了一种称为渐进式加权轮跑(PoWeR)的耐力-阻力组合训练刺激。PoWeR提高了分子,生物化学,骨骼肌的细胞和功能特征,并在生命后期(22-24个月大)进行时促进部分表观遗传重编程。在这次调查中,我们利用骨骼肌中的泛哺乳动物DNA甲基化组阵列和串联质谱蛋白质组学,提供了雌性小鼠相对于年龄匹配的久坐对照(每组n=7-10)的晚龄PoWeR适应的详细信息.PoWeR后保守启动子位点的差异CpG甲基化与转录调控基因以及Nr4a3,Hes1和Hox基因有关。使用称为结合和表达靶标分析(BETA)的整体组学整合方法,PoWeR后,甲基化组变化与整体和线粒体翻译相关的蛋白上调相关(P=0.03)。具体来说,BETA涉及核糖体的甲基化控制,有丝分裂体,训练后线粒体复合物I蛋白丰富。DNA甲基化也可能影响LACTB,MIB1和UBR4蛋白诱导与运动-都与肌肉健康有机械联系。计算cistrome分析预测了几种转录因子,包括MYC作为运动训练的甲基-蛋白质组景观的调节因子,证实先前的晚期PoWeR转录组数据。将蛋白质组与肌肉质量和抗疲劳性相关联,显示出与VPS13A和NPL水平呈正相关,分别。我们的发现揭示了PoWeR后与翻译调节相关的差异表观遗传和蛋白质组适应,这可能会影响老年小鼠的骨骼肌质量和功能。关键点:22-24月龄小鼠的晚年联合耐力-抵抗运动训练被证明可以改善分子水平,生物化学,骨骼肌的细胞和体内功能特征,并促进部分表观遗传重编程和表观遗传年龄缓解。使用骨骼肌中的保守位点(也包含甲基化老化时钟位点)与探索性蛋白质组学整合DNACpG36k甲基化阵列扩展了我们先前的工作,并揭示了核糖体的协调和广泛调节,翻译启动,在相当大的雌性小鼠队列中进行联合自愿运动训练后,线粒体核糖体(线粒体)和复合物I蛋白(每组n=7-10和分析)。多组学整合预测了丝氨酸β-内酰胺酶样蛋白(LACTB-与肌肉中的肿瘤抗性相关)的表观遗传调控,训练后的精神炸弹1(MIB1-与卫星细胞和2型纤维维持相关)和泛素蛋白连接酶E3成分N-识别蛋白4(UBR4-与肌肉蛋白质量控制相关)。计算cistrome分析确定MYC是晚期训练蛋白质组的调节剂,与先前的转录分析一致。液泡蛋白分选13同源物A(VPS13A)与肌肉质量呈正相关,糖蛋白/糖脂相关唾液酸酶N-乙酰神经氨酸丙酮酸裂解酶(NPL)与体内肌肉疲劳抗性有关。
    Exercise is a potent stimulus for combatting skeletal muscle ageing. To study the effects of exercise on muscle in a preclinical setting, we developed a combined endurance-resistance training stimulus for mice called progressive weighted wheel running (PoWeR). PoWeR improves molecular, biochemical, cellular and functional characteristics of skeletal muscle and promotes aspects of partial epigenetic reprogramming when performed late in life (22-24 months of age). In this investigation, we leveraged pan-mammalian DNA methylome arrays and tandem mass-spectrometry proteomics in skeletal muscle to provide detailed information on late-life PoWeR adaptations in female mice relative to age-matched sedentary controls (n = 7-10 per group). Differential CpG methylation at conserved promoter sites was related to transcriptional regulation genes as well as Nr4a3, Hes1 and Hox genes after PoWeR. Using a holistic method of -omics integration called binding and expression target analysis (BETA), methylome changes were associated with upregulated proteins related to global and mitochondrial translation after PoWeR (P = 0.03). Specifically, BETA implicated methylation control of ribosomal, mitoribosomal, and mitochondrial complex I protein abundance after training. DNA methylation may also influence LACTB, MIB1 and UBR4 protein induction with exercise - all are mechanistically linked to muscle health. Computational cistrome analysis predicted several transcription factors including MYC as regulators of the exercise trained methylome-proteome landscape, corroborating prior late-life PoWeR transcriptome data. Correlating the proteome to muscle mass and fatigue resistance revealed positive relationships with VPS13A and NPL levels, respectively. Our findings expose differential epigenetic and proteomic adaptations associated with translational regulation after PoWeR that could influence skeletal muscle mass and function in aged mice. KEY POINTS: Late-life combined endurance-resistance exercise training from 22-24 months of age in mice is shown to improve molecular, biochemical, cellular