大脳運動野上肢領域への低頻度反復性経頭蓋磁気刺激が，対側大脳運動野下肢領域の神経活動性に与える影響
〔目的〕大脳運動野上肢領域に適用された低頻度反復性経頭蓋磁気刺激（以下低頻度rTMS）が対側大脳運動野下肢領域に及ぼす影響を明らかにする．〔対象〕右利きの健常人16名．〔方法〕左大脳運動野上肢領域に低頻度rTMS又はsham刺激を行い，左上下肢筋のMotor evoked potential （以下MEP）を測定．〔結果〕低頻度rTMS前後の左上肢FDI （first dorsal interosseous:以下FDI）及び左下肢TA （tibial anterior:以下TA）のMEPの振幅は有意に増加，sham刺激前後では有意な減少を示した．〔結語〕健側大脳運動野上肢領域への低頻度rTMS...
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| Published in | 理学療法科学 Vol. 28; no. 3; pp. 297 - 301 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
理学療法科学学会
2013
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1341-1667 2434-2807 |
| DOI | 10.1589/rika.28.297 |
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| Abstract | 〔目的〕大脳運動野上肢領域に適用された低頻度反復性経頭蓋磁気刺激（以下低頻度rTMS）が対側大脳運動野下肢領域に及ぼす影響を明らかにする．〔対象〕右利きの健常人16名．〔方法〕左大脳運動野上肢領域に低頻度rTMS又はsham刺激を行い，左上下肢筋のMotor evoked potential （以下MEP）を測定．〔結果〕低頻度rTMS前後の左上肢FDI （first dorsal interosseous:以下FDI）及び左下肢TA （tibial anterior:以下TA）のMEPの振幅は有意に増加，sham刺激前後では有意な減少を示した．〔結語〕健側大脳運動野上肢領域への低頻度rTMSにより，対側大脳運動野上肢領域のみならず，対側大脳運動野下肢領域の神経活性の亢進が示唆された． |
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| AbstractList | 「要旨:」〔目的〕大脳運動野上肢領域に適用された低頻度反復性経頭蓋磁気刺激(以下低頻度rTMS)が対側大脳運動野下肢領域に及ぼす影響を明らかにする. 〔対象〕右利きの健常人16名. 〔方法〕左大脳運動野上肢領域に低頻度rTMS又はsham刺激を行い, 左上下肢筋のMotor evoked potential(以下MEP)を測定. 〔結果〕低頻度rTMS前後の左上肢FDI(first dorsal interosseous: 以下FDI)及び左下肢TA(tibial anterior: 以下TA)のMEPの振幅は有意に増加, sham刺激前後では有意な減少を示した. 〔結語〕健側大脳運動野上肢領域への低頻度rTMSにより, 対側大脳運動野上肢領域のみならず, 対側大脳運動野下肢領域の神経活性の亢進が示唆された. 〔目的〕大脳運動野上肢領域に適用された低頻度反復性経頭蓋磁気刺激（以下低頻度rTMS）が対側大脳運動野下肢領域に及ぼす影響を明らかにする．〔対象〕右利きの健常人16名．〔方法〕左大脳運動野上肢領域に低頻度rTMS又はsham刺激を行い，左上下肢筋のMotor evoked potential （以下MEP）を測定．〔結果〕低頻度rTMS前後の左上肢FDI （first dorsal interosseous:以下FDI）及び左下肢TA （tibial anterior:以下TA）のMEPの振幅は有意に増加，sham刺激前後では有意な減少を示した．〔結語〕健側大脳運動野上肢領域への低頻度rTMSにより，対側大脳運動野上肢領域のみならず，対側大脳運動野下肢領域の神経活性の亢進が示唆された． |
| Author | 原島, 宏明 渡辺, 重人 頼経, 貴正 吉田, 豊 安保, 雅博 今井, 正也 宮野, 佐年 佐藤, 優史 角田, 亘 |
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| References | 9) Dum RP, Strick PL: Frontal lobe inputs to the digit representations of the motor areas on the lateral surface of the hemisphere. J Neurosci, 2005, 25(6): 1375-1386. 11) Sanes JN, Donoghue JP, Thangaraj V, et al.: Shared neural substrates controlling hand movements in human motor cortex. Science, 1995, 268(5218): 1775-1777. 22) Byblow WD, Coxon JP, Stinear CM, et al.: Functional connectivity between secondary and primary motor areas underlying hand-foot coordination. J Neurophysiol, 2007, 98(1): 414-422. 2) Kakuda W, Abo M, Kaito N, et al.: Six-day course of repetitive transcranial magnetic stimulation plus occupational therapy for post-stroke patients with upper limb hemiparesis: a case series study. Disability and Rehabilitation, 2010, 32(10): 801-807. 13) He SQ, Dum RP, Strick PL, et al.: Topographic organization of corticospinal projections from the frontal lobe motor areas on the medial surface of the hemisphere. J Neurosci, 1995, 15(5 Pt 1): 3284-3306. 20) Carson RG, Goodman D, Kerso JA, et al.: Phase transitions and critical fluctuations in rhythmic coordination of ipsilateral hand and foot. J Mot Behav, 1995, 27(3): 211-224. 6) Zarei M, Johansen-Berg H, Smith S, et al.: Functional anatomy of interhemispheric cortical connections in the human brain. J Anat, 2006, 209(3): 311-320. 23) Baldissera F, Borroni P, Cavallari P, et al.: Exitability change in human corticospinal projections to forearm muscles during voluntary movement of ipsilaterl foot. J Physiol, 2002, 539(Pt3): 903-911. 