Harquail Centre for Neuromodulation, Sunnybrook Health Sciences Centre, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Neuropsychiatry Program, Department of Psychiatry, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
J Neurotrauma. 2023 Mar;40(5-6):435-448. doi: 10.1089/neu.2022.0286. Epub 2022 Sep 23.
Traumatic brain injury (TBI) has been associated with several lasting impairments that affect quality of life. Pre-clinical models of TBI have been studied to further our understanding of the underlying short-term and long-term symptomatology. Neuromodulation techniques have become of great interest in recent years as potential rehabilitative therapies after injury because of their capacity to alter neuronal activity and neural circuits in targeted brain regions. This systematic review aims to provide an overlook of the behavioral and neurochemical effects of transcranial direct current stimulation (tDCS), transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), and vagus nerve stimulation (VNS) in pre-clinical TBI models. After screening 629 abstracts, 30 articles were pooled for review. These studies showed that tDCS, TMS, DBS, or VNS delivered to rodents restored TBI-induced deficits in coordination, balance, locomotor activity and improved cognitive impairments in memory, learning, and impulsivity. Potential mechanisms for these effects included neuroprotection, a decrease in apoptosis, neuroplasticity, and the restoration of neural circuit abnormalities. The translational value, potential applicability, and the interpretation of these findings in light of outcome data from clinical trials in patients with TBI are discussed.
创伤性脑损伤 (TBI) 与多种持久的损伤有关,这些损伤会影响生活质量。目前已经对 TBI 的临床前模型进行了研究,以进一步了解其短期和长期的症状学。近年来,神经调节技术因其能够改变目标脑区的神经元活动和神经回路而成为潜在的康复治疗方法,受到了极大的关注。本系统评价旨在提供一个概述,介绍经颅直流电刺激 (tDCS)、经颅磁刺激 (TMS)、深部脑刺激 (DBS) 和迷走神经刺激 (VNS) 在 TBI 临床前模型中的行为和神经化学作用。在筛选了 629 篇摘要后,有 30 篇文章被纳入综述。这些研究表明,tDCS、TMS、DBS 或 VNS 用于啮齿动物可恢复 TBI 引起的协调、平衡和运动活动缺陷,并改善记忆、学习和冲动性认知障碍。这些作用的潜在机制包括神经保护、细胞凋亡减少、神经可塑性和神经回路异常的恢复。讨论了这些发现的转化价值、潜在适用性以及根据 TBI 患者临床试验的结果数据对这些发现的解释。
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