and in vivo functional characteristics of skeletal muscle and promote aspects of partial epigenetic reprogramming and epigenetic age mitigation. Integration of DNA CpG 36k methylation arrays using conserved sites (which also contain methylation ageing clock sites) with exploratory proteomics in skeletal muscle extends our prior work and reveals coordinated and widespread regulation of ribosomal, translation initiation, mitochondrial ribosomal (mitoribosomal) and complex I proteins after combined voluntary exercise training in a sizeable cohort of female mice (n = 7-10 per group and analysis). Multi-omics integration predicted epigenetic regulation of serine β-lactamase-like protein (LACTB - linked to tumour resistance in muscle), mind bomb 1 (MIB1 - linked to satellite cell and type 2 fibre maintenance) and ubiquitin protein ligase E3 component N-recognin 4 (UBR4 - linked to muscle protein quality control) after training. Computational cistrome analysis identified MYC as a regulator of the late-life training proteome, in agreement with prior transcriptional analyses. Vacuolar protein sorting 13 homolog A (VPS13A) was positively correlated to muscle mass, and the glycoprotein/glycolipid associated sialylation enzyme N-acetylneuraminate pyruvate lyase (NPL) was associated to in vivo muscle fatigue resistance.
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  • 文章类型: Journal Article
    内隐视觉运动序列学习对于获得导致自动化行为的技能至关重要。支撑这种学习过程的振荡动力学尚未得到很好的理解。为了解决这个差距,本研究采用中密度阵列(64个电极)脑电图技术,研究了在“连续反应时间”任务中与内隐视觉运动序列学习相关的振荡活动.在任务中,参与者在不知不觉中学习了一系列手指动作。85名健康成年人参加了这项研究。分析表明,在学习过程中,顶点处的theta活性和运动区域上的alpha/beta活性下降。未观察到α/β和θ功率之间的关联。这些发现是在双重过程框架内解释的:中线theta活动被认为是调节自上而下的注意过程,而运动区域的β活性是运动感觉信息自下而上编码的基础。从这个模型来看,我们建议在内隐视觉运动序列学习过程中,自上而下的过程变得分离(由θ活性降低表示),和模态特定的自下而上的过程编码运动序列(由α/β活性的降低表示)。
    Implicit visuomotor sequence learning is crucial for acquiring skills that result in automated behaviors. The oscillatory dynamics underpinning this learning process are not well understood. To address this gap, the current study employed electroencephalography with a medium-density array (64 electrodes) to investigate oscillatory activity associated with implicit visuomotor sequence learning in the Serial Reaction Time task. In the task, participants unknowingly learn a series of finger movements. Eighty-five healthy adults participated in the study. Analyses revealed that theta activity at the vertex and alpha/beta activity over the motor areas decreased over the course of learning. No associations between alpha/beta and theta power were observed. These findings are interpreted within a dual-process framework: midline theta activity is posited to regulate top-down attentional processes, whereas beta activity from motor areas underlies the bottom-up encoding of sensory information from movement. From this model, we suggest that during implicit visuomotor sequence learning, top-down processes become disengaged (indicated by a reduction in theta activity), and modality specific bottom-up processes encode the motor sequence (indicated by a reduction in alpha/beta activity).
