Repetitive Transcranial Magnetic Stimulation: a Novel Approach for Treating Oropharyngeal Dysphagia.

Repetitive Transcranial Magnetic Stimulation: a Novel Approach for Treating Oropharyngeal Dysphagia.
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DOI:
10.1007/s11894-015-0483-8
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发表时间:
2016-02
影响因子:
--
通讯作者:
Hamdy S
Hamdy S
中科院分区:
其他
文献类型:
--
作者:
Michou E;Raginis-Zborowska A;Watanabe M;Lodhi T;Hamdy S

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近年来,重复经颅磁刺激(一种用于产生人体中枢神经刺激的技术)引起了人们越来越多的兴趣,并在实验中应用于吞咽困难的治疗。本文就重复经颅磁刺激(rTMS)治疗吞咽困难的研究进展作一综述。在这里,我们回顾了rTMS的作用机制以及对健康志愿者和吞咽困难患者的研究结果。吞咽困难的临床研究主要集中在脑卒中后的吞咽困难。鉴于研究之间的主要差异,我们讨论了为什么很难对这种神经刺激技术的疗效得出结论。这里的目的是激发尚未研究的潜在研究问题,以便在将rTMS应用于吞咽困难患者的临床实践之前进行吞咽困难康复。
In recent years, repetitive transcranial magnetic stimulation, a technique used to produce human central neurostimulation, has attracted increased interest and been applied experimentally in the treatment of dysphagia. This review presents a synopsis of the current research for the application of repetitive transcranial magnetic stimulation (rTMS) on dysphagia. Here, we review the mechanisms underlying the effects of rTMS and the results from studies on both healthy volunteers and dysphagic patients. The clinical studies on dysphagia have primarily focussed on dysphagia post-stroke. We discuss why it is difficult to draw conclusions for the efficacy of this neurostimulation technique, given the major differences between studies. The intention here is to stimulate potential research questions not yet investigated for the application of rTMS on dysphagic patients prior to their translation into clinical practice for dysphagia rehabilitation.