Abstract
Background
The
neural
cells
in
the
brains
of
patients
with
Parkinson’s
disease
(PWP)
display
aberrant
synchronized
oscillatory
activity
within
beta
frequency
range.
Additionally,
enhanced
gamma
oscillations
may
serve
as
a
compensatory
mechanism
for
motor
inhibition
mediated
by
and
also
reinstate
plasticity
primary
cortex
affected
disease.
Transcranial
alternating
current
stimulation
(tACS)
can
synchronize
endogenous
exogenous
rhythms,
thereby
modulating
cortical
activity.
objective
this
study
is
to
investigate
whether
addition
tACS
multidisciplinary
intensive
rehabilitation
treatment
(MIRT)
improve
symptoms
PWP
so
enhance
quality
life
individuals
based
on
central-peripheral-central
theory.
Methods
present
was
randomized,
double-blind
trial
that
enrolled
60
aged
between
45
70
years,
who
had
Hoehn-Yahr
scale
scores
ranging
from
1
3.
Participants
were
randomly
assigned
1:1
ratio
either
+
MIRT
group
or
sham-tACS
group.
consisted
two-week
period
followed
24-week
follow-up
period,
resulting
total
duration
twenty-six
weeks.
outcome
measured
change
PDQ-39
baseline
(T0)
4
weeks
(T2),
12
(T3),
24
(T4)
after
completion
intervention.
secondary
assessed
changes
MDS-UPDRS
III
at
T0,
end
intervention
(T1),
T2,
T3,
T4.
Additional
clinical
assessments
mechanistic
studies
conducted
tertiary
outcomes.
Discussion
demonstrate
overall
functionality
PWP,
framework
MIRT.
it
seeks
establish
potential
correlation
these
therapeutic
effects
neuroplasticity
alterations
relevant
brain
regions.
efficacy
will
be
during
order
optimize
its
impact
efficiency
PWP.
Trial
registration
Chinese
Clinical
Registry
ChiCTR2300071969.
Registered
30
May
2023.
Frontiers in Systems Neuroscience,
Год журнала:
2022,
Номер
16
Опубликована: Фев. 24, 2022
Specific
frequency
bands
of
neural
oscillations
have
been
correlated
with
a
range
cognitive
and
behavioral
effects
(e.g.,
memory
attention).
The
causal
role
specific
frequencies
may
be
investigated
using
transcranial
alternating
current
stimulation
(tACS),
non-invasive
brain
method.
TACS
involves
applying
sinusoidal
between
two
or
more
electrodes
attached
on
the
scalp,
above
regions
that
are
implicated
in
processes
interest.
theorized
mechanisms
by
which
tACS
affects
implications
for
exact
used,
as
well
its
anticipated
effects.
This
review
outlines
main
thought
to
underlie
-
entrainment,
spike-timing
dependent
plasticity
(STDP).
Entrainment
suggests
stimulated
synchronizes
ongoing
oscillations,
is
most
effective
when
at
close
endogenous
targeted
network.
STDP
leads
synaptic
changes
based
timing
neuronal
firing
target
According
principles
STDP,
strength
increase
pre-synaptic
events
occur
prior
post-synaptic
(referred
long-term
potentiation,
LTP).
Conversely,
events,
synapses
weakened
depression,
LTD).
In
this
review,
we
summarize
theoretical
frameworks
critically
evidence
each
hypothesis.
We
also
discuss
whether
mechanism
alone
can
account
combined
necessary.
Molecular Psychiatry,
Год журнала:
2023,
Номер
28(12), С. 5402 - 5410
Опубликована: Июль 19, 2023
Abstract
Deep
brain
regions
such
as
hippocampus,
insula,
and
amygdala
are
involved
in
neuropsychiatric
disorders,
including
chronic
insomnia
depression.
Our
recent
reports
showed
that
transcranial
alternating
current
stimulation
(tACS)
with
a
of
15
mA
frequency
77.5
Hz,
delivered
through
montage
the
forehead
both
mastoids
was
safe
effective
intervening
depression
over
8
weeks.
However,
there
is
no
physical
evidence
to
support
whether
large
tACS
can
send
electrical
currents
deep
tissue
awake
humans.
Here,
we
directly
recorded
local
field
potentials
(LFPs)
insula
at
different
strengths
(1
mA)
11
adult
patients
drug-resistant
epilepsy
implanted
stereoelectroencephalography
(SEEG)
electrodes
who
received
Hz
from
1
for
five
minutes
each
total
40
min.
For
additional
55
min
were
applied
add
up
60
Linear
regression
analysis
revealed
average
LFPs
remaining
contacts
on
sides
patient
statistically
associated
given
(
p
<
0.05–0.01),
except
left
one
subject
=
0.053).
Alternating
greater
than
7
required
produce
significant
differences
three
compared
0
0.05).
The
remained
after
adjusting
multiple
comparisons
study
provides
direct
specific
procedures
capable
delivering
tissues,
opening
realistic
avenue
modulating
or
treating
disorders
amygdala.
The Journal of Headache and Pain,
Год журнала:
2024,
Номер
25(1)
Опубликована: Окт. 31, 2024
Migraine
is
a
common
disabling
conditions
which,
globally,
affects
15.2%
of
the
population.
It
second
cause
health
loss
in
terms
years
lived
with
disability,
first
among
women.
Despite
being
so
common,
it
poorly
recognised
and
too
often
undertreated.
Specialty
centres
neurologists
specific
expertise
on
headache
disorders
have
knowledge
to
provide
care:
however,
those
who
do
not
regularly
treat
patients
migraine
will
benefit
from
synopsis
most
relevant
updated
information
about
this
condition.
This
paper
presents
comprehensive
view
hallmarks
migraine,
genetics
diagnostic
markers,
up
treatments
societal
impact,
reports
elements
that
identify
features.
Frontiers in Neurology,
Год журнала:
2021,
Номер
12
Опубликована: Фев. 15, 2021
Non-invasive
low-intensity
transcranial
electrical
stimulation
(tES)
of
the
brain
is
an
evolving
field
that
has
brought
remarkable
attention
in
past
few
decades
for
its
ability
to
directly
modulate
specific
functions.
Neurobiological
after-effects
tES
seems
be
related
changes
neuronal
and
synaptic
excitability
plasticity,
however
mechanisms
are
still
far
from
being
elucidated.
We
aim
review
recent
results
vitro
vivo
studies
highlight
molecular
cellular
direct
(tDCS)
alternating
(tACS)
current
stimulation.
Changes
membrane
potential
neural
synchronization
explain
ongoing
short-lasting
effects
tES,
while
induced
existing
proteins
new
protein
synthesis
required
long-lasting
plastic
(LTP/LTD).
Glial
cells,
supporting
elements,
now
considered
constitutive
part
synapse
might
contribute
plasticity.
This
brings
into
focus
neurobiological
tDCS
tACS
studies,
both
animals
humans,
highlighting
possible
pathways
development
targeted
therapeutic
applications.
Brain Sciences,
Год журнала:
2022,
Номер
12(7), С. 929 - 929
Опубликована: Июль 15, 2022
Electric
and
magnetic
stimulation
of
the
human
brain
can
be
used
to
excite
or
inhibit
neurons.
Numerous
methods
have
been
designed
over
years
for
this
purpose
with
various
advantages
disadvantages
that
are
topic
review.
Deep
(DBS)
is
most
direct
focal
application
electric
impulses
tissue.
Electrodes
placed
in
order
modulate
neural
activity
correct
parameters
pathological
oscillation
circuits
such
as
their
amplitude
frequency.
Transcranial
(TMS)
a
non-invasive
alternative
stimulator
generating
field
coil
scalp
induces
an
which,
turn,
interacts
ongoing
activity.
Depending
upon
parameters,
excitation
inhibition
achieved.
(tES)
applies
fields
spread
along
skull
reach
brain,
thus,
limiting
current
strength
avoid
skin
sensations
cranial
muscle
pain.
Therefore,
tES
only
considered
subthreshold,
i.e.,
it
does
not
directly
elicit
neuronal
action
potentials.
In
review,
we
collect
hints
neuroplastic
changes
modulation
behavior,
evolution
clinical
signs
symptoms
response
stimulation.
Possible
mechanisms
discussed,
future
paradigms
suggested.
Brain Sciences,
Год журнала:
2023,
Номер
13(3), С. 451 - 451
Опубликована: Март 6, 2023
Characterized
by
high
morbidity,
mortality,
and
disability,
stroke
usually
causes
symptoms
of
cerebral
hypoxia
due
to
a
sudden
blockage
or
rupture
brain
vessels,
it
seriously
threatens
human
life
health.
Rehabilitation
is
the
essential
treatment
for
post-stroke
patients
suffering
from
functional
impairments,
through
which
hemiparesis,
aphasia,
dysphagia,
unilateral
neglect,
depression,
cognitive
dysfunction
can
be
restored
various
degrees.
Noninvasive
stimulation
(NIBS)
popular
neuromodulatory
technology
rehabilitation
focusing
on
local
cortex,
improve
clinical
functions
regulating
excitability
corresponding
neurons.
Increasing
evidence
has
been
obtained
application
NIBS,
especially
repetitive
transcranial
magnetic
(rTMS)
direct
current
(tDCS).
However,
without
standardized
protocol,
existing
studies
NIBS
show
wide
variation
in
terms
site,
frequency,
intensity,
dosage,
other
parameters.
Its
neurorehabilitation
still
limited.
