medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: June 21, 2022
Abstract
Background
In
Essential
tremor
(ET),
involuntary
shaking
of
the
upper
limbs
during
isometric
muscle
contraction
closely
reflects
patterns
neural
activity
measured
in
thalamus
-
a
key
element
tremorgenic
circuit.
Phase-specific
deep
brain
stimulation
(DBS)
builds
upon
this
observation
while
using
accelerometery
trembling
limb
to
trigger
repetitive
electrical
perturbations
and
surrounding
areas
at
specific
time
within
cycle.
This
closed-loop
strategy
has
been
shown
induce
clinically
significant
postural
relief
delivering
less
than
half
energy
conventional
DBS.
Objective
The
main
aim
study
was
evaluate
treatment
efficacy
across
different
contexts
movement
states.
Methods
We
used
digitizing
tablet
record
peripheral
dynamics
4
DBS
implanted
ET
patients
alternating
strategies
(no
stimulation,
continuous
open-loop
phase-specific)
states
(intermittent
posture
holding
spiral
drawing).
Results
addition
observing
suppressive
effect
phase-specific
on
both
kinetic
tremor,
our
results
reinforce
role
phase-specificity
achieve
control
motor
highlight
difficulty
quantifying
phase-dependent
effects
movement.
Moreover,
supports
hypothesis
that
with
more
stable
characteristics
benefit
most
from
Conclusions
By
creating
better
understanding
dynamic
relationship
between
central
activity,
provides
important
insights
for
development
effective
patient
context-specific
therapeutic
approaches
ET.
Dystonia
and
tremor
are
distinct
movement
disorders,
but
they
overlap
in
certain
circumstances.
First,
dystonia
may
co-exist
the
same
individual,
or
different
regions
of
body.
Second,
dystonic
movements
sometimes
rapid
repetitive,
mimic
tremor.
The
term
first
appeared
literature
to
describe
a
repetitive
that
mimicked
could
be
discriminated
from
essential
With
consensus
statement
on
tremor,
was
instead
used
any
combination
with
body
region,
definition
retained
latest
statement.
Both
definitions
continue
modern
literature.
To
address
this
problem,
group
specialists
met
review
problem
develop
recommendations
for
more
consistent
approach.
agreed
terminology
applied
clinic
essential,
even
though
laboratory-based
measures
required.
also
should
exclusively
refer
rhythmic
movements,
establishment
boundaries
rhythmicity
is
needed.
grossly
arrhythmic
context
dystonia,
called
jerky
rather
than
terms
imply
Moreover,
when
both
coexist,
described
according
affected
given
labels.
Computational and Mathematical Methods in Medicine,
Journal Year:
2022,
Volume and Issue:
2022, P. 1 - 11
Published: July 13, 2022
The
problem
of
sports
psychological
fatigue
has
become
one
the
focal
points
common
concern
among
scholars
at
home
and
abroad.
Athletes
will
face
many
problems
challenges
in
competition
or
training,
if
they
are
not
handled
properly,
have
negative
experiences,
which
affect
training
benefits
develop
fatigue.
Transcranial
electrical
stimulation
(TES),
contains
transcranial
direct
current
stimulation,
alternating
random
noise
is
a
noninvasive
brain
method.
By
applying
specific
patterns
low-intensity
currents
to
regions
through
electrodes
different
sizes,
it
modulates
cortical
neural
activity
and/or
excitability
enhances
connections
between
nerves
muscles
achieve
improved
motor
performance.
TES
technology
currently
making
transition
from
laboratory
research
applied
science.
In
this
paper,
we
first
describe
mechanisms
action
on
cerebral
cortex,
including
five
aspects
body
balance,
endurance
performance,
exercise
fatigue,
muscle
strength,
learning
ability;
then,
review
relevant
studies
application
functional
connectivity
networks
explore
importance
field
for
improve
athletic
This
provides
machine
learning-based
model
locomotor
rock
climbers
since
climbing
sport
that
places
great
demands
athletes'
quality.
factors
influencing
intervention
measures
beneficial
early
diagnosis
prevention
it.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 7, 2024
Abstract
Background
Modulation
of
neuronal
oscillations
holds
promise
for
the
treatment
neurological
disorders.
Nonetheless,
stimulating
populations
in
a
continuous
open-loop
manner
can
lead
to
side
effects
and
suboptimal
efficiency.
Closed-loop
strategies
such
as
phase-locked
stimulation
aim
address
these
shortcomings
by
offering
more
targeted
modulation.
While
theories
have
been
developed
understand
neural
response
stimulation,
their
predictions
not
thoroughly
tested
using
experimental
data.
Objective
We
aimed
test
mathematical
model
regarding
stimulation.
Methods
Using
coupled
oscillator
model,
we
expanded
on
two
key
describing
function
phase
amplitude
ongoing
activity.
To
investigate
predictions,
analyzed
electrocorticogram
(ECoG)
recordings
from
previously
conducted
study
Parkinsonian
rats,
extracted
corresponding
curves.
Results
demonstrated
that
is
strongly
correlated
derivative
(
ρ
>
0.8)
all
animals
except
one,
thereby
validating
prediction.
The
second
prediction
postulated
becomes
ineffective
when
network
synchrony
high,
trend
appeared
missing
Our
analysis
explained
this
discrepancy
showing
rats
did
reach
level
which
theory
would
predict
Conclusions
results
highlight
potential
fine-tuning
paradigms
informed
models
consider
both
oscillation.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: June 21, 2022
Abstract
Background
In
Essential
tremor
(ET),
involuntary
shaking
of
the
upper
limbs
during
isometric
muscle
contraction
closely
reflects
patterns
neural
activity
measured
in
thalamus
-
a
key
element
tremorgenic
circuit.
Phase-specific
deep
brain
stimulation
(DBS)
builds
upon
this
observation
while
using
accelerometery
trembling
limb
to
trigger
repetitive
electrical
perturbations
and
surrounding
areas
at
specific
time
within
cycle.
This
closed-loop
strategy
has
been
shown
induce
clinically
significant
postural
relief
delivering
less
than
half
energy
conventional
DBS.
Objective
The
main
aim
study
was
evaluate
treatment
efficacy
across
different
contexts
movement
states.
Methods
We
used
digitizing
tablet
record
peripheral
dynamics
4
DBS
implanted
ET
patients
alternating
strategies
(no
stimulation,
continuous
open-loop
phase-specific)
states
(intermittent
posture
holding
spiral
drawing).
Results
addition
observing
suppressive
effect
phase-specific
on
both
kinetic
tremor,
our
results
reinforce
role
phase-specificity
achieve
control
motor
highlight
difficulty
quantifying
phase-dependent
effects
movement.
Moreover,
supports
hypothesis
that
with
more
stable
characteristics
benefit
most
from
Conclusions
By
creating
better
understanding
dynamic
relationship
between
central
activity,
provides
important
insights
for
development
effective
patient
context-specific
therapeutic
approaches
ET.