eprintid: 10117137 rev_number: 21 eprint_status: archive userid: 608 dir: disk0/10/11/71/37 datestamp: 2020-12-14 11:04:53 lastmod: 2022-01-20 23:37:14 status_changed: 2020-12-14 11:04:53 type: article metadata_visibility: show creators_name: Erro, R creators_name: Antelmi, E creators_name: Bhatia, KP creators_name: Latorre, A creators_name: Tinazzi, M creators_name: Berardelli, A creators_name: Rothwell, JC creators_name: Rocchi, L title: Reversal of Temporal Discrimination in Cervical Dystonia after Low-Frequency Sensory Stimulation ispublished: inpress divisions: UCL divisions: B02 divisions: C07 divisions: D07 divisions: F84 divisions: F75 keywords: inhibition, temporal discrimination, pathophysiology, plasticity, somatosensory note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. abstract: BACKGROUND: Somatosensory temporal discrimination is abnormal in dystonia and reflects reduced somatosensory inhibition. In healthy individuals, both the latter are enhanced by high‐frequency repetitive somatosensory stimulation, whereas opposite effects are observed in patients with cervical dystonia. OBJECTIVES: We tested whether low‐frequency repetitive sensory stimulation, which in healthy individuals worsens discrimination, might have the opposite effect in patients with cervical dystonia at the physiological level and, in turn, improve their perceptual performance. METHODS: Somatosensory temporal discrimination and several electrophysiological measures of sensorimotor inhibition were collected before and after 45 minutes of low‐frequency repetitive sensory stimulation. RESULTS: As predicted, and opposite to what happened in controls, low‐frequency repetitive sensory stimulation in patients enhanced sensorimotor inhibition and normalized somatosensory temporal discrimination. CONCLUSIONS: Patients with cervical dystonia have an abnormal response to repetitive sensory stimulation, which we hypothesize is attributed to abnormally sensitive homeostatic mechanisms of inhibitory circuitry in both sensory and motor systems. date: 2020-11-07 date_type: published publisher: WILEY official_url: https://doi.org/10.1002/mds.28369 full_text_type: other language: eng verified: verified_manual elements_id: 1828479 doi: 10.1002/mds.28369 lyricists_name: Bhatia, Kailash lyricists_name: Latorre, Anna lyricists_name: Rocchi, Lorenzo lyricists_name: Rothwell, John lyricists_id: KPBHA96 lyricists_id: ALATO85 lyricists_id: LROCC06 lyricists_id: JCROT52 actors_name: Bhatia, Kailash actors_name: Taib, Linda actors_id: KPBHA96 actors_id: LTAIB41 actors_role: owner actors_role: impersonator full_text_status: restricted publication: Movement Disorders pages: 7 citation: Erro, R; Antelmi, E; Bhatia, KP; Latorre, A; Tinazzi, M; Berardelli, A; Rothwell, JC; Erro, R; Antelmi, E; Bhatia, KP; Latorre, A; Tinazzi, M; Berardelli, A; Rothwell, JC; Rocchi, L; - view fewer <#> (2020) Reversal of Temporal Discrimination in Cervical Dystonia after Low-Frequency Sensory Stimulation. Movement Disorders 10.1002/mds.28369 <https://doi.org/10.1002/mds.28369>. (In press). document_url: https://discovery-pp.ucl.ac.uk/id/eprint/10117137/3/Bhatia_Reversal%20of%20Temporal%20Discrimination%20in%20Cervical%20Dystonia%20after%20Low-Frequency%20Sensory%20Stimulation_AAM.pdf