文章摘要
重复经颅磁刺激在脑卒中康复治疗中应用的研究进展
Research Advances in the Application of Repetitive Transcranial Magnetic Stimulation in Stroke Rehabilitation Treatment
投稿时间:2023-10-16  修订日期:2023-10-16
DOI:
中文关键词: 重复经颅磁刺激  脑卒中  康复治疗
英文关键词: repetitive transcranial magnetic stimulation  stroke  rehabilitation therapy
基金项目:
作者单位邮编
黄蓉 上海健康医学院附属赫尔森康复医院 201615
王良意 上海健康医学院附属赫尔森康复医院 
王晓亚 上海健康医学院附属赫尔森康复医院 201615
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中文摘要:
      本文主要介绍rTMS在脑卒中运动功能、语言功能和认知功能康复中的应用,分析其对脑卒中后遗症康复的疗效和影响因素,讨论rTMS参数设置和康复方案设计的优化,并总结rTMS在脑卒中康复中面临的临床实践问题和未来发展的展望。rTMS的基本原理主要是通过变化的磁场来调节特定脑区的神经元活动,从而实现大脑区域的兴奋性或抑制性调控。这种治疗方式为脑卒中康复带来新的治疗途径。由于rTMS可增强受损脑区周围神经元的活动,从而促进运动功能和言语能力的恢复,近年来被广泛应用于脑卒中患者上肢功能障碍、语言障碍和认知功能障碍的恢复。研究表明,rTMS能显著改善患者的上肢运动能力,提高言语流利度和理解能力,并增强认知功能。然而,由于脑卒中患者的个体差异较大,因此需要制定个性化的rTMS治疗方案。在rTMS治疗中,参数设置和康复方案的优化对于治疗效果至关重要。参数设置包括刺激频率、刺激强度、刺激时长和刺激位置。通过调整这些参数,可以实现不同治疗效果。然而,在临床实践中,治疗参数的个体化选择、治疗时间和疗程的确定等问题仍然需要更多的研究支持和探索。尽管rTMS在脑卒中康复中取得了一定的成果,但在临床实践中仍然面临一些问题。因此,需要更大的样本量和更长期的随访,以进一步验证rTMS的疗效和长期效果。rTMS作为一种新型的康复治疗手段,在脑卒中康复中具有巨大的潜力。随着研究的不断深入,相信能为临床提供更加有效的rTMS治疗策略,并在临床实践中更好地应用和推广,提高脑卒中患者的生活质量和功能恢复水平。未来,进一步深入研究rTMS在不同类型脑卒中康复中的应用,将有助于优化治疗方案,更好地满足患者个体化的治疗需求,从而提高康复治疗的效果和成效。
英文摘要:
      This article primarily focuses on the application of rTMS in the rehabilitation of motor, language, and cognitive functions in post-stroke patients. It analyzes its efficacy and influencing factors in the recovery of post-stroke sequelae, discusses the optimization of rTMS parameters and rehabilitation program design, and summarizes the clinical practice challenges and future prospects of rTMS in stroke rehabilitation.The fundamental principle of rTMS involves modulating the neural activity in specific brain regions by varying magnetic fields, thereby achieving excitatory or inhibitory regulation of brain areas. This therapeutic approach introduces a new avenue for stroke rehabilitation. However, due to significant individual variations among stroke patients, personalized rTMS treatment plans are necessary.In rTMS therapy, the optimization of parameters and rehabilitation programs is crucial for treatment effectiveness. These parameters include stimulation frequency, stimulation intensity, stimulation duration, and stimulation site. Adjusting these parameters allows for the achievement of different therapeutic outcomes.While rTMS has shown promise in stroke rehabilitation, it still faces certain challenges in clinical practice. Thus, further research with larger sample sizes and long-term follow-up is required to validate the efficacy and long-term effects of rTMS. As a novel rehabilitation tool, rTMS holds significant potential in stroke recovery. With ongoing research, it is believed that more effective rTMS treatment strategies can be provided for clinical application, enhancing the quality of life and functional recovery for stroke patients.In the future, delving deeper into the application of rTMS in various types of stroke rehabilitation will aid in optimizing treatment plans and better meeting the individualized treatment needs of patients, ultimately improving the effectiveness and outcomes of rehabilitation.
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