17) 南部 篤：大脳基底核のsomatotopy. Brain Nerve，2009，61(12): 1383-1394. 19) Takashi H: Imaging of the neural substrates involved in the control of human bipedal gait. Equilibrium Res, 2009, 68(3): 176-182. 21) Jeka JJ, Kelso JA: Manipulating symmetry in the coordination dynamics of human movement. J Exp Psychol Hum Percept Perform, 1995, 21(2): 360-374. 12) He SQ, Dum RP, Strick PL, et al.: Topographic organization of corticospinal projections from the frontal lobe: motor areas on the lateral surface of the hemisphere. J Neurosci, 1993, 13(3): 952-980. 15) 高草木薫：大脳基底核による運動制御．臨床神経学，2009，49(6): 325-334. 18) 宮地重弘：大脳皮質―大脳基底核回路の構造―平行ループ回路と収束・発散回路．Brain Nerve，2009，61(4): 351-359. 7) Boussaoud D, Tanné-Gariépy J, Wannier T, et al.: Callosal connections of dorsal versus ventral premotor areas in the macaque monkey: a multiple retrograde tracing study. BMC Neurosci, 2005, 25(6): 67. 5) Wahl M, Lauterbach-Soon B, Hattingen E, et al.: Human motor corpus callosum topography, somatotopy, and link between microstructure and function. J Neurosci, 2007, 27(45): 12132-12138. 14) Brouwer B, Ashby P: Corticospinal projections to lower limb motoneurons in man. Exp Brain Res, 1992, 89(3): 649-654. 10) Huntley GW, Jones EG: Relationship of intrinsic connections to forelimb movement representations in monkey motor cortex: a correlative anatomic and physiological study. J Neurophysiol, 1991, 66(2): 390-413. 24) Liepert J, Terborg C, Weiller C: Motor plasticity induced by synchronized thumb and foot movements. Exp Brain Res, 1999, 125(4): 435-439. 1) Kakuda W, Abo M, Kobayashi K, et al.: Low-frequency repetitive transcranial magnatic stimulation and intensive occupational therapy for poststroke patients with upper limb hemiparesis: preliminary study of a 15-day protocol. Int J Rehabil Res, 2010, 33(4): 339-345. 3) Barker AT: The history and basic principles of magnetic nerve stimulation. Electroencephalogr Clin Neurophysiol (suppl), 1999, 51: 3-21. 8) Matsumoto R, Nair DR, Lapresto E, et al.: Functional connectivity in human cortical motor system: a cortico-cortical evoked potential study. Brain, 2007, 130(Pt1): 181-197. 16) 南部 篤：直接路・間接路・ハイパー直接路の機能．Brain Nerve，2009，61(4): 360-372. 4) Febert A, Priori A, Rothwell JC, et al.: Interhemispheric inhibition of the human motor cortex. J physiol, 1992, 453: 525-546. |
| References_xml | – reference: 6) Zarei M, Johansen-Berg H, Smith S, et al.: Functional anatomy of interhemispheric cortical connections in the human brain. J Anat, 2006, 209(3): 311-320. – reference: 17) 南部 篤：大脳基底核のsomatotopy. Brain Nerve，2009，61(12): 1383-1394. – reference: 3) Barker AT: The history and basic principles of magnetic nerve stimulation. Electroencephalogr Clin Neurophysiol (suppl), 1999, 51: 3-21. – reference: 5) Wahl M, Lauterbach-Soon B, Hattingen E, et al.: Human motor corpus callosum topography, somatotopy, and link between microstructure and function. J Neurosci, 2007, 27(45): 12132-12138. – reference: 1) Kakuda W, Abo M, Kobayashi K, et al.: Low-frequency repetitive transcranial magnatic stimulation and intensive occupational therapy for poststroke patients with upper limb hemiparesis: preliminary study of a 15-day protocol. Int J Rehabil Res, 2010, 33(4): 339-345. – reference: 2) Kakuda W, Abo M, Kaito N, et al.: Six-day course of repetitive transcranial magnetic stimulation plus occupational therapy for post-stroke patients with upper limb hemiparesis: a case series study. Disability and Rehabilitation, 2010, 