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  • 文章类型: Journal Article
    急性出血会降低血压(BP),有时会导致低血容量性休克。此时,外周动脉应该收缩并增加外周血管阻力以提高血压。然而,没有足够的动脉僵硬度指数。我们使用新的BP非依赖性血管指数评估快速出血期间动脉僵硬度的变化,aBeta和ifBeta,通过将心踝血管指数理论应用于弹性(主动脉)和肌肉(髂总-股)动脉来确定,分别,在兔子
    在戊巴比妥麻醉下,将11只日本白兔固定在仰卧位。15%的血液总量以2mL/kg/min的速度耗尽6分钟;15分钟后,抽取的血液以相同的速率再次输血。主动脉起源处的压力波(oA),腹主动脉远端(dA),左髂总动脉远端(fA),同时测量oA处的流动波。β使用以下公式计算:β=2ρ/PP×ln(SBP/DBP)×PWV2,其中ρ,SBP,DBP,PP是血液密度,收缩压,舒张压,和脉压,分别。aBeta,如果贝塔,和主动脉-髂-股β(aifBeta)使用aPWV计算,如果PWV,和aifPWV,分别。
    BP在oA时显著下降,dA,和急性出血期间的fA。aBeta和aifBeta从出血前的3.7和5.0(对照)显着增加到5.0(约34%)和6.3(约26%),而ifBeta从出血前的20.5显著下降至出血完成后的17.1(约17%)。通过输注取出的血液观察到这些指标的逆反应。
    总动脉僵硬度(aifBeta)增加;然而,弹性和肌肉动脉在出血期间变硬和变软,分别。这些结果将在血压下降期间提供有用的诊断信息。
    UNASSIGNED: Acute hemorrhage decreases blood pressure (BP) and sometimes causes hypovolemic shock. At this time, peripheral arteries are supposed to contract and increase peripheral vascular resistance to raise BP. However, there has not been an adequate index of a degree of arterial stiffness. We assessed changes in arterial stiffness during rapid bleeding using new BP-independent vascular indices, aBeta and ifBeta, determined by applying the cardio-ankle vascular index theory to the elastic (aorta) and muscular (common iliac-femoral) arteries, respectively, in rabbits.
    UNASSIGNED: Eleven Japanese white male rabbits were fixed at the supine position under pentobarbital anesthesia. Fifteen percent of the total blood volume was depleted at a rate of 2 mL/kg/min for 6 min; 15 min later, the withdrawn blood was re-transfused at the same rate. Pressure waves at the origin of the aorta (oA), distal end of the abdominal aorta (dA), distal end of the left common iliac artery (fA), and flow waves at oA were measured simultaneously. Beta was calculated using the following formula: beta = 2ρ/PP × ln(SBP/DBP) × PWV2, where ρ, SBP, DBP, and PP are blood density, systolic, diastolic, and pulse pressures, respectively. aBeta, ifBeta, and aortic-iliac-femoral beta (aifBeta) were calculated using aPWV, ifPWV, and aifPWV, respectively.
    UNASSIGNED: BP declined significantly at oA, dA, and fA during the acute bleeding. aBeta and aifBeta increased significantly from 3.7 and 5.0 before the bleeding (control) to 5.0 (about 34%) and 6.3 (about 26%) on average, while ifBeta decreased significantly from 20.5 before the bleeding to 17.1 (about 17%) after the completion of the bleeding. Reverse reactions of those indices were observed by transfusing the removed blood.
    UNASSIGNED: Total arterial stiffness (aifBeta) increased; however, the elastic and muscular arteries stiffened and softened during the bleeding, respectively. These results would give useful diagnostic information during fall in BP.
