空军军医大学学报2024,Vol.45Issue(4) :446-449.DOI:10.13276/j.issn.2097-1656.2024.04.016

重复经颅磁刺激治疗脑卒中后运动功能障碍相关理论研究进展

Advances in theory research of repetitive transcranial magnetic stimulation in the treatment of motor dysfunction after stroke

赵瑞 吴相波 袁华 孙晓龙
空军军医大学学报2024,Vol.45Issue(4) :446-449.DOI:10.13276/j.issn.2097-1656.2024.04.016

重复经颅磁刺激治疗脑卒中后运动功能障碍相关理论研究进展

Advances in theory research of repetitive transcranial magnetic stimulation in the treatment of motor dysfunction after stroke

赵瑞 1吴相波 2袁华 2孙晓龙2
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作者信息

  • 1. 空军军医大学西京医院康复医学科,陕西西安 710032;西北大学生命科学学院,陕西西安 710069
  • 2. 空军军医大学西京医院康复医学科,陕西西安 710032
  • 折叠

摘要

如何更有效地促进脑卒中患者上肢运动功能恢复一直是康复医学的研究热点.大量研究表明,重复经颅磁刺激(rTMS)可以通过调控大脑可塑性,恢复受损大脑半球间平衡,从而促进上肢运动功能恢复.然而,临床研究发现大脑受损程度不同,相同治疗方案往往达不到一致的效果.患者卒中位置、损伤程度以及治疗时的刺激部位、频率等因素都是影响治疗效果的相关因素.本文从rTMS治疗脑卒中后患者运动功能障碍的相关理论依据,包括两侧大脑半球交互抑制理论、代偿理论、双相平衡模型以及不同理论之间的区别进行综述,以期为临床精准治疗提供参考.

Abstract

How to effectively promote the recovery of upper limb motor function in stroke patients has always been a research hotspot in rehabilitation medicine.A large number of studies have shown that repetitive transcranial magnetic stimulation(rTMS)can promote the recovery of upper limb motor function by regulating brain plasticity and restoring the balance between damaged cerebral hemispheres.However,clinical studies have found that different levels of brain damage often result in inconsistent results from the same treatment regimens.The location of stroke,degree of injury,stimulation site and frequency during treatment are all relevant factors affecting the therapeutic effect.This paper reviews the relevant theoretical basis of rTMS in the treatment of motor dysfunction in patients with stroke,including interhemispheric inhibition theory,compensatory theory,bimodal balance-recovery model,and the differences among them,so as to provide reference for clinical precision treatment.

关键词

脑卒中/重复经颅磁刺激/半球间抑制理论

Key words

stroke/repetitive transcranial magnetic stimulation/interhemispheric inhibition theory

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基金项目

陕西省自然科学基础研究计划(2019JQ-043)

出版年

2024
空军军医大学学报
第四军医大学

空军军医大学学报

CHSSCD
影响因子:0.372
ISSN:2097-1656
参考文献量26
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