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在中风后的神经刺激

Hala Osman1, Ricardo Siu2, Nathan S Makowski3

  • 1MetroHealth Center for Rehabilitation Research, 4229 Pearl Dr, Cleveland, OH 44109, USA; APT Center, 10701 East Boulevard, Cleveland, OH 44106, USA.

Physical medicine and rehabilitation clinics of North America
|March 21, 2024
PubMed
概括
此摘要是机器生成的。

神经刺激技术有助于中风幸存者恢复四肢的运动功能. 本综述涵盖了用于中风康复的皮质运动和外围电刺激方法.

关键词:
功能性的电刺激.运动障碍 运动障碍重复性横性磁性刺激的重复性磁性刺激脑卒中康复治疗 脑卒中康复治疗通过骨进行直流刺激.阴道神经刺激的刺激

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科学领域:

  • 神经科学是一个神经科学.
  • 康复医学 康复医学 康复医学
  • 生物医学工程 生物医学工程

背景情况:

  • 脑卒中经常导致运动功能缺陷,影响生活质量.
  • 神经刺激为在中风后恢复运动控制提供了有希望的途径.
  • 针对皮质运动系统和外围神经是康复的关键.

研究的目的:

  • 审查神经刺激技术用于上肢和下肢中风康复.
  • 探索针对皮质运动系统和外围神经肌肉通路的方法.
  • 检查这些干预措施的好处,局限性,安全性和监管地位.

主要方法:

  • 对跨直流刺激 (tDCS) 的审查.
  • 重复性横磁性刺激 (rTMS) 的审查.
  • 对迷走神经刺激 (VