Tác động của rung cơ đoạn chi dưới lên ức chế ruột não ngắn và khả năng kích thích tủy sống ở người khỏe mạnh

Springer Science and Business Media LLC - Tập 240 - Trang 311-320 - 2021
Kodai Miyara1,2, Seiji Etoh3, Kentaro Kawamura3, Atsuo Maruyama3, Takehiro Kuronita4, Akihiko Ohwatashi5, Megumi Shimodozono3
1Department of Rehabilitation, Kagoshima University Hospital, Kagoshima-city, Japan
2Doctoral Program, Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan
3Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
4Master’s Program, Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
5Faculty of Medicine, Course of Physical Therapy, School of Health Sciences, Kagoshima University, Kagoshima, Japan

Tóm tắt

Chúng tôi đã nghiên cứu tác động của rung cơ đoạn chi dưới (SMV) lên khả năng kích thích bên trong vỏ não và tủy sống ở 13 người tham gia khỏe mạnh (tuổi trung bình: 34,9 ± 7,8 năm, 12 nam, 1 nữ). Rung cơ SMV với tần số 30 Hz đã được áp dụng cho các cơ gân kheo, cơ chân sâu và cơ chày trong trong 5 phút. Các giao thức kích thích từ trường xuyên sọ đôi đã được sử dụng để điều tra biên độ tiềm năng động cơ (MEP), ức chế nội sọ ngắn (SICI) và kích thích nội sọ ngắn (SICF) từ cơ duỗi ngón chân cái (AbdH). Những đánh giá này được so sánh với kết quả từ một thí nghiệm đối chứng (tức là không rung) trên cùng một nhóm tham gia. Sóng F được đánh giá từ AbdH ở bên phải (bên rung) và bên trái (bên không rung), và chúng tôi tính toán tỷ lệ biên độ sóng F với biên độ phản ứng M (tỷ lệ F/M). Những đánh giá này đã được thực hiện trước khi rung, ngay sau khi rung, và 10, 20, và 30 phút sau khi SMV. Đối với SICI, không có thay đổi nào ngay lập tức sau khi SMV, nhưng có sự giảm dần theo thời gian (trước so với 30 phút sau, p = 0.021; ngay sau so với 30 phút sau, p = 0.015). Không có thay đổi nào trong biên độ MEP kiểm tra, SICF, hoặc tỷ lệ F/M. SMV gây ra sự giảm dần SICI theo thời gian có thể do hoạt hóa lâu dài. Kết quả hiện tại có thể có ý nghĩa trong việc điều trị chứng co cứng.

