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重复经颅磁刺激在治疗脑卒中后吞咽困难中的多功能性

Versatility of Repetitive Transcranial Magnetic Stimulation in the Treatment of Poststroke Dysphagia.

作者信息

Papadopoulou Soultana L, Ploumis Avraam, Exarchakos G, Theodorou S J, Beris A, Fotopoulos A D

机构信息

Department of Orthopedic Surgery, University of Ioannina Medical School, University Hospital of Ioannina, Greece.

Department of Physical Medicine and Rehabilitation, University of Ioannina Medical School, University Hospital of Ioannina, Greece.

出版信息

J Neurosci Rural Pract. 2018 Jul-Sep;9(3):391-396. doi: 10.4103/jnrp.jnrp_68_18.

Abstract

Various techniques and courses of treatment have been researched, proposed, and implemented to evaluate and treat poststroke dysphagia (PSD) which is one of the main medical conditions affecting not only elderly people, as previously assumed, but also in recent years younger populations as well. The effectiveness of therapeutic methods depends mainly on the expertise of an interdisciplinary team of therapists, as well as on the timely application of the treatment. The present review discusses the therapeutic benefits of repetitive transcranial magnetic stimulation (rTMS) in patients suffering from PSD regardless of the location of the lesion. The use of rTMS directly manipulates cortical brain stimulation to restore neuroplasticity in the affected brain areas. This review presents a synopsis of the available literature on the patient along with a discussion on the effectiveness of rTMS as a safe and easy to use promising technique in the rehabilitation of dysphagic patients. Although the results from the studies so far have been largely positive in that direction, the question still remains whether larger scale and longitudinal studies will be able to corroborate the aspiring future of rTMS. Therefore, research questions to advance further investigation on the application and future of this technique are much in need.

摘要

人们已经研究、提出并实施了各种技术和治疗方案,以评估和治疗中风后吞咽困难(PSD)。PSD是一种主要的医学病症,不仅如之前所认为的那样影响老年人,近年来也影响年轻人群体。治疗方法的有效性主要取决于治疗师跨学科团队的专业知识,以及治疗的及时应用。本综述讨论了重复经颅磁刺激(rTMS)对PSD患者的治疗益处,无论病变位置如何。rTMS的使用直接操纵皮层脑刺激,以恢复受影响脑区的神经可塑性。本综述介绍了关于该患者的现有文献概要,并讨论了rTMS作为一种安全且易于使用的有前景技术在吞咽困难患者康复中的有效性。尽管迄今为止的研究结果在这方面大多是积极的,但更大规模和纵向研究是否能够证实rTMS充满希望的未来这一问题仍然存在。因此,非常需要提出研究问题,以进一步推进对该技术应用和未来的调查。

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