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迷走神经刺激:手部功能康复领域的创新应用

Vagus nerve stimulation: innovative applications in the field of hand function rehabilitation.

作者信息

Chen Yize, Gao Yuling, Zhou Jiaqi, Zhang Shengchao, Li Tong, Zhang Zhenni, Gong Xiaoyang, Liu Yong

机构信息

Department of Rehabilitation Medicine, the First Affiliated Hospital of Dalian Medical University, Dalian, 116011 China.

College of Health-Preservation and Wellness, Dalian Medical University, Dalian, 116044 China.

出版信息

Cogn Neurodyn. 2025 Dec;19(1):98. doi: 10.1007/s11571-025-10284-4. Epub 2025 Jun 23.

Abstract

Hand function disorders significantly impair patients' quality of life by limiting the ability to perform daily tasks. Vagus nerve stimulation has emerged as a promising therapeutic intervention for hand function rehabilitation. This approach operates through multiple physiological mechanisms, including anti-inflammatory effects, protection of the blood-brain barrier, enhanced angiogenesis, increased neural plasticity, optimized neurotransmitter release, and reduced cellular apoptosis. Clinical evidence has demonstrated the efficacy of vagus nerve stimulation in treating hand function impairments associated with various conditions, such as stroke, cerebral palsy, Parkinson's disease, and erosive hand osteoarthritis. As neuroscience, sensor technology, and artificial intelligence continue to advance, and interdisciplinary collaboration is further strengthened, vagus nerve stimulation is poised to become an increasingly valuable therapeutic option for patients with hand function disorders. Future research will focus on optimizing stimulation protocols and exploring the long-term benefits of vagus nerve stimulation, thereby offering hope for improved functional recovery and enhanced quality of life. With the emergence of more clinical trials and technological innovations, vagus nerve stimulation has the potential to revolutionize the field of hand rehabilitation, providing a non-invasive and effective alternative for patients.

摘要

手部功能障碍通过限制执行日常任务的能力,严重损害患者的生活质量。迷走神经刺激已成为一种有前景的手部功能康复治疗干预手段。这种方法通过多种生理机制发挥作用,包括抗炎作用、保护血脑屏障、增强血管生成、增加神经可塑性、优化神经递质释放以及减少细胞凋亡。临床证据已证明迷走神经刺激在治疗与各种病症相关的手部功能损伤方面的有效性,如中风、脑瘫、帕金森病和侵蚀性手部骨关节炎。随着神经科学、传感器技术和人工智能的不断进步,以及跨学科合作的进一步加强,迷走神经刺激有望成为手部功能障碍患者越来越有价值的治疗选择。未来的研究将集中在优化刺激方案和探索迷走神经刺激的长期益处,从而为改善功能恢复和提高生活质量带来希望。随着更多临床试验和技术创新的出现,迷走神经刺激有可能彻底改变手部康复领域,为患者提供一种非侵入性且有效的替代方法。

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Mechanism and Applications of Vagus Nerve Stimulation.迷走神经刺激的机制与应用
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