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经颅磁刺激在脑卒中康复中的应用 被引量：12

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摘要 脑卒中是一种严重危害人类健康的疾病,幸存患者常会遗留严重的运动、言语、认知等功能障碍,进而严重影响患者的生活质量,积极研究脑卒中后功能障碍的康复评定和治疗方法具有重要意义。经颅磁刺激（transcranial magnetic stimulation,TMS）是1985年由Barker等首先创立的一种非侵入性调制脑功能方法之一,具有高频（〉1Hz）兴奋和低频（≤1Hz）抑制的双向调制、无痛、无创及操作方便等优点^（[1]）。近年来既作为研究工具,又作为康复治疗方法广泛应用于脑卒中临床康复医疗中。具体如下：
作者 吴毅
机构地区 复旦大学附属华山医院康复医学科复旦大学上海医学院康复医学系
出处 《中国康复医学杂志》 CAS CSCD 北大核心 2016年第2期130-132,共3页 Chinese Journal of Rehabilitation Medicine
基金 上海市重要薄弱学科(康复医学)建设计划(2015ZB0401) 上海市科委临床医学重大科技项目资助项目(13411951000)
关键词 经颅磁刺激 脑卒中康复 TRANSCRANIAL 康复评定 康复治疗方法 Barker 功能障碍 脑功能 STIMULATION 运动想象
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献16

  • 1Hummel FC, Cohen LG. Non-invasive brain stimulation: a new strategy to improve neurorehabilitation after stroke[J]? Lancet Neurol, 2006,5: 708-712.
  • 2Cortes M, Black-Schaffer RM, Edwards DJ, et al. Transcranial magnetic stimulation as an investigative tool for motor dysfunction and recovery in stroke: an overview for neurorehabilitation clinicians[J]. Neuromodulation, 2012,15:316-325.
  • 3Ikeda K, Higashib T, Sugawarac K, et al. The effect of visual and auditory enhancements on excitability of the primary motor cor- tex during motor imagery: a pilot study[J]. Int J Rehabil Res, 2012,35:82-84.
  • 4Mansur CG, Fregni F, Boggio PS, et al. A sham stimulation controlled trial of rTMS of the unaffected hemisphere in stroke patients [J]. Neurology,2005,64: 1802-1804.
  • 5Takeuchi N, Chuma T, Matsuo Y, et al. Repetitive transcranial magnetic stimulation of contralesional primary motor cortex improves hand function after stroke[J]. Stroke,2005,36: 2681-2686.
  • 6Liepert J, Bauder H, Miltner WHR, et al. Treatment-induced cortical reorganization after stroke in humans[J]. Stroke,2000,31:1210- 1216.
  • 7Cicinelli P, Marconi B, Zaccagnini M, et al. Imagery-induced cortical excitability changes in stroke: a transcranial magnetic stimula- tion study[J]. Cerebral Cortex, 2006,16:247-253.
  • 8Camus M, Halelamien N, Plassmann H, et al. Repetitive transcranial magnetic stimulation over the right dorsolateral refrontal cortex decreases valuations during food choices[J]. Euro J Neurosci, 2009,30:1980-1988.
  • 9Turriziani P, Smimi D,Zappala G, et al. Enhancing memory performance with rTMS in healthy subjects and individuals with mild cognitive impairment:the role of the right dorsolateral prefrontal cortex[J].Front Hum Neurosci,2012,6:62.
  • 10Weiduschat N, Thiel A, Rubi-Fessen I, et al. Effects of repetitive transcranial magnetic stimulation in aphasic stroke a randomized controlled pilot study[J]. Stroke, 2011,42:409-415.

二级参考文献24

  • 1各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380. 被引量：33004
  • 2Murase N, Duque J, Mazzocehio R, et al. Influence of inter- hemispheric interactions on motor function in chronic stroke [J]. Ann Neurol, 2004, 55(3):400-409.
  • 3Thickbroom GW, Byrnes ML, Edwards D J, et al. Repetitive paired-pulse TMS at I-wave periodicity markedly increases eorticospinal excitability: a nero' technique for modulating synaptic plasticity[J]. Clin Neurophysiol, 2009, 117(1):61~66.
  • 4Schulz R, Park CH, Boudrias MH, et al. Assessing the in- tegrity of corticospinal pathways from primary and second- ary cortical motor areas after stroke[J]. Stroke, 2012, 43(8): 2248-2251.
  • 5Khedr EM, Ahmed MA, Fathy N, et al. Therapeutic trial of repetitive transcranial magnetic stimulation after acute ischemic stroke[J]. Neurology, 2005, 65(3):466-468.
  • 6Ziemann U. Improving disability in stroke with RTMS[J]. Lancet Neurol, 2005, 4(8):454 -455.
  • 7Ltidemann-Podubecki J, Neumann G, Ponfick M, et al. Re- petitive transcranial magnetic stimulation for the upper limb motor function improvement after stroke[J]. Fortschr Neurol Psychiatr, 2014, 82(3):135-144.
  • 8Sarfeld AS, Diekhoff S, Wang LE, et al. Convergence of human brain mapping tools: neuronavigated TMS parameters and fMRI activity in the hand motor area[J]. Hum Brain Mapp, 2012, 33(5):1107-1123.
  • 9Corti M, Patten C, Triggs W. Repetitive transcranial mag- netic stimulation of motor cortex after stroke: a focused re- view[J]. Am J Phys Med Rehahil, 2012, 91(3):254-270.
  • 10Avenanti A, Coccia M, Ladavas E, et al. Low-frequency rTMS promotes use-dependent motor plasticity in chronic stroke: a randomized trial[J]. Neurology, 2012, 78(4):256- 264.

共引文献42

同被引文献127

引证文献12

二级引证文献120

中国康复医学杂志
2016年 第2期

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