中医康复2024，Vol.1Issue(1)：51-57,7.DOI:10.19787/j.issn.2097-3128.2024.01.011
理论模型及刺激靶点在重复经颅磁刺激促进中风患者上肢运动功能恢复中的研究进展
Advances of Theoretical Models and Stimulation Targets in Repetitive Transcranial Magnetic Stimulation to Promote Upper Limb Motor Function Recovery in Stroke Patients
摘要
Abstract
Repetitive transcranial magnetic stimulation has been extensively used in clinical practice to promote the recovery of upper limb motor function in stroke patients.There are currently three theoretical models to guide the application of repetitive transcranial magnetic stimulation:The vi-cariation model is based on brain plasticity.The interhemispheric competition model emphasizes the balance of excitability in the bilateral hemi-spheres after stroke.In clinical practice,most studies were mainly conducted according to the interhemispheric competition model and adopted the in-tervention method of low-frequency inhibition in the unaffected hemisphere or high-frequency excitation in the affected hemisphere,but the inter-hemispheric competition model may not be applicable for severe stroke patients.Based on the vicariation model and the interhemispheric competi-tion model,a more comprehensive bimodal balance-recovery model is proposed.It introduces the concept of structural reserve and brings the vicaria-tion model into the research perspective,emphasizing the importance of the unaffected hemisphere for severe stroke patients,but there is currently no standardized method for measuring structural reserve,which can still be problematic in practical applications.Therefore,a better standardized method of differentiating stroke severity may be beneficial for the clinical application of repetitive transcranial magnetic stimulation.Most studies also focused stimulation target on the primary motor cortex,but stimulation of the primary motor cortex did not always obtain a significant therapeu-tic effect.For this reason,Some studies have proposed new targets and multi-target stimulation.This paper briefly discusses the application of theo-retical models and relevant stimulation targets in repetitive transcranial magnetic stimulation to promote the recovery of upper limb motor function in stroke patients,in order to better promote the recovery of upper limb motor function after stroke.关键词
中风/重复经颅磁刺激/理论模型/刺激靶点/上肢运动功能Key words
stroke/repetitive transcranial magnetic stimulation/theoretical model/stimulation target/upper limb motor function分类
医药卫生引用本文复制引用
陈颜峰,王茂源,罗云,陶茜,彭徐苗,胡浩,钟燕彪..理论模型及刺激靶点在重复经颅磁刺激促进中风患者上肢运动功能恢复中的研究进展[J].中医康复,2024,1(1):51-57,7.基金项目
江西省中医药管理局科技计划(2021B335) （2021B335）
心脑血管疾病防治教育部重点实验室开放课题资助(XN202012) （XN202012）
