Institute of Neurology, Department of Geriatrics, Neuroscience and Orthopedics, Catholic University, Policlinic A. Gemelli, Rome, Italy.
Department of Neurology, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia.
Clin Neurophysiol. 2015 Jun;126(6):1071-1107. doi: 10.1016/j.clinph.2015.02.001. Epub 2015 Feb 10.
These guidelines provide an up-date of previous IFCN report on "Non-invasive electrical and magnetic stimulation of the brain, spinal cord and roots: basic principles and procedures for routine clinical application" (Rossini et al., 1994). A new Committee, composed of international experts, some of whom were in the panel of the 1994 "Report", was selected to produce a current state-of-the-art review of non-invasive stimulation both for clinical application and research in neuroscience. Since 1994, the international scientific community has seen a rapid increase in non-invasive brain stimulation in studying cognition, brain-behavior relationship and pathophysiology of various neurologic and psychiatric disorders. New paradigms of stimulation and new techniques have been developed. Furthermore, a large number of studies and clinical trials have demonstrated potential therapeutic applications of non-invasive brain stimulation, especially for TMS. Recent guidelines can be found in the literature covering specific aspects of non-invasive brain stimulation, such as safety (Rossi et al., 2009), methodology (Groppa et al., 2012) and therapeutic applications (Lefaucheur et al., 2014). This up-dated review covers theoretical, physiological and practical aspects of non-invasive stimulation of brain, spinal cord, nerve roots and peripheral nerves in the light of more updated knowledge, and include some recent extensions and developments.
这些指南更新了先前 IFCN 关于“脑、脊髓和神经根的非侵入性电和磁刺激:常规临床应用的基本原理和程序”的报告(Rossini 等人,1994 年)。一个由国际专家组成的新委员会,其中一些人曾参与 1994 年“报告”的小组,被选中对非侵入性刺激进行最新的全面审查,包括临床应用和神经科学研究。自 1994 年以来,国际科学界在研究认知、脑行为关系和各种神经和精神障碍的病理生理学方面,看到了非侵入性脑刺激的快速增长。新的刺激模式和新技术已经得到了发展。此外,大量的研究和临床试验已经证明了非侵入性脑刺激的潜在治疗应用,特别是对于 TMS。最近的指南可以在文献中找到,涵盖了非侵入性脑刺激的特定方面,如安全性(Rossi 等人,2009 年)、方法学(Groppa 等人,2012 年)和治疗应用(Lefaucheur 等人,2014 年)。本更新的综述涵盖了根据更更新的知识,脑、脊髓、神经根和外周神经的非侵入性刺激的理论、生理和实际方面,并包括一些最近的扩展和发展。