Từ khóa

#rung cơ #kích thích tủy sống #ức chế nội sọ #động cơ #người khỏe mạnh

Tài liệu tham khảo

Brogårdh C, Flansbjer UB, Lexell J (2012) No specific of whole-body vibration training in chronic stroke: a double-blind randomized controlled study. Arch Phys Med Rehabil 93:253–258. https://doi.org/10.1016/j.apmr.2011.09.005 Calabrò RS, Naro A, Russo M et al (2017) Is two better than one? Muscle vibration plus robotic rehabilitation to improve upper limb spasticity and function: A pilot randomized controlled trial. PLoS ONE 12:e0185936. https://doi.org/10.1371/journal.pone.0185936 Celletti C, Suppa A, Bianchini E et al (2020) Promoting post-stroke recovery through focal or whole body vibration: criticisms and prospects from a narrative review. Neurol Sci 41:11–24. https://doi.org/10.1007/s10072-019-04047-3 Chan KS, Liu CW, Chen TW, Weng MC, Huang MH, Chen CH (2012) Effects of a single session of whole body vibration on ankle plantar flexion spasticity and gait performance in patients with chronic stroke: a randomized controlled trial. Clin Rehabil 26:1087–1095. https://doi.org/10.1177/0269215512446314 Christova M, Rafolt D, Golaszewski S, Gallasch E (2011) Outlasting corticomotor excitability changes induced by 25 Hz whole-hand mechanical stimulation. Eur J Appl Physiol 111:3051–3059. https://doi.org/10.1007/s00421-011-1933-0 Ding Q, Triggs WJ, Kamath SM et al (2019) Short intracortical inhibition during voluntary movement reveals persistent impairment post-stroke. Front Neurol 9:1105. https://doi.org/10.3389/fneur.2018.01105 Eisen A, Odusote K (1979) Amplitude of the F wave: A potential means of documenting spasticity. Neurology 29:1306–1309. https://doi.org/10.1212/wnl.29.9_part_1.1306 Espiritu MG, Lin CS, Burke D (2003) Motoneuron excitability and the F wave. Muscle Nerve 27:720–727. https://doi.org/10.1002/mus.10388 Fisher MA (1988) F/M ratios in polyneuropathy and spastic hyperreflexia. Muscle Nerve 11:217–222. https://doi.org/10.1002/mus.880110305 Golaszewski SM, Bergmann J, Christova M et al (2010) Increased motor cortical excitability after whole-hand electrical stimulation: a TMS study. Clin Neurophysiol 121:248–254. https://doi.org/10.1016/j.clinph.2009.09.024 Higashihara M, Van den Bos MAJ, Menon P, Kiernan MC, Vucic S (2020) Interneuronal networks mediate cortical inhibition and facilitation. Clin Neurophysiol 131:1000–1010. https://doi.org/10.1016/j.clinph.2020.02.012 Huang M, Liao LR, Pang MY (2017) Effects of whole body vibration on muscle spasticity for people with central nervous system disorders: a systematic review. Clin Rehabil 31:23–33. https://doi.org/10.1177/0269215515621117 Jacobs KM, Donoghue JP (1991) Reshaping the cortical motor map by unmasking latent intracortical connections. Science 251:944–947. https://doi.org/10.1126/science.2000496 Kaneko T, Caria MA, Asanuma H (1994) Information processing within the motor cortex. II. Intracortical connections between neurons receiving somatosensory cortical input and motor output neurons of the cortex. J Comp Neurol 345:172–184. https://doi.org/10.1002/cne.90345020 Krause A, Gollhofer A, Freyler K, Jablonka L, Ritzmann R (2016) Acute corticospinal and spinal modulation after whole body vibration. J Musculoskelet Neuronal Interact 16:327–338 Kujirai T, Caramia MD, Rothwell JC et al (1993) Corticocortical inhibition in human motor cortex. J Physiol 126:501–519. https://doi.org/10.1113/jphysiol.1993.sp019912 Lapole T, Deroussen F, Pérot C, Petitjean M (2012) Acute effects of Achilles tendon vibration on soleus and tibialis anterior spinal and cortical excitability. Appl Physiol Nutr Metab 37:657–663. https://doi.org/10.1139/h2012-032 Lapole T, Temesi J, Gimenez P, Arnal PJ, Millet GY, Petitjean M (2015a) Achilles tendon vibration-induced changes in plantar flexor corticospinal excitability. Exp Brain Res 233:441–448. https://doi.org/10.1007/s00221-014-4125-4 Lapole T, Temesi J, Arnal PJ, Gimenez P, Petitjean M, Millet GY (2015b) Modulation of soleus corticospinal excitability during Achilles tendon vibration. Exp Brain Res 233:2655–2662. https://doi.org/10.1007/s00221-015-4336-3 Lin JZ, Floeter MK (2004) Do F-wave measurements detect changes in motor neuron excitability? Muscle Nerve 30:289–294. https://doi.org/10.1002/mus.20110 Marconi B, Filippi GM, Koch G et al (2011) Long-term effects on cortical excitability and motor recovery induced by repeated muscle vibration in chronic stroke patients. Neurorehabil Neural Repair 25:48–60. https://doi.org/10.1177/1545968310376757 McNeil CJ, Giesebrecht S, Gandevia SC, Taylor JL (2011) Behaviour of the motoneurone pool in a fatiguing submaximal contraction. J Physiol 589(Pt 14):3533–3544. https://doi.org/10.1113/jphysiol.2011.207191 Mileva KN, Bowtell JL, Kossev AR (2009) Effects of low-frequency whole-body vibration on motor-evoked potentials in healthy men. Exp Physiol 94:103–116. https://doi.org/10.1113/expphysiol.2008.042689 Miranov IG (1992) F-wave for assessment of segmental motoneuron