32(10): 801-807. – reference: 13) He SQ, Dum RP, Strick PL, et al.: Topographic organization of corticospinal projections from the frontal lobe motor areas on the medial surface of the hemisphere. J Neurosci, 1995, 15(5 Pt 1): 3284-3306. – reference: 14) Brouwer B, Ashby P: Corticospinal projections to lower limb motoneurons in man. Exp Brain Res, 1992, 89(3): 649-654. – reference: 21) Jeka JJ, Kelso JA: Manipulating symmetry in the coordination dynamics of human movement. J Exp Psychol Hum Percept Perform, 1995, 21(2): 360-374. – reference: 24) Liepert J, Terborg C, Weiller C: Motor plasticity induced by synchronized thumb and foot movements. Exp Brain Res, 1999, 125(4): 435-439. – reference: 7) Boussaoud D, Tanné-Gariépy J, Wannier T, et al.: Callosal connections of dorsal versus ventral premotor areas in the macaque monkey: a multiple retrograde tracing study. BMC Neurosci, 2005, 25(6): 67. – reference: 20) Carson RG, Goodman D, Kerso JA, et al.: Phase transitions and critical fluctuations in rhythmic coordination of ipsilateral hand and foot. J Mot Behav, 1995, 27(3): 211-224. – reference: 10) Huntley GW, Jones EG: Relationship of intrinsic connections to forelimb movement representations in monkey motor cortex: a correlative anatomic and physiological study. J Neurophysiol, 1991, 66(2): 390-413. – reference: 12) He SQ, Dum RP, Strick PL, et al.: Topographic organization of corticospinal projections from the frontal lobe: motor areas on the lateral surface of the hemisphere. J Neurosci, 1993, 13(3): 952-980. – reference: 18) 宮地重弘：大脳皮質―大脳基底核回路の構造―平行ループ回路と収束・発散回路．Brain Nerve，2009，61(4): 351-359. – reference: 15) 高草木薫：大脳基底核による運動制御．臨床神経学，2009，49(6): 325-334. – reference: 11) Sanes JN, Donoghue JP, Thangaraj V, et al.: Shared neural substrates controlling hand movements in human motor cortex. Science, 1995, 268(5218): 1775-1777. – reference: 16) 南部 篤：直接路・間接路・ハイパー直接路の機能．Brain Nerve，2009，61(4): 360-372. – reference: 9) Dum RP, Strick PL: Frontal lobe inputs to the digit representations of the motor areas on the lateral surface of the hemisphere. J Neurosci, 2005, 25(6): 1375-1386. – reference: 4) Febert A, Priori A, Rothwell JC, et al.: Interhemispheric inhibition of the human motor cortex. J physiol, 1992, 453: 525-546. – reference: 19) Takashi H: Imaging of the neural substrates involved in the control of human bipedal gait. Equilibrium Res, 2009, 68(3): 176-182. – reference: 22) Byblow WD, Coxon JP, Stinear CM, et al.: Functional connectivity between secondary and primary motor areas underlying hand-foot coordination. J Neurophysiol, 2007, 98(1): 414-422. – reference: 23) Baldissera F, Borroni P, Cavallari P, et al.: Exitability change in human corticospinal projections to forearm muscles during voluntary movement of ipsilaterl foot. J Physiol, 2002, 539(Pt3): 903-911. – reference: 8) Matsumoto R, Nair DR, Lapresto E, et al.: Functional connectivity in human cortical motor system: a cortico-cortical evoked potential study. Brain, 2007, 130(Pt1): 181-197. |
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| Snippet | 〔目的〕大脳運動野上肢領域に適用された低頻度反復性経頭蓋磁気刺激（以下低頻度rTMS）が対側大脳運動野下肢領域に及ぼす影響を明らかにする．〔対象〕右利きの健常人16名．〔... 「要旨:」〔目的〕大脳運動野上肢領域に適用された低頻度反復性経頭蓋磁気刺激(以下低頻度rTMS)が対側大脳運動野下肢領域に及ぼす影響を明らかにする. 〔対象〕右利きの健常人16... |
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| SubjectTerms | Motor evoked potential 反復性経頭蓋磁気刺激 運動野 |
| Title | 大脳運動野上肢領域への低頻度反復性経頭蓋磁気刺激が，対側大脳運動野下肢領域の神経活動性に与える影響 |
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