多焦点经颅直流电刺激对健康老年人双任务姿势控制的影响
DOI:
CSTR:
作者:
作者单位:

上海体育大学

作者简介:

通讯作者:

中图分类号:

基金项目:


Effect of multi-target transcranial direct current stimulation on performance of dual-task postural control in healthy olders
Author:
Affiliation:

Shanghai university of sport

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:双任务姿势控制能力下降会增加跌倒风险,而老年人执行双任务姿势控制时需要更多注意力资源。本研究基于背侧注意网络(DAN)和默认网络(DN)两个注意力相关脑网络,探究多焦点经颅直流电刺激(tDCS)能否改善健康老年人的双任务姿势控制表现。 方法:本研究为随机、双盲、交叉实验设计。共招募30名健康老年人,22名完成测试。健康老年人随机接受tDCS和假刺激,两次刺激间隔至少一周。tDCS方案旨在促进DAN的兴奋性并抑制DN的兴奋性,刺激时长为20分钟(DAN+/DN-tDCS);假刺激方案仅持续1分钟(刺激开始和结束各30秒)。在每次干预前后,通过Kistler测力台采集受试者在进行睁闭眼条件下的单双任务姿势控制测试的压力中心(COP)数据。采用双因素重复测量(刺激方案×刺激前后)方差分析评估刺激方案对受试者姿势控制表现各指标的影响。 结果:受试者完成了实验且未出现明显的不良反应。在睁眼双任务中,摆动合速度(F = 5.72,p = 0.021)和前后方向摆动速度(F = 5.085,p = 0.029)均存在显著交互作用,进一步分析发现在DAN+/DN-tDCS干预后前后方向摆动速度(p = 0.019)和摆动合速度(p = 0.01)下降。睁眼条件下的摆动面积双任务消耗(F = 8.727,p = 0.005)存在显著交互作用,进一步分析发现在DAN+/DN-tDCS干预后摆动面积双任务消耗降低(p = 0.038),假刺激干预后摆动面积双任务消耗增加(p = 0.049)。 结论:本研究证实DAN+/DN-tDCS干预能够显著改善健康老年人双任务条件下的姿势控制表现(降低摆动速度、面积和双任务消耗),提示该方案具备提高老年人在双任务条件下姿势控制稳定性的潜力。

    Abstract:

    Objective: A decline in dual-task postural control abilities increases the risk of falls, and older adults require more attention resources when performing dual-task postural control. This study, based on the dorsal attention network (DAN) and the default network (DN), explores whether multi-focus transcranial direct current stimulation (tDCS) can enhance dual-task postural control in healthy older adults. Methods: This study followed a randomized, double-blind, crossover design. A total of 30 healthy older adults were recruited, with 22 completing the experiment. Participants were randomly assigned to either tDCS or sham stimulation, with at least one week between the two interventions. The tDCS protocol aimed to increase the excitability of the DAN and inhibit the excitability of the DN, with a stimulation duration of 20 minutes (DAN+/DN-tDCS). The sham stimulation lasted only 1 minute (with 30 seconds at both the start and end). Before and after each intervention, Center of Pressure (COP) data were collected using the Kistler force table while subjects performed a single-dual task postural control test with eyes open and closed. The effects of the intervention protocols on various indicators of postural control were analyzed using a two-factor repeated-measures ANOVA (stimulus protocol × pre/post-intervention). Results: Participants completed the experiment without any notable adverse effects. In the eyes-open dual-task condition, significant interactions were found in both the total swing velocity (F = 5.72, p = 0.021) and the anterior-posterior swing velocity (F = 5.085, p = 0.029). Further analysis indicated that following the DAN+/DN-tDCS intervention, both the anterior-posterior swing velocity (p = 0.019) and the total swing velocity (p = 0.01) decreased. A significant interaction was also observed in the swing area dual-task cost under the eyes-open condition (F = 8.727, p = 0.005), with subsequent analysis showing a reduction in the swing area dual-task cost after the DAN+/DN-tDCS intervention (p = 0.038), while the sham stimulation resulted in an increase in swing area dual-task cost (p = 0.049). Conclusion: This study demonstrates that the DAN+/DN-tDCS intervention can significantly improve postural control performance in healthy older adults under dual-task conditions (reducing swing velocity, area, and dual-task cost), indicating that this approach has potential to improve postural control stability in older adults when performing dual tasks.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2025-02-06
  • 最后修改日期:2025-03-26
  • 录用日期:2025-03-27
  • 在线发布日期:
  • 出版日期:
文章二维码
关闭