excitability. Electromyogr Clin Neurophysiol 32:11–15 Miyara K, Matsumoto S, Uema T, Hirokawa T, Noma T, Shimodozono M, Kawahira K (2014) Feasibility of using whole body vibration as a means for controlling spasticity in post-stroke patients: a pilot study. Complement Ther Clin Pract 20:70–73. https://doi.org/10.1016/j.ctcp.2013.10.002 Miyara K, Matsumoto S, Uema T et al (2018) Effect of whole body vibration on spasticity in hemiplegic legs of patients with stroke. Top Stroke Rehabil 25:90–95. https://doi.org/10.1080/10749357.2017.1389055 Miyara K, Kawamura K, Matsumoto S et al (2020) Acute changes in cortical activation during active ankle movement after whole-body vibration for spasticity in hemiplegic legs of stroke patients: a functional near-infrared spectroscopy study. Top Stroke Rehabil 27:67–74. https://doi.org/10.1080/10749357.2019.1659639 Murillo N, Valls-Sole J, Vidal J, Opisso E, Medina J, Kumru H (2014) Focal vibration in neurorehabilitation. Eur J Phys Rehabil Med 50:231–242 Noma T, Matsumoto S, Etoh S, Shimodozono M, Kawahira K (2009) Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients. Brain Inj 23:623–631. https://doi.org/10.1080/02699050902997896 Noma T, Matsumoto S, Shimodozono M, Etoh S, Kawahira K (2012) Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients: a proof-of-principle study. J Rehabil Med 44:325–330. https://doi.org/10.2340/16501977-0946 Pang MY, Lau RW, Yip SP (2013) The effects of whole-body vibration therapy on bone turnover, muscle strength, motor function, and spasticity in chronic stroke: a randomized controlled trial. Eur J Phys Rehabil Med 49:439–450 Park YJ, Park SW, Lee HS (2018) Comparison of the effectiveness of whole body vibration in stroke patients: a meta-analysis. Biomed Res Int. https://doi.org/10.1155/2018/5083634 Perez MA, Lungholt BKS, Nyborg K, Nielsen JB (2004) Motor skill training induces changes in the excitability of the leg cortical area in healthy humans. Exp Brain Res 159:197–205. https://doi.org/10.1007/s00221-004-1947-5 Ridding MC, Taylor JL, Rothwell JC (1995) The effect of voluntary contraction on cortico-cortical inhibition in human motor cortex. J Physiol 487(Pt 2):541–548. https://doi.org/10.1113/jphysiol.1995.sp020898 Rocchi L, Suppa A, Leodori G, Celletti C, Camerota F, Rothwell J, Berardelli A (2018) Plasticity induced in the human spinal cord by focal muscle vibration. Front Neurol 9:935. https://doi.org/10.3389/fneur.2018.00935 Rosenkranz K, Rothwell JC (2003) Differential effect of muscle vibration on intracortical inhibitory circuits in humans. J Physiol 551(Pt 2):649–660 Rosenkranz K, Pesenti A, Paulus W, Tergau F (2003) Focal reduction of intracortical inhibition in the motor cortex by selective proprioceptive stimulation. Exp Brain Res 149:9–16 Rossini PM, Burke D, Chen R et al (2015) Non-invasive electrical and magnetic stimulation of the brain, spinal cord, roots and peripheral nerves: Basic principles and procedures for routine clinical and research application. An updated report from an I.F.C.N Committee. Clin Neurophysiol 126:1071–1107. https://doi.org/10.1016/j.clinph.2015.02.001 Souron R, Baudry S, Millet GY, Lapole T (2019) Vibration-induced depression in spinal loop excitability revisited. J Physiol 597:5179–5193. https://doi.org/10.1113/JP278469 Steyvers M, Levin O, Verschueren SM, Swinnen SP (2003) Frequency-dependent effects of muscle tendon vibration on corticospinal excitability: a TMS study. Exp Brain Res 151:9–14. https://doi.org/10.1007/s00221-003-1427-3 Tankisheva E, Bogaerts A, Boonen S, Feys H, Verschueren S (2014) Effects of intensive whole body vibration training on muscle strength and balance in adults with chronic stroke: a randomized controlled pilot study. Arch Phys Med Rehabil 95:439–446. https://doi.org/10.1016/j.apmr.2013.09.009 Tokimura H, Ridding MC, Tokimura Y, Amassian VE, Rothwell JC (1996) Short latency facilitation between pairs of threshold magnetic stimuli applied to human motor cortex. Electroencephalogr Clin Neurophysiol 101:263–272. https://doi.org/10.1016/0924-980x(96)95664-7 Van den Bos MAJ, Menon P, Howells J, Geevasinga N, Kiernan MC, Vucic S (2018) Physiological processes underlying short interval intracortical facilitation in the human motor cortex. Front Neurosci 12:240. https://doi.org/10.3389/fnins.2018.00240 Wagle-Shukla A, Ni Z, Gunraj CA, Bahl N, Chen R (2009) Effects of short interval intracortical inhibition and intracortical facilitation on short interval intracortical facilitation in human primary motor cortex. J Physiol 587(Pt 23):5665–5678. https://doi.org/10.1113/jphysiol.2009.181446 Winstein CJ, Stein J, Arena R et al (2016) Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 47:e98–e169. https://doi.org/10.1161/STR.0000000000000098 Ziemann U, Lönnecker S, Steinhoff BJ, Paulus W (1996) Effects of antiepileptic drugs on motor cortex excitability in humans: a transcranial magnetic stimulation study. Ann Neurol 40:367–378. https://doi.org/10.1002/ana.410400306