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  • 文章类型: Journal Article
    帕金森病(PD)是一种进行性神经退行性疾病,主要与运动功能障碍有关。到确诊时,大约60%的多巴胺能神经元已经丢失;此外,即使多巴胺能药物在控制症状方面非常有效,他们只会在尽快开始时帮助保持接近健康的状态。因此,近年来,人们对识别PD早期生物标志物的兴趣越来越大,特别是使用神经生理学技术,如脑电图(EEG)。这项研究旨在调查与健康对照组相比,PD患者的大脑复杂性差异。使用静息状态脑电图记录的近似熵(ApEn)分析重点关注β波段。招募了60名参与者,包括25名PD患者和35名健康老年受试者,年龄和性别相匹配。记录每个参与者的EEG,并在每个EEG通道和ROI的β1(13-20Hz)和β2(20-30Hz)频带中计算ApEn值。与对照组相比,PD患者在β1和β2条带中显示出统计学上较低的ApEn值。关于电极分析,在额中央区发现了β1带改变,而在中心顶叶和额中央区域观察到β2带改变。考虑到ROI,在β2波段的中央和顶叶ROI中,PD患者的ApEn值在统计学上较低。这些区域的复杂性降低可能是β振荡活动功能障碍的基础,反映与PD运动功能障碍相关的皮质机制受损。结果表明,对静息EEG活动的ApEn分析可能是早期PD检测的潜在工具。需要进一步的研究来验证这种方法在PD诊断和康复计划中的应用。
    Parkinson\'s disease (PD) is a progressive neurodegenerative disorder primarily associated with motor dysfunctions. By the time of definitive diagnosis, about 60% of dopaminergic neurons have already been lost; moreover, even if dopaminergic drugs are highly effective in symptoms control, they only help maintaining a near-healthy condition when started as soon as possible. Therefore, interest in identifying early biomarkers of PD has grown in recent years, especially using neurophysiological techniques such as electroencephalography (EEG). This study aims to investigate brain complexity differences in PD patients compared to healthy controls, focusing on the beta band using approximate entropy (ApEn) analysis of resting-state EEG recordings. Sixty participants were recruited, including 25 PD patients and 35 healthy elderly subjects, matched for age and gender. EEG were recorded for each participant and ApEn values were computed in the beta 1 (13-20 Hz) and beta 2 (20-30 Hz) frequency bands for each EEG-channel and for ROIs. PD patients showed statistically lower ApEn values compared to controls in both beta 1 and beta 2 bands. Regarding electrodes analysis, beta 1 band alterations were found in frontocentral areas, while beta 2 band alterations were observed in centroparietal and frontocentral areas. Considering ROIs, statistically lower ApEn values for PD patients has been reported in central and parietal ROIs in the beta 2 band. Complexity reduction in these areas may underlie beta oscillatory activity dysfunction, reflecting impaired cortical mechanisms associated with motor dysfunction in PD. The results suggest that ApEn analysis of resting EEG activity may serve as a potential tool for early PD detection. Further studies are necessary to validate this approach in PD diagnosis and rehabilitation planning.
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  • 文章类型: Journal Article
    脑电波振荡与注意力缺陷/多动障碍(ADHD)相关的认知挑战之间的关系是认知神经科学领域的趋势命题。研究表明,脑电波振荡在诊断为ADHD的儿童的症状表达中的作用。干预研究进一步表明了脑刺激技术在改善认知方面的范围。当前的手稿探讨了感觉夹带后脑电波变化对儿童认知表现的影响。我们计算了每个参与者的脑电波差异和θ比,阿尔法,以及夹带会话后的贝塔功率。Further,我们探讨了这些值与心理测量评分之间可能存在的相关性.β静息状态显示出与所有参与者的选择性注意力表现最强的关联。Theta-beta比(TBR)与选择性注意力和工作记忆表现呈负相关。Theta频率与无ADHD儿童的工作表现下降有关。我们的发现还表明,TBR在确定ADHD儿童的认知表现方面比theta-alpha比率起主要作用。夹带接收的个体差异归因于参与者的年龄,IQ,以及它们固有的基线频率。我们的发现的含义可以启动证实基于脑电波的夹带会话,作为改善儿童认知的治疗方式。
    The relationship between brainwave oscillations and Attention-Deficit/Hyperactivity Disorder (ADHD)-related cognitive challenges is a trending proposition in the field of Cognitive Neuroscience. Studies suggest the role of brainwave oscillations in the symptom expressions of ADHD-diagnosed children. Intervention studies have further suggested the scope of brain stimulation techniques in improving cognition. The current manuscript explored the effect of changes in the brainwaves post-sensory entrainment on cognitive performance of children. We calculated each participant\'s brainwave difference and ratios of theta, alpha, and beta power after the entrainment sessions. Further, we explored possible correlations between these values and the psychometric scores. The beta resting state showed the strongest association with selective attention performance of all participants. Theta-beta ratio (TBR) showed an inverse correlation with selective attention and working memory performances. The theta frequency was associated with decreased working performance in children without ADHD. Our findings also suggest a predominant role of TBR than the theta-alpha ratio in determining the cognitive performance of children with ADHD. The individual differences in the entrainment reception were attributed to the participant\'s age, IQ, and their innate baseline frequencies. The implications of our findings can initiate substantiating brainwave-based entrainment sessions as a therapeutic modality to improve cognition among children.
