帕金森病患者触觉脑区的功能与结构梯度

Functional and Structural Gradients in the Somatosensory Cortex of Parkinson’s Disease Patients

  • 摘要: 针对帕金森病(Parkinson’s disease,PD)患者具有躯体感觉运动功能障碍的病理问题,本研究提出了功能和结构梯度算法来深入探讨PD患者躯体感觉运动脑区的功能和结构异常. 本研究纳入76例PD患者及34例健康对照,所有PD患者均接受了为期两周的多学科强化康复治疗,并在治疗前后通过统一帕金森病评定量表第三部分进行运动功能的系统性评估. 对三组被试的躯体感觉运动脑区进行功能和结构梯度分析,结果显示功能第一梯度值的变化未呈现出一种在空间上逐渐降低的趋势,而结构第二梯度值呈现镜像分布. 本研究结果表明梯度算法证明了大脑结构与功能之间的解耦现象,并揭示了PD患者的触觉感知衰退机制.

     

    Abstract: Aiming at the pathological problem of somatosensory and motor functional disorders in patients with Parkinson’s disease (PD), a functional and structural gradient algorithm was proposed in this study to deeply explore the functional and structural abnormalities of somatosensory and motor brain regions in PD patients. Firstly, a group of persons was arranged for subject contrast, including 76 PD patients and 34 healthy persons. A multidisciplinary intensive rehabilitation treatment was arranged for all PD patients in two weeks, evaluating their motor functions before and after the treatment systematically based on the Unified Parkinson’s Disease Rating Scale III. And then, functional and structural gradient analyses were conducted on the somatosensory and motor brain regions of the three groups of subjects. The results show that the first functional gradient value changes without a gradually decreasing trend in space, while the second structural gradient value presents a mirror distribution. The results of this study indicate that the gradient algorithm can prove the decoupling phenomenon between brain structure and function, revealing the mechanism of tactile perception decline in PD patients.

     

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