Application of repetitive transcranial magnetic stimulation in lower limb rehabilitation after stroke
李亚杰 1邢政 2褚晓蕾 2李奇2
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作者信息
1. 天津体育学院运动健康学院/天津市运动生理与运动医学重点实验室(天津 300381)
2. 天津医院康复医学科(天津 300211)
折叠
摘要
脑卒中是全球范围内致残致死的重要因素,偏瘫是其主要临床症状,下肢运动功能障碍是最常见的并发症之一,严重影响患者的步行能力及日常生活活动能力,给社会经济和个人健康带来了巨大负担.如何有效促进脑卒中后患者的下肢功能康复,是临床康复需解决的难题.重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)作为一种无创、无痛的神经调控技术,近年来成为改善脑卒中患者肢体功能障碍新的补充手段,广泛应用于脑卒中后运动功能障碍的恢复并取得了较好成效.本综述主要总结了 TMS、rTMS及其不同刺激模式、双侧脑部rTMS及个体化靶向TMS在脑卒中患者下肢康复中的应用,以期为相关研究和临床应用提供参考.
Abstract
Stroke is an important factor causing disability and death worldwide,and post-stroke hemiplegia is the main clinical symptom of patients.Lower limb motor dysfunction is one of the most common complications,seriously affecting patients'walking ability and daily living activities,and bringing huge burden to social economy and personal health.How to effectively promote the rehabilitation of lower limb function in stroke patients is a challenge that needs to be addressed in clinical rehabilitation.Repetitive transcranial magnetic stimulation(rTMS),as a non-invasive and painless neural regulation technique,has become a new supplementary method for improving limb dysfunction in stroke patients in recent years.It has been widely used to recover post-stroke motor dysfunction and has achieved good results.This review mainly summarized the application of TMS,rTMS and their different stimulation modes,bilateral brain rTMS,and individnalized targeted TMS in lower limb rehabilitation of stroke patients,to provide reference for related research and clinical applications.
关键词
脑卒中/经颅磁刺激/重复经颅磁刺激/下肢/康复
Key words
Stroke/Transcranial magnetic stimulation/Repetitive transcranial magnetic stimulation/Lower limb/Rehabilitation
维普
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