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  • 文章类型: Journal Article
    帕金森病(PD)是一种进行性神经系统疾病,通常以一系列运动功能障碍为特征,它的影响超越了身体异常,延伸到情绪健康和认知症状。黑质致密部(SNc)中多巴胺能神经元的丢失导致基底神经节(BG)电路功能的一系列功能障碍,表现为PD。虽然正在进行积极的研究以寻找SNc细胞死亡的根本原因,使用各种治疗技术来控制PD的症状。管理症状的最常见方法是以服用多巴胺能药物如左旋多巴的形式补充丢失的多巴胺,尽管它的长期并发症。另一种常用的PD干预是深部脑刺激(DBS)。当左旋多巴药物疗效降低时,DBS最常用,and,与左旋多巴药物联合使用,它有助于减少所需的药物剂量,延长治疗效果。当运动障碍等运动并发症作为药物副作用出现时,DBS也是首选选择。一些研究还报道,尽管发现DBS可有效抑制严重的运动症状,例如震颤和僵硬,它对认知能力有不利影响。从今以后,了解DBS缓解运动症状的确切机制很重要。DBS刺激运动症状的计算模型将为了解DBS的潜在机制提供很好的见解。and,沿着这条线,在我们目前的研究中,我们模拟了手臂到达的皮质-基底神经节回路,我们模拟了健康控制(HC)和PD症状以及DBS对PD震颤和运动迟缓的影响。我们的建模结果表明,PD震颤与theta带的相关性更高,而运动迟缓与丘脑底核(STN)神经元的局部场电位(LFP)频谱的β带更相关。当DBS电流为220pA时,130Hz,和100微秒的脉冲宽度,我们可以发现使用我们的模型使用一组参数值模拟的病理动力学的最大治疗效果.然而,确切的DBS特征因患者而异,这可以通过探索模型参数空间来进一步研究。该模型可以扩展到研究不同的DBS目标,并在将来适应认知动力学,以研究DBS对认知症状的影响,从而优化参数以产生跨模态的最佳性能效果。将DBS与康复相结合是DBS可以减轻震颤和僵硬等症状的另一个前沿领域,使患者能够参与他们的治疗。随着DBS为患者提供即时救济,DBS和康复的组合可以增强神经可塑性。将DBS与康复相结合的关键动机之一是期望即使在较温和的DBS电流下也能获得可比的运动性能结果。
    Parkinson\'s disease (PD) is a progressive neurological disorder that is typically characterized by a range of motor dysfunctions, and its impact extends beyond physical abnormalities into emotional well-being and cognitive symptoms. The loss of dopaminergic neurons in the substantia nigra pars compacta (SNc) leads to an array of dysfunctions in the functioning of the basal ganglia (BG) circuitry that manifests into PD. While active research is being carried out to find the root cause of SNc cell death, various therapeutic techniques are used to manage the symptoms of PD. The most common approach in managing the symptoms is replenishing the lost dopamine in the form of taking dopaminergic medications such as levodopa, despite its long-term complications. Another commonly used intervention for PD is deep brain stimulation (DBS). DBS is most commonly used when levodopa medication efficacy is reduced, and, in combination with levodopa medication, it helps reduce the required dosage of medication, prolonging the therapeutic effect. DBS is also a first choice option when motor complications such as dyskinesia emerge as a side effect of medication. Several studies have also reported that though DBS is found to be effective in suppressing severe motor symptoms such as tremors and rigidity, it has an adverse effect on cognitive capabilities. Henceforth, it is important to understand the exact mechanism of DBS in alleviating motor symptoms. A computational model of DBS stimulation for motor symptoms will offer great insights into understanding the mechanisms underlying DBS, and, along this line, in our current study, we modeled a cortico-basal ganglia circuitry of arm reaching, where we simulated healthy control (HC) and PD symptoms as well as the DBS effect on PD tremor and bradykinesia. Our modeling results reveal that PD tremors are more correlated with the theta band, while bradykinesia is more correlated with