在帕金森病中,双重任务性能和大脑形态特征在帕金森病中
Sarah J Carlson1, Yi-Fang Chiu2, Merrill R Landers3
1Department of Physical Therapy and Athletic Training, Saint Louis University, St. Louis, Missouri, USA, carlsonsj@slu.edu.
Neuro-degenerative diseases
|July 31, 2024
概括
帕金森病 (PD) 患者在双重任务 (DTs) 中表现更好的人在感觉运动区域的皮质较厚. 这些大脑差异突显了PD中自动性和双重任务的神经相关性.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 帕金森病 (PD) 损害了自动性,影响了双重任务 (DT) 性能和日常功能.
- 了解PD中DTs的神经基础对于开发向疗法至关重要.
- 这项研究调查了与PD患者的DT表现不同相关的大脑形态差异.
研究的目的:
- 探索患有帕金森病 (PD) 个体的大脑形态和双重任务 (DT) 性能之间的关系.
- 为了确定PD的低和高DT表现者之间的特定皮层和皮层下体积差异.
主要方法:
- 用体积核磁共振 (MRI) 来获得皮层厚度和皮层下体积,从34名患有PD的个人和47名健康的老年人中获得.
- 参与者被分为低或高的DT表现者,根据他们的表现在一个DT定时起动测试和连续减去任务.
- 统计分析包括非参数测试 (Quade的ANCOVA) 和等级线性回归,控制相关的共变量.
主要成果:
- 与DT表现较低的人相比,患有PD的个人在右侧主要体感皮质,双边主要运动皮质和双边补充运动区域中表现出较厚的皮质.
- 当一个健康的对照组被包括在内时,左侧原发皮层,左侧前额叶皮层和右侧补充运动区域的厚度也存在显著差异.
- 左侧中央叶片厚度是一个显著的预测因素,解释了20.8%的综合DT效应的变化.
结论:
- 在帕金森病 (PD) 中,双重任务 (DT) 的更高性能与明显的皮质形态特征有关,特别是在感觉运动区域.
- 这些发现表明,PD中增强的DT能力依赖于神经控制的融合,涉及传感运动集成,运动计划和运动激活.
- 这项研究确定了特定的大脑区域,这些区域可能是治疗干预的目标,旨在改善PD的自动性和双重任务.
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