Transcranial magnetic stimulation for the prediction and enhancement of rehabilitation treatment effects.
Transcranial magnetic stimulation for the prediction and enhancement of rehabilitation treatment effects.
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DOI：
10.1097/npt.0b013e3182564d26
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发表时间：
2012-06
期刊：
影响因子：
--
通讯作者：
Harris-Love M
中科院分区：
文献类型：
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作者：
Harris-Love M
在这次更新的康复技术，经颅磁刺激（TMS），一种技术，允许非侵入性刺激的大脑，是检查。TMS的背景和基本原则进行审查，并讨论其有用性作为一种工具，通知和可能增加的康复过程。TMS应用的3个主要范例，1）生理测量，2）破坏/虚拟损伤研究和3）皮层兴奋性的调制，讨论相对于每个范例可以提供的科学信息的类型和它们在未来的潜在临床用途。更令人兴奋的前景之一是，当与康复训练相结合时，TMS对皮层兴奋性的调节可能会增强康复的效果，并导致比目前单独康复更高的恢复水平。它的结论是，目前的研究必须集中在恢复的机制的基础上的特定结构和过程的障碍和特定的康复干预措施的神经影响，以实现的潜力TMS增强康复。
In this update on rehabilitation technology, transcranial magnetic stimulation (TMS), a technique that allows non-invasive stimulation of the brain, is examined. The background and basic principles of TMS are reviewed and its usefulness as a tool to inform and possibly augment the rehabilitation process is discussed. The 3 main paradigms by which TMS is applied, 1) physiological measurement, 2) disruption/virtual lesion studies and 3) modulation of cortical excitability, are discussed relative to the types of scientific information each paradigm can provide and their potential clinical usefulness in the future. One of the more exciting prospects is that, when combined with rehabilitation training, TMS modulation of cortical excitability could potentially enhance the effects of rehabilitation and lead to greater levels of recovery than are currently attainable with rehabilitation alone. It is concluded that current studies must focus on the mechanisms of recovery based on the specific structures and processes affected by the disorder and the neural effects of specific rehabilitation interventions in order for the potential of TMS-augmented rehabilitation to be realized.