the beta band of the frequency spectrum of the local field potential (LFP) of the subthalamic nucleus (STN) neurons. With a DBS current of 220 pA, 130 Hz, and a 100 microsecond pulse-width, we could found the maximum therapeutic effect for the pathological dynamics simulated using our model using a set of parameter values. However, the exact DBS characteristics vary from patient to patient, and this can be further studied by exploring the model parameter space. This model can be extended to study different DBS targets and accommodate cognitive dynamics in the future to study the impact of DBS on cognitive symptoms and thereby optimize the parameters to produce optimal performance effects across modalities. Combining DBS with rehabilitation is another frontier where DBS can reduce symptoms such as tremors and rigidity, enabling patients to participate in their therapy. With DBS providing instant relief to patients, a combination of DBS and rehabilitation can enhance neural plasticity. One of the key motivations behind combining DBS with rehabilitation is to expect comparable results in motor performance even with milder DBS currents.
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  • 文章类型: Journal Article
    背景:尽管在研究其心理物理复杂性方面取得了实质性进展,耳鸣仍然是科学和临床之谜。本研究,通过生态和多学科的方法,目的是确定脑电图(EEG)和心理听力学变量之间的关联。
    方法:脑电图β活性,通常与压力和焦虑有关,在音频认知任务和休息时,从12名耳鸣患者(TIN组)和7名对照(CONT组)获得。我们还使用非参数统计量调查了心理变量(SCL-90-R;STAI-Y;BFI-10)和听力学变量(THI;TQ12-I;Hyperacusis),以评估组间和组间的差异和关系。
    结果:在TIN组中,额叶β活性与运动过度呈正相关,顶叶活动,和特质焦虑;后者也与CONT中的抑郁有关。两组之间的偏执观念和开放性存在显着差异。
    结论:焦虑特征之间的联系,额-顶叶皮质和高音的β活性提供了对耳鸣患者大脑功能的见解,为临床医生提供定量描述和新的多学科治疗假设。
    BACKGROUND: Despite substantial progress in investigating its psychophysical complexity, tinnitus remains a scientific and clinical enigma. The present study, through an ecological and multidisciplinary approach, aims to identify associations between electroencephalographic (EEG) and psycho-audiological variables.
    METHODS: EEG beta activity, often related to stress and anxiety, was acquired from 12 tinnitus patients (TIN group) and 7 controls (CONT group) during an audio cognitive task and at rest. We also investigated psychological (SCL-90-R; STAI-Y; BFI-10) and audiological (THI; TQ12-I; Hyperacusis) variables using non-parametric statistics to assess differences and relationships between and within groups.
    RESULTS: In the TIN group, frontal beta activity positively correlated with hyperacusis, parietal activity, and trait anxiety; the latter is also associated with depression in CONT. Significant differences in paranoid ideation and openness were found between groups.
    CONCLUSIONS: The connection between anxiety trait, beta activity in the fronto-parietal cortices and hyperacusis provides insights into brain functioning in tinnitus patients, offering quantitative descriptions for clinicians and new multidisciplinary treatment hypotheses.
