不同时序经颅直流电刺激结合坐位太极拳云手对健康青年人脑皮质激活的功能性近红外光谱研究

doi:10.3969/j.issn.1006-9771.2025.10.003

Abstract

Abstract:

Objective To compare the effect of transcranial direct current stimulation (tDCS) combined with seated Taijiquan Yunshou in different sequences on brain functional activation in healthy youths.
Methods From September to December, 2024, 14 healthy young medical interns or probationers were recruited from the Fifth Hospital of Xiamen. They randomly completed three interventions in a crossover design: Yunshou training followed immediately by tDCS (Y-S group), tDCS intervention followed immediately by Yunshou training (S-Y group), and simultaneous implementation of tDCS intervention and Yunshou training (Sim group). Yunshou was practiced in a seated position. For tDCS, the anode was placed over the left primary motor cortex (M1), and the cathode over the right M1. Changes in oxyhemoglobin (HbO₂) concentration in the regions of interest were measured using functional near-infrared spectroscopy.
Results Three cases dropped down. The brain regions with significant differences before and after intervention included: CH3, CH7 and CH23 of right prefrontal cortex (PFC) in Y-S group; CH12 of left PFC in S-Y group; and CH9, CH10 and CH25 of the left PFC, CH13 and CH14 of the left sensorimotor cortex (SMC), CH15 of the right premotor and supplementary motor cortex (PMC), and CH16 of the right SMC in Sim group (P < 0.05). After intervention, HbO₂ concentration was the highest in the bilateral PFC, bilateral PMC and left SMC in the Y-S group (P < 0.05); and it was almost the same between Sim group and S-Y group (P > 0.05), except that of the right PFC decreased in Sim group.
Conclusion The sequential combination of brain-limb integrated regulation is a key factor influencing the immediate cortical activation pattern.

Key words: transcranial direct current stimulation, Taijiquan, Yunshou, cortical activation, sequential combination pattern, functional near-infrared spectroscopy, brain-limb coordinated rehabilitation

CLC Number:

R493

WANG Junwei, XU Qi, WANG Xinxin, HE Yiqi, WU Xinhong, ZHANG Yun. Effect of transcranial direct current stimulation combined with seated Taijiquan Yunshou in different sequences on cerebral cortical activation for healthy youths: a functional near-infrared spectroscopy study[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(10): 1128-1133.

Figures/Tables 4

Table 1

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Table 2

References 30

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ROI	n	通道
左PFC	9	CH8、CH9、CH10、CH11、CH12、CH24、CH25、CH26、CH27
右PFC	10	CH3、CH4、CH5、CH6、CH7、CH19、CH20、CH21、CH22、CH23
左PMC	5	CH28、CH29、CH33、CH34、CH35
右PMC	5	CH1、CH15、CH18、CH30、CH31
左SMC	3	CH13、CH14、CH32
右SMC	3	CH2、CH16、CH17

ROI	电-云组(n = 11)	云-电组(n = 11)	同步组(n = 11)	χ²值	P值	P值^a	P值^b	P值^c
左PFC	0.006±0.054	0.035±0.043	-0.001±0.058	21.475	< 0.001	0.026	0.140	< 0.001
右PFC	0.013±0.048	0.043±0.044	-0.002±0.049	36.873	< 0.001	0.004	0.014	< 0.001
左SMC	0.032±0.057	0.068±0.049	0.035±0.043	11.697	0.003	0.006	1.000	0.014
右SMC	0.013±0.047	0.047±0.051	0.028±0.032	4.424	0.109
左PMC	0.042±0.051	0.076±0.054	0.055±0.048	17.782	< 0.001	< 0.001	1.000	0.005
右PMC	0.029±0.052	0.053±0.063	0.031±0.035	9.855	0.007	0.023	1.000	0.017

Effect of transcranial direct current stimulation combined with seated Taijiquan Yunshou in different sequences on cerebral cortical activation for healthy youths: a functional near-infrared spectroscopy study

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