With
advances
neuronavigation
technologies,
near-infrared
spectroscopy,
MRI,
specific
regions
precisely
located
stimulation.
On
basis
our
further
understanding
neural
circuits,
neuromodulation
also
evolved
single-target
co-stimulation
two
more
targets,
even
circuits
network.
The
present
study
aims
review
findings
research,
discuss
future
directions
application,
finally
promote
use
rehabilitation.
Neuropsychology Review,
Год журнала:
2023,
Номер
34(1), С. 338 - 361
Опубликована: Март 6, 2023
Abstract
Despite
the
numerous
pharmacological
interventions
targeting
dementia,
no
disease-modifying
therapy
is
available,
and
prognosis
remains
unfavorable.
A
promising
perspective
involves
tackling
high-frequency
gamma-band
(>
30
Hz)
oscillations
involved
in
hippocampal-mediated
memory
processes,
which
are
impaired
from
early
stages
of
typical
Alzheimer’s
Disease
(AD).
Particularly,
positive
effects
entrainment
on
mouse
models
AD
have
prompted
researchers
to
translate
such
findings
into
humans
using
transcranial
alternating
current
stimulation
(tACS),
a
methodology
that
allows
endogenous
cortical
frequency-specific
manner.
This
systematic
review
examines
state-of-the-art
use
gamma-tACS
Mild
Cognitive
Impairment
(MCI)
dementia
patients
shed
light
its
feasibility,
therapeutic
impact,
clinical
effectiveness.
search
two
databases
yielded
499
records
resulting
10
included
studies
total
273
patients.
The
results
were
arranged
single-session
multi-session
protocols.
Most
demonstrated
cognitive
improvement
following
gamma-tACS,
some
showed
neuropathological
markers,
suggesting
feasibility
these
anyhow
far
strong
evidence
available
for
models.
Nonetheless,
small
number
their
wide
variability
terms
aims,
parameters,
measures,
make
it
difficult
draw
firm
conclusions.
We
discuss
methodological
limitations
studies,
proposing
possible
solutions
future
avenues
improve
research
dementia.
Neuroscience & Biobehavioral Reviews,
Год журнала:
2024,
Номер
164, С. 105830 - 105830
Опубликована: Июль 26, 2024
Mirror
neurons
show
activity
during
both
the
execution
(AE)
and
observation
of
actions
(AO).
The
Neuron
System
(MNS)
could
be
involved
motor
imagery
(MI)
as
well.
Extensive
research
suggests
that
cerebellum
is
interconnected
with
MNS
may
critically
in
its
activities.
We
gathered
evidence
on
cerebellum's
role
functions,
theoretically
experimentally.
Evidence
shows
plays
a
major
AO
MI
lesions
impair
functions
likely
because,
by
modulating
cortical
inhibitory
interneurons
mirror
properties,
contribute
to
visuomotor
matching,
which
fundamental
for
shaping
properties.
Indeed,
strengthen
sensory-motor
patterns
minimise
discrepancy
between
predicted
actual
outcome,
AE
AO.
Furthermore,
through
connections
hippocampus,
might
internal
simulations
programs
MI.
Finally,
cerebellar
neuromodulation
improve
impact
activity,
we
explored
potential
neurophysiological
neurorehabilitation
implications.
The Egyptian Journal of Neurology Psychiatry and Neurosurgery,
Год журнала:
2024,
Номер
60(1)
Опубликована: Март 30, 2024
Abstract
Background
Neuropsychiatric
disorders
significantly
burden
individuals
and
society,
necessitating
the
exploration
of
innovative
treatment
approaches.
Non-invasive
brain
stimulation
techniques
have
emerged
as
promising
interventions
for
these
disorders,
offering
potential
therapeutic
benefits
with
minimal
side
effects.
This
narrative
review
provides
a
comprehensive
overview
non-invasive
techniques'
current
applications
future
directions
in
managing
neuropsychiatric
disorders.
Methods
A
thorough
search
relevant
literature
was
conducted
to
identify
studies
investigating
The
selected
were
critically
reviewed,
their
findings
synthesised
provide
state
knowledge
field.
Results
highlights
including
major
depressive
disorder,
Parkinson's
disease,
schizophrenia,
insomnia,
cognitive
impairments.
It
presents
evidence
supporting
efficacy
modulating
activity,
alleviating
symptoms,
enhancing
functions.
Furthermore,
addresses
challenges
such
interindividual
variability,
optimal
target
site
selection,
standardisation
protocols.
also
discusses
directions,
exploring
novel
sites,
personalised
protocols,
integrating
other
modalities,
identifying
biomarkers
response.
Conclusion
offer
avenues
Further
research
is
necessary
optimise
establish
standardised
guidelines,
underscore
valuable
additions
armamentarium
treatments.