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神经调节技术在神经退行性疾病中的应用:临床实践的有用工具?——一项范围综述

A Scoping Review of Neuromodulation Techniques in Neurodegenerative Diseases: A Useful Tool for Clinical Practice?

机构信息

Research Institute for Neuroscience, Education and Didactics, Fondazione Patrizio Paoletti, 06081 Assisi, Italy.

Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy.

出版信息

Medicina (Kaunas). 2021 Feb 27;57(3):215. doi: 10.3390/medicina57030215.


DOI:10.3390/medicina57030215
PMID:33673455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7997187/
Abstract

Neurodegenerative diseases that typically affect the elderly such as Alzheimer's disease, Parkinson's disease and frontotemporal dementia are typically characterised by significant cognitive impairment that worsens significantly over time. To date, viable pharmacological options for the cognitive symptoms in these clinical conditions are lacking. In recent years, various studies have employed neuromodulation techniques to try and contrast patients' decay. : We conducted an in-depth literature review of the state-of-the-art of the contribution of these techniques across these neurodegenerative diseases. : The present review reports that neuromodulation techniques targeting cognitive impairment do not allow to draw yet any definitive conclusion about their clinical efficacy although preliminary evidence is very encouraging. : Further and more robust studies should evaluate the potentialities and limitations of the application of these promising therapeutic tools to neurodegenerative diseases.

摘要

神经退行性疾病通常发生于老年人,如阿尔茨海默病、帕金森病和额颞叶痴呆,其典型特征是认知功能显著受损,且随时间推移而逐渐恶化。迄今为止,这些临床情况下针对认知症状的可行药物治疗方案仍较为缺乏。近年来,多种研究采用神经调控技术来试图阻止患者认知功能的衰退。

我们对这些神经退行性疾病中这些技术的最新研究进展进行了深入的文献综述。

本综述报告称,针对认知障碍的神经调控技术还不能对其临床疗效得出任何明确的结论,尽管初步证据非常令人鼓舞。

需要进一步更有力的研究来评估这些有前途的治疗工具在神经退行性疾病中的应用的潜力和局限性。

相似文献

[1]
A Scoping Review of Neuromodulation Techniques in Neurodegenerative Diseases: A Useful Tool for Clinical Practice?

Medicina (Kaunas). 2021-2-27

[2]
A Scoping Review of Cognitive Training in Neurodegenerative Diseases via Computerized and Virtual Reality Tools: What We Know So Far.

Brain Sci. 2021-4-21

[3]
Cognitive effects of repetitive transcranial magnetic stimulation in patients with neurodegenerative diseases - clinician's perspective.

J Neurol Sci. 2014-4-15

[4]
Mechanistic insights into the pathogenesis of neurodegenerative diseases: towards the development of effective therapy.

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[5]
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Acta Neurol Scand. 2020-2-27

[6]
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Clin Neurophysiol. 2014-8

[7]
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[8]
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Photobiomodul Photomed Laser Surg. 2019-10

[9]
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Neuropharmacology. 2020-7

[10]
Cognitive Interventions for Neurodegenerative Disease.

Curr Neurol Neurosci Rep. 2023-9

引用本文的文献

[1]
Emerging Role of Mesenchymal Stromal Cell and Exosome Therapies in Treating Cognitive Impairment.

Pharmaceutics. 2025-2-20

[2]
Home-Based Tele-tDCS in Amyotrophic Lateral Sclerosis: Feasibility, Safety, and Preliminary Efficacy.

Ann Clin Transl Neurol. 2025-5

[3]
Neuromodulation by nanozymes and ultrasound during Alzheimer's disease management.

J Nanobiotechnology. 2024-3-30

[4]
Risk of dementia or Parkinson's disease in the presence of Sjögren's syndrome: A systematic review and meta-analysis.

Front Integr Neurosci. 2022-11-7

[5]
Neurodegenerative Diseases: Implications of Environmental and Climatic Influences on Neurotransmitters and Neuronal Hormones Activities.

Int J Environ Res Public Health. 2022-9-30

[6]
Neuromodulation of cognition in Parkinson's disease.

Prog Brain Res. 2022

[7]
A Scoping Review of Cognitive Training in Neurodegenerative Diseases via Computerized and Virtual Reality Tools: What We Know So Far.

Brain Sci. 2021-4-21

本文引用的文献

[1]
Classification accuracy of TMS for the diagnosis of mild cognitive impairment.

Brain Stimul. 2021

[2]
Efficacy of Noninvasive Brain Stimulation (tDCS or TMS) Paired with Language Therapy in the Treatment of Primary Progressive Aphasia: An Exploratory Meta-Analysis.

Brain Sci. 2020-8-28

[3]
Transcranial stimulation in frontotemporal dementia: A randomized, double-blind, sham-controlled trial.

Alzheimers Dement (N Y). 2020-5-27

[4]
Noninvasive hippocampal blood-brain barrier opening in Alzheimer's disease with focused ultrasound.

Proc Natl Acad Sci U S A. 2020-4-13

[5]
Transcranial Pulse Stimulation with Ultrasound in Alzheimer's Disease-A New Navigated Focal Brain Therapy.

Adv Sci (Weinh). 2019-12-23

[6]
Classification Accuracy of Transcranial Magnetic Stimulation for the Diagnosis of Neurodegenerative Dementias.

Ann Neurol. 2020-1-23

[7]
Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018).

Clin Neurophysiol. 2020-1-1

[8]
Effects of a combined transcranial magnetic stimulation (TMS) and cognitive training intervention in patients with Alzheimer's disease.

Alzheimers Dement. 2020-4

[9]
Effectiveness of language training and non-invasive brain stimulation on oral and written naming performance in Primary Progressive Aphasia: A meta-analysis and systematic review.

Neurosci Biobehav Rev. 2019-12-4

[10]
Low-Frequency Repetitive Transcranial Magnetic Stimulation of the Right Dorsolateral Prefrontal Cortex Enhances Recognition Memory in Alzheimer's Disease.

J Alzheimers Dis. 2019

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