经颅磁刺激初级运动皮层在运动康复之外的应用:当前证据综述

Repetitive Transcranial Magnetic Stimulation of the Primary Motor Cortex beyond Motor Rehabilitation: A Review of the Current Evidence.

作者信息

Tomeh Abdulhameed, Yusof Khan Abdul Hanif Khan, Inche Mat Liyana Najwa, Basri Hamidon, Wan Sulaiman Wan Aliaa

机构信息

Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia.

Malaysian Research Institute on Ageing (MyAgeingTM), Universiti Putra Malaysia, Serdang 43400, Malaysia.

出版信息

Brain Sci. 2022 Jun 10;12(6):761. doi: 10.3390/brainsci12060761.

Abstract

Transcranial magnetic stimulation (TMS) has emerged as a novel technique to stimulate the human brain through the scalp. Over the years, identifying the optimal brain region and stimulation parameters has been a subject of debate in the literature on therapeutic uses of repetitive TMS (rTMS). Nevertheless, the primary motor cortex (M1) has been a conventional target for rTMS to treat motor symptoms, such as hemiplegia and spasticity, as it controls the voluntary movement of the body. However, with an expanding knowledge base of the M1 cortical and subcortical connections, M1-rTMS has shown a therapeutic efficacy that goes beyond the conventional motor rehabilitation to involve pain, headache, fatigue, dysphagia, speech and voice impairments, sleep disorders, cognitive dysfunction, disorders of consciousness, anxiety, depression, and bladder dysfunction. In this review, we summarize the latest evidence on using M1-rTMS to treat non-motor symptoms of diverse etiologies and discuss the potential mechanistic rationale behind the management of each of these symptoms.

摘要

经颅磁刺激(TMS)已成为一种通过头皮刺激人脑的新技术。多年来,在重复经颅磁刺激(rTMS)治疗用途的文献中,确定最佳脑区和刺激参数一直是一个有争议的话题。然而,初级运动皮层(M1)一直是rTMS治疗运动症状(如偏瘫和痉挛)的传统靶点,因为它控制身体的自主运动。然而,随着对M1皮层和皮层下连接的知识基础不断扩大,M1-rTMS已显示出超出传统运动康复的治疗效果,涉及疼痛、头痛、疲劳、吞咽困难、言语和声音障碍、睡眠障碍、认知功能障碍、意识障碍、焦虑、抑郁和膀胱功能障碍。在这篇综述中,我们总结了使用M1-rTMS治疗多种病因的非运动症状的最新证据,并讨论了每种症状管理背后的潜在机制原理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45f8/9221422/b47c2d75264c/brainsci-12-00761-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索