Contribution du Cervelet Dans l'Adaptation Sensori-motrice Via Les Oscillations Gamma : le Cas de la Dystonie
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 63
- 试验地点
- 2
- 主要终点
- change in gamma oscillations power in the cerebellum during a sensorimotor adaptation task
研究概览
简要总结
Dystonia, a disabling disease with uncontrolled movement disorders was considered to be a manifestation of basal ganglia dysfunction, yet there is accumulating evidence from animal and human experiments that the cerebellum plays a prominent role in the pathophysiology of dystonia. Our recent results suggest a deficient cerebellar sensory encoding in dystonia, resulting in a decoupling of the motor component from the afferent information flow resulting from changes in the environment. An overall loss of gabaergic-mediated inhibition is at the forefront in dynamic changes in neural circuitry described in dystonia. In the mature brain gabaergic control the generation of temporal synchronies and oscillations in the glutamatergic neurons. Taken these all together with the results of a pilot experiment, the investigators hypothesize that deficient synchronies in the fast gamma range are one of the key mechanisms leading to abnormal communication inside the cerebello-cortical network in dystonia. The investigators aim first to demonstrate it by means of MEG (Magneto encepholography) recordings allowing to reconstruct the spatio-temporal dynamics of gamma oscillations in the nodes of the cerebello-cortical network. The investigators then aim to re-establish (if lost) or boost (if decreased) the defective synchronies by applying to the cerebellum at high gamma frequency a non invasive transcranial alternative current stimulation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •primary upper limb dystonia
- •normal physical and neurological examination except for dystonia
- •no treatment with botulinum toxin during the three months preceding the study
排除标准
- •Writing tremor
- •current neurological or psychiatric illness other than dystonia
- •uncontrollable medical problems not related to dystonia
- •pregnancy, breast feeding women and women who are of childbearing age and not practicing adequate birth control
研究组 & 干预措施
Healthy subjects
healthy subjects will receive either sham or active cerebellar stimulation
干预措施: active cerebellar stimulation (Other)
Healthy subjects
healthy subjects will receive either sham or active cerebellar stimulation
干预措施: sham cerebellar stimulation (Other)
Dystonia
dystonic patients will receive either sham or active cerebellar stimulation
干预措施: active cerebellar stimulation (Other)
Dystonia
dystonic patients will receive either sham or active cerebellar stimulation
干预措施: sham cerebellar stimulation (Other)
结局指标
主要结局
change in gamma oscillations power in the cerebellum during a sensorimotor adaptation task
时间窗: measures will be done at each of 3 visits: visit1, visit2 at expected average 7 days after visit1 and visit3 at expected average 14 days after visit1
MEG recording will be performed using a whole-head 306-channels MEG system (Elekta Neuromag® TriuxTM System) comprising 204 planar gradiometers and 102 magnetometers regularly distributed at 102 locations over the scalp. MEG data will be coregistered with the structural MRI of each subject using BrainStorm (http://neuroimage.usc.edu/brainstorm). The localization of the source will be constrained with the individual anatomy obtained with MRI.
次要结局
- synchrony in the gamma band between the cerebellum and the sensorimotor cortex(measures will be done at each of 3 visits: visit1, visit2 at expected average 7 days after visit1 and visit3 at expected average 14 days after visit1)