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  • 文章类型: Journal Article
    背景:步态冻结(FOG)是帕金森病(PD)的一种衰弱症状,其特征是阵发性发作,患者无法前进。研究的重点是在PD-FOG中冷冻之前确定皮质变化。
    方法:我们测试了19例接受FOG评估的PD患者(n=14例有FOG,5例无FOG)。坐下来,在记录64通道EEG时,患者两侧踩着踏板,通过虚拟走廊向前推进。我们评估了下肢运动阻滞(LLMB)之前和期间的皮质活动,定义为有节奏的踩踏中断,并停止,定义为听觉停止提示后的运动停止。之所以选择此任务,是因为LLMB与PD中的FOG严重程度相关,并且可以记录高质量的EEG。在从多巴胺能药物(“关闭”状态)和“开启”药物状态下过夜停药后对患者进行测试。使用单独的MRI和标准化的低分辨率脑电磁断层扫描(sLORETA)评估EEG源活动。通过种子和预定义的感兴趣的皮质区域之间的相位滞后指数评估功能连通性。
    结果:LLMB的EEG源活动与位于右后顶叶区域(Brodmann区域39)的提示停止,横向运动前区域(Brodmann区域6),和额下回(布罗德曼区47)。在这些地区,PD-FOG(n=14)在LLMB之前增加α节律(8-12Hz)典型的踏步,而没有FOG的PD(n=5)降低α功率。Alpha节律与LLMB严重程度呈线性相关,在“关闭”药物状态下,当评估作为LLMB百分比时间的函数的alpha节律时,这种关系变成了倒U形。在β波段(13-30Hz)的LLMB之前,观察到右额下回和补充运动区的连通性。在停止之前看到了相同的连接模式。多巴胺能药物改善FOG,并导致α同步减少,额叶和顶叶区域之间的功能连接增加。
    结论:右顶下额叶结构与PD-FOG有关。主要的变化是阿尔法节奏,在LLMB之前和LLMB严重性增加。对于右额下回和辅助运动区之间的LLMB和停止观察到类似的连通性,这表明FOG可能是一种“意外停止”的形式。“这些发现可能为PD-FOG的神经康复方法提供信息。
    BACKGROUND: Freezing of gait (FOG) is a debilitating symptom of Parkinson\'s disease (PD) characterized by paroxysmal episodes in which patients are unable to step forward. A research priority is identifying cortical changes before freezing in PD-FOG.
    METHODS: We tested 19 patients with PD who had been assessed for FOG (n=14 with FOG and 5 without FOG). While seated, patients stepped bilaterally on pedals to progress forward through a virtual hallway while 64-channel EEG was recorded. We assessed cortical activities before and during lower limb motor blocks (LLMB), defined as a break in rhythmic pedaling, and stops, defined as movement cessation following an auditory stop cue. This task was selected because LLMB correlates with FOG severity in PD and allows recording of high-quality EEG. Patients were tested after overnight withdrawal from dopaminergic medications (\"off\" state) and in the \"on\" medications state. EEG source activities were evaluated using individual MRI and standardized low resolution brain electromagnetic tomography (sLORETA). Functional connectivity was evaluated by phase lag index between seeds and pre-defined cortical regions of interest.
    RESULTS: EEG source activities for LLMB vs. cued stops localized to right posterior parietal area (Brodmann area 39), lateral premotor area (Brodmann area 6), and inferior frontal gyrus (Brodmann area 47). In these areas, PD-FOG (n=14) increased alpha rhythms (8-12 Hz) before LLMB vs. typical stepping, whereas PD without FOG (n=5) decreased alpha power. Alpha rhythms were linearly correlated with LLMB severity, and the relationship became an inverted U-shape when assessing alpha rhythms as a function of percent time in LLMB in the \"off\" medication state. Right inferior frontal gyrus and supplementary motor area connectivity was observed before LLMB in the beta band (13-30 Hz). This same pattern of connectivity was seen before stops. Dopaminergic medication improved FOG and led to less alpha synchronization and increased functional connections between frontal and parietal areas.
    CONCLUSIONS: Right inferior parietofrontal structures are implicated in PD-FOG. The predominant changes were in the alpha rhythm, which increased before LLMB and with LLMB severity. Similar connectivity was observed for LLMB and stops between the right inferior frontal gyrus and supplementary motor area, suggesting that FOG may be a form of \"unintended stopping.\" These findings may inform approaches to neurorehabilitation of PD-FOG.
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