不同TMS方案治疗脑卒中后运动功能障碍的研究进展

Research Progress of Different TMS Regimens in the Treatment of Motor Dysfunction after Stroke

脑卒中通常会导致不同程度的运动障碍,运动功能恢复是患者重获独立生活的关键。近年来神经调控技术如经颅磁刺激技术(Transcranial Magnetic Stimulation, TMS)作为一种无创、无痛的治疗脑卒中引发的功能障碍特别是运动功能障碍的新型技术,其疗效也得到越来越多研究者和临床工作者的认可,是近年来脑卒中运动康复领域中的研究热点。本文对TMS治疗原理及其治疗脑卒中后运动障碍的研究进展进行综述,未来的研究方向包括完善治疗理论模型、提高定位准确性、确定最佳治疗参数及治疗方案等,并且要考虑扩大样本量、增加随访时间等来为患者提供个性化、最优化的TMS治疗方案。

Stroke usually results in varying degrees of dyskinesia, and recovery of motor function is key to re-gaining independence. In recent years, neuromodulation techniques such as Transcranial Magnetic Stimulation (TMS) as a non-invasive and painless treatment of stroke-induced dysfunction, espe-cially motor dysfunction, its efficacy has been recognized by more and more researchers and clini-cians, and is a research hotspot in the field of stroke sports rehabilitation in recent years. This arti-cle reviews the treatment principle of TMS and its research progress in the treatment of movement disorders after stroke, and future research directions include improving the treatment theory model, improving positioning accuracy, determining the best treatment parameters and treatment plan, etc., and considering expanding the sample size and increasing the follow-up time to provide patients with personalized and optimal TMS treatment plans.