Dept of Biomedical Sciences and Biotechnologies, National Institute of Neuroscience, University of Brescia, Brescia, Italy.
Neuropsychol Rehabil. 2011 Oct;21(5):579-601. doi: 10.1080/09602011.2011.562689. Epub 2011 Jun 24.
Repetitive transcranial magnetic stimulation (rTMS) can generate an increase or a decrease of neuronal excitability, which can modulate cognition and behaviour. Transcranial magnetic stimulation-induced cortical changes have been shown to result in neural plasticity. Thus, TMS provides an important opportunity to gain more insight into the mechanisms responsible for the remarkable flexibility of the central nervous system. The aim of this review was to cover the topics that could be useful when using TMS in the cognitive rehabilitation field after brain damage. The basic TMS principles are introduced, together with the clinical application for diagnosis and prognosis, the biological aspects, and the use in cognitive neuroscience studies. Finally, several hypotheses are discussed to explain the likely mechanisms induced by TMS that favour the recovery of a function after brain damage and cause the adult brain to undergo plasticity. The possibility of non-invasively interacting with the functioning of the brain and its plasticity mechanisms - a possibility that may eventually lead to cognitive and behavioural modifications - opens new and exciting scenarios in the cognitive neurorehabilitation field.
重复经颅磁刺激(rTMS)可以引起神经元兴奋性的增加或减少,从而调节认知和行为。经颅磁刺激诱导的皮质变化已被证明导致神经可塑性。因此,TMS 提供了一个重要的机会,可以更深入地了解中枢神经系统显著灵活性的机制。本综述的目的是涵盖在脑损伤后的认知康复领域中使用 TMS 时可能有用的主题。介绍了基本的 TMS 原理,以及用于诊断和预后的临床应用、生物学方面以及在认知神经科学研究中的应用。最后,讨论了几个假设来解释 TMS 诱导的可能机制,这些机制有利于脑损伤后功能的恢复,并使成人大脑经历可塑性。非侵入性地与大脑的功能及其可塑性机制相互作用的可能性——这一可能性最终可能导致认知和行为的改变——为认知神经康复领域开辟了新的令人兴奋的前景。
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