Hernandez-Pavon Julio C, Harvey Richard L
Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Center for Brain Stimulation, Shirley Ryan AbilityLab, 355 East Erie Street, Chicago, IL 60611, USA.
Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Brain Innovation Center, Shirley Ryan AbilityLab, 355 East Erie Street, Chicago, IL 60611, USA.
Phys Med Rehabil Clin N Am. 2019 May;30(2):319-335. doi: 10.1016/j.pmr.2018.12.010. Epub 2019 Feb 21.
It is likely that transcranial magnetic brain stimulation will be used for the clinical treatment of stroke and stroke-related impairments in the future. The anatomic target and stimulation parameters will likely vary for any clinical focus, be it weakness, pain, or cognitive or communicative dysfunction. Biomarkers may also be useful for identifying patients who will respond best, with a goal to enhance clinical decision making. Combination with drugs or specific types of therapeutic exercise may be necessary to achieve maximal response.
未来,经颅磁刺激很可能会用于中风及中风相关损伤的临床治疗。对于任何临床关注点,无论是虚弱、疼痛,还是认知或交流功能障碍,解剖学靶点和刺激参数可能都会有所不同。生物标志物对于识别反应最佳的患者可能也有用,目标是改善临床决策。可能需要与药物或特定类型的治疗性锻炼相结合,以实现最大反应。