Madhavan Sangeetha, Shah Bhakti
Department of Physical Therapy, University of Illinois Chicago, IL, USA.
Front Psychiatry. 2012 Jul 12;3:66. doi: 10.3389/fpsyt.2012.00066. eCollection 2012.
In the past few years, there has been a rapid increase in the application of non-invasive brain stimulation to study brain-behavior relations in an effort to potentially increase the effectiveness of neuro-rehabilitation. Transcranial direct current stimulation (tDCS), an emerging technique of non-invasive brain stimulation, has shown to produce beneficial neural effects in consequence with improvements in motor behavior. tDCS has gained popularity as it is economical, simple to use, portable, and increases corticospinal excitability without producing any serious side effects. As tDCS has been increasingly investigated as an effective tool for various disorders, numerous improvements, and developments have been proposed with respect to this technique. tDCS has been widely used to identify the functional relevance of particular brain regions in motor skill learning and also to facilitate activity in specific cortical areas involved in motor learning, in turn improving motor function. Understanding the interaction between tDCS and motor learning can lead to important implications for developing various rehabilitation approaches. This paper provides a concise overview of tDCS as a neuromodulatory technique and its interaction with motor learning. The paper further briefly goes through the application of this priming technique in the stroke population.
在过去几年中,为了潜在地提高神经康复的效果,非侵入性脑刺激在研究脑与行为关系方面的应用迅速增加。经颅直流电刺激(tDCS)作为一种新兴的非侵入性脑刺激技术,已被证明会产生有益的神经效应,并伴随着运动行为的改善。tDCS因其经济、使用简单、便于携带且能增加皮质脊髓兴奋性而无任何严重副作用,受到了广泛欢迎。随着tDCS作为治疗各种疾病的有效工具受到越来越多的研究,针对该技术提出了许多改进和发展。tDCS已被广泛用于确定特定脑区在运动技能学习中的功能相关性,还用于促进参与运动学习的特定皮质区域的活动,进而改善运动功能。了解tDCS与运动学习之间的相互作用可能会对开发各种康复方法产生重要影响。本文简要概述了tDCS作为一种神经调节技术及其与运动学习的相互作用。本文还进一步简要介绍了这种启动技术在中风人群中的应用。