认知,行为和大脑功能连接与肌缩性侧面硬化症疲劳相关
Francesca Trojsi1,2, Federica Di Nardo1, Giulia D'Alvano1
1Department of Advanced Medical and Surgical Sciences, MRI Research Center, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Brain and behavior
|June 23, 2023
概括
在肌缩侧面硬化症 (ALS) 中,精神疲劳与认知问题和大脑连接变化有关,而身体疲劳与焦虑和呼吸问题有关. 了解这些独特的疲劳成分是ALS患者护理的关键.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 临床研究 临床研究
背景情况:
- 疲劳是肌缩性侧面硬化症 (ALS) 的重要症状,影响日常生活.
- 在ALS中,疲劳有两个主要组成部分:中央 (精神) 和外围 (身体).
- 这两种疲劳成分都会导致ALS患者的整体残疾.
研究的目的:
- 检查ALS中精神和身体疲劳和运动/认知/行为障碍之间的关系.
- 研究ALS患者的疲劳测量和休息状态功能连接 (RS-fMRI) 之间的相关性.
主要方法:
- 评估了130名ALS患者的运动,认知和行为缺陷,疲劳,焦虑,冷漠和嗜睡.
- 用RS-fMRI评估30名ALS患者的大脑功能连接.
- 进行了多变量相关性分析,以将临床数据与脑成像发现联系起来.
主要成果:
- 身体疲劳与焦虑和呼吸系统功能障碍相关.
- "精神"疲劳与记忆障碍和冷漠有关.
- 精神疲劳表明,胰岛 ( Salience 网络) 和中圈 (默认模式网络) 的功能连接发生了变化.
结论:
- 虽然身体疲劳可能源于ALS疾病过程,但精神疲劳与认知/行为变化有关.
- 在ALS中,精神疲劳与超出运动控制范围的大脑网络中断有关.
- 这些发现凸显了ALS疲劳组件的独特神经基础.
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