Department of Biology, Quinlan Life Sciences Education and Research Center, Loyola University Chicago, 1032 W. Sheridan Rd., Chicago, IL, 60660, USA.
J Neuroeng Rehabil. 2022 Nov 3;19(1):116. doi: 10.1186/s12984-022-01094-4.
Neuromodulation with electromagnetic stimulation is widely used for the control of abnormal neural activity, and has been proven to be a valuable alternative to pharmacological tools for the treatment of many neurological diseases. Tremendous efforts have been focused on the design of the stimulation apparatus (i.e., electrodes and magnetic coils) that delivers the electric current to the neural tissue, and the optimization of the stimulation parameters. Less attention has been given to the complicated, dynamic properties of the neurons, and their context-dependent impact on the stimulation effects. This review focuses on the neuronal factors that influence the outcomes of electromagnetic stimulation in neuromodulation. Evidence from multiple levels (tissue, cellular, and single ion channel) are reviewed. Properties of the neural elements and their dynamic changes play a significant role in the outcome of electromagnetic stimulation. This angle of understanding yields a comprehensive perspective of neural activity during electrical neuromodulation, and provides insights in the design and development of novel stimulation technology.
电磁刺激的神经调节被广泛用于控制异常神经活动,并且已被证明是治疗许多神经疾病的药理学工具的有价值的替代方法。人们已经投入了巨大的努力来设计用于将电流传递到神经组织的刺激仪器(即电极和电磁线圈),并优化刺激参数。对神经元的复杂、动态特性及其对刺激效果的上下文依赖性影响的关注较少。这篇综述侧重于影响神经调节中电磁刺激结果的神经元因素。从多个层次(组织、细胞和单个离子通道)综述了证据。神经元件的特性及其动态变化在电磁刺激的结果中起着重要作用。从这个角度理解可以全面了解电神经调节期间的神经活动,并为新型刺激技术的设计和开发提供了新的思路。
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