| 刘天昊,
，唐芷晴,
，王荣荣
，张皓,,,.不同模式经颅磁刺激治疗脑卒中后上肢运动功能障碍的研究进展[J].神经损伤功能重建,2024,(10):589-592 |
| 不同模式经颅磁刺激治疗脑卒中后上肢运动功能障碍的研究进展 |
| Progress in Research of Different Modes of Transcranial Magnetic Stimulation for Upper LimbMotor Dysfunction after Stroke |
| |
| DOI： |
| 中文关键词: 脑卒中 上肢运动功能 经颅磁刺激 |
| 英文关键词: stroke upper limb motor function transcranial magnetic stimulation |
| 基金项目:中国康复研究中心
重 点 课 题 （No.
2021ZX-02）；
首都卫生发展科研
专项项目（No. 首
发2020-1-6011） |
|
| 摘要点击次数: 20 |
| 全文下载次数: 14 |
| 中文摘要: |
| 脑卒中幸存者常伴有不同程度的上肢运动功能障碍，导致患者独立生活受到不同程度的限制，恢复
上肢运动功能是重获日常生活活动能力的关键。经颅磁刺激（TMS）是一种无创神经调控技术，已广泛应用
于脑卒中康复。本文对TMS作用机制及不同模式TMS在脑卒中后上肢运动功能障碍的应用研究进展进行
综述。已经有较多证据支持重复经颅磁刺激（rTMS）改善上肢运动功能的疗效，而θ节律爆发式磁刺激
（TBS）及成对关联刺激（PAS）的研究较少，机制尚未明确且疗效争议较大。未来应进一步探索TMS治疗脑
卒中后上肢运动功能障碍的新靶点及最佳治疗参数，为脑卒中患者制定个性化的TMS治疗方案。 |
| 英文摘要: |
| Survivors of stroke often have varying degrees of upper limb motor dysfunction, which limits their
independence in daily life. Restoring upper limb motor function is crucial for regaining the ability to perform
activities of daily living. Transcranial magnetic stimulation (TMS) is a non-invasive neuromodulation technique
that has become an important tool in stroke rehabilitation in recent years. This article reviews the progress in the
application of different modes of TMS in the treatment of upper limb motor dysfunction after stroke, including
the mechanism of action and therapeutic effects. There is substantial evidence supporting the efficacy of
repetitive TMS (rTMS) in improving upper limb motor function, while there is limited research on theta burst
stimulation (TBS) and paired associative stimulation (PAS), and their mechanisms are still unclear with
controversies regarding their effectiveness. Future research should focus on exploring new targets and optimal
treatment parameters for TMS in treating upper limb motor dysfunction after stroke, in order to develop
personalized TMS treatment plans for stroke patients. |
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