La neuromodulation fondée sur la rTMS affecte les mesures comportementales et l'activité du système nerveux autonome chez les enfants autistes

Titre original en anglais : Neuromodulation based on rTMS affects behavioral measures and autonomic nervous system activity in children with autism

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». deux auteur·ices de cette publication sont identifié·es comme autistes dans le projet.

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Sokhadze, G., Casanova, M., Kelly, D., Casanova, M., Russell, B., & Sokhadze, E. M. (2017). Neuromodulation based on rTMS affects behavioral measures and autonomic nervous system activity in children with autism. NeuroRegulation, 4(2), 65. https://doi.org/10.15540/nr.4.2.65

Publication date: 30/06/2017 Ajout dans AutiHub: 14/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
6
Auteur·ices de la publication identifié·es comme autistes
2 / 6 (33,3 %)
  1. Guela Sokhadze
  2. Manuel Casanova *
  3. Desmond Kelly
  1. Manuel Casanova *
  2. Brook Russell
  3. Estate M Sokhadze

Résumé

De nombreux enfants présentant un trouble du spectre de l'autisme (TSA) manifestent des symptômes associés à un dysfonctionnement du système nerveux autonome (SNA), indiquant une faible flexibilité psychophysiologique. Il est suggéré que les symptômes du TSA sont associés à des anomalies généralisées du système nerveux central, y compris des structures et des réseaux impliqués dans la régulation descendante du SNA. La stimulation magnétique transcrânienne répétitive (rTMS) a été suggérée comme une thérapie possible pour cibler les déficits de régulation du SNA dans le TSA. Dans la présente étude, nous avons utilisé une neuromodulation fondée sur la rTMS au niveau du cortex préfrontal dorsolatéral (DLPFC) afin de réduire l'activation sympathique et d'augmenter l'activité parasympathique chez des enfants présentant un TSA. Dans une étude portant sur 27 enfants autistes, nous avons administré une rTMS hebdomadaire à 0,5 Hz bilatéralement au niveau du DLPFC, avec enregistrement concomitant de l'activité autonome. L'analyse statistique des indices de variabilité de la fréquence cardiaque (VFC) dans les domaines temporel et fréquentiel, ainsi que du niveau de conductance cutanée (SCL), a révélé une forte régression linéaire pour la plupart des mesures de VFC et de SCL. Plusieurs scores d'évaluation comportementale parentale se sont améliorés après la TMS et ont montré une corrélation avec les résultats autonomes ; en particulier, les indices parasympathiques de VFC étaient négativement corrélés aux comportements répétitifs et stéréotypés, tandis que les indices d'activation sympathique présentaient une corrélation positive avec ces mêmes comportements. L'article examine les mécanismes neurobiologiques potentiels impliqués dans l'équilibre autonome après TMS et dans l'amélioration des comportements aberrants.

Many children with autism spectrum disorder (ASD) exhibit symptoms associated with autonomic nervous system (ANS) dysfunction indicative of low psychophysiological flexibility. It is suggested that ASD symptoms are associated with generalized abnormalities in the central nervous system, including structures and networks involved in the top-down regulation of the ANS. Repetitive transcranial magnetic stimulation (rTMS) has been suggested as a possible therapy to target ANS regulation deficits in ASD. In the current study we used neuromodulation based on rTMS over the dorsolateral prefrontal cortex (DLPFC) to reduce sympathetic arousal and increase parasympathetic activity in children with ASD. In a study on 27 children with autism we administered weekly 0.5 Hz rTMS bilaterally over the DLPFC with concurrent recording of autonomic activity. Statistical analysis of time and frequency domain heart rate variability (HRV) indices and skin conductance level (SCL) revealed a strong linear regression of most HRV and SCL measures. Several parental behavioral rating scores improved post-TMS and showed a correlation with autonomic outcomes, in particular parasympathetic indices of HRV negatively correlated with repetitive and stereotyped behaviors, while sympathetic arousal indices showed positive correlation with the same behaviors. The paper discusses potential neurobiological mechanisms involved in post-TMS autonomic balance and aberrant behavior improvements.

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Vue d’ensemble de la bibliographie citée

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Références citées
100
Avec un DOI
90
Sans DOI, à partir du texte brut de la bibliographie
9
1 / 100 (1,0 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
10 / 100 (10,0 %)
Références avec noms d’auteurices détectés
90 / 100 (90,0 %)
Sans nom d’auteurice détecté
10
Sans titre structuré
9
Sans identifiant stable
9
Références avec noms bruts d’auteurices restant à vérifier
10
Références avec problème de récupération des métadonnées externes
0
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Noms d’auteurices détectés dans la bibliographie citée
360
À partir du DOI ou de métadonnées externes
360
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
34
66 / 360 (18,3 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 294 / 360 (81,7 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
1 / 360 (0,3 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 1 / 66 (1,5 %). Personnes distinctes identifiées comme autistes : 1 / 282 (0,4 %).
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