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人类运动优化中的经颅电刺激(TES):机制、安全性及新兴应用

Transcranial electrical stimulation (TES) in human motor Optimization: Mechanisms, safety, and emerging applications.

作者信息

Wang Jingfeng, Wu Li, Sun Mingming, Wu Yuxiang

机构信息

Institute of Intelligent Sport and Proactive Health, Department of Health and Physical Education, Jianghan University, Wuhan, 430056, China.

Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing, 101400, China.

出版信息

Biochem Biophys Rep. 2025 Jun 2;43:102055. doi: 10.1016/j.bbrep.2025.102055. eCollection 2025 Sep.

DOI:10.1016/j.bbrep.2025.102055
PMID:40519699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12167122/
Abstract

Non-invasive brain stimulation (NIBS) has emerged as a rapidly advancing field, offering promising therapeutic interventions for a range of neurological disorders while effectively bridging the gap between laboratory research and clinical applications. Among NIBS technologies, transcranial electrical stimulation (TES) stands out as a notable example, utilizing electrodes of varying sizes to deliver low-intensity electrical currents to specific regions of the cerebral cortex. This technique facilitates the modulation of neuronal excitability, regulation of brainwave activity, promotion of neural remodeling and repair, enhancement of cerebral blood flow, and improvement of brain-muscle connectivity. Despite its potential, current research on the effects of TES on motor function across diverse populations, particularly from a central nervous system perspective, remains limited. This review seeks to establish a theoretical framework for the future advancement of TES technology in sports science, elucidate the neurophysiological mechanisms underlying various TES modalities, and synthesize the most recent experimental findings from the past two decades regarding its impact on physical fitness, motor skill acquisition, and recovery in different populations.

摘要

非侵入性脑刺激(NIBS)已成为一个快速发展的领域,为一系列神经疾病提供了有前景的治疗干预措施,同时有效地弥合了实验室研究与临床应用之间的差距。在NIBS技术中,经颅电刺激(TES)是一个显著的例子,它利用不同大小的电极向大脑皮层的特定区域传递低强度电流。该技术有助于调节神经元兴奋性、调节脑电波活动、促进神经重塑和修复、增强脑血流量以及改善脑-肌肉连接。尽管具有潜力,但目前关于TES对不同人群运动功能影响的研究,特别是从中枢神经系统角度来看,仍然有限。本综述旨在为TES技术在体育科学中的未来发展建立一个理论框架,阐明各种TES模式背后的神经生理机制,并综合过去二十年中关于其对不同人群身体素质、运动技能习得和恢复影响的最新实验结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/e2b7f74c7458/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/53207d397bc3/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/3995685b1f3b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/5b73e1b4c0d7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/afa2fb9b8add/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/143f6bab1dba/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/e2b7f74c7458/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/53207d397bc3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/cd8b18d5b705/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/3995685b1f3b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/5b73e1b4c0d7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/afa2fb9b8add/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/143f6bab1dba/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/12167122/e2b7f74c7458/gr7.jpg

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本文引用的文献

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Effects of Dual-Site Anodal Transcranial Direct Current Stimulation on Attention, Decision-Making, and Working Memory during Sports Fatigue in Elite Soccer Athletes.双位点阳极经颅直流电刺激对精英足球运动员运动疲劳期间注意力、决策能力和工作记忆的影响
J Integr Neurosci. 2025 Jan 21;24(1):26401. doi: 10.31083/JIN26401.
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Improving locomotor performance with motor imagery and tDCS in young adults.利用运动想象和经颅直流电刺激改善年轻人的运动能力
Sci Rep. 2025 Jan 11;15(1):1748. doi: 10.1038/s41598-025-86039-2.
3
Determining the effects of transcranial alternating current stimulation on corticomotor excitability and motor performance: A sham-controlled comparison of four frequencies.
确定经颅交流电刺激对皮质运动兴奋性和运动表现的影响:四种频率的假刺激对照比较。
Neuroscience. 2025 Mar 5;568:12-26. doi: 10.1016/j.neuroscience.2025.01.016. Epub 2025 Jan 10.
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Non-invasive brain stimulation in research and therapy.研究与治疗中的非侵入性脑刺激
Sci Rep. 2024 Nov 26;14(1):29334. doi: 10.1038/s41598-024-79039-1.
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The Physiological Mechanisms of Transcranial Direct Current Stimulation to Enhance Motor Performance: A Narrative Review.经颅直流电刺激增强运动表现的生理机制:一篇叙述性综述
Biology (Basel). 2024 Oct 2;13(10):790. doi: 10.3390/biology13100790.
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Home-based transcranial direct current stimulation treatment for major depressive disorder: a fully remote phase 2 randomized sham-controlled trial.基于家庭的经颅直流电刺激治疗重度抑郁症:一项完全远程的2期随机假对照试验。
Nat Med. 2025 Jan;31(1):87-95. doi: 10.1038/s41591-024-03305-y. Epub 2024 Oct 21.
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Investigations of motor performance with neuromodulation and exoskeleton using leader-follower modality: a tDCS study.采用领导者-跟随者模式的神经调节和外骨骼对运动性能的研究:一项 tDCS 研究。
Exp Brain Res. 2024 Dec;242(12):2677-2689. doi: 10.1007/s00221-024-06938-0. Epub 2024 Oct 4.
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Investigating the Effects of Transcranial Alternating Current Stimulation on Cortical Oscillations and Network Dynamics.研究经颅交流电刺激对皮质振荡和网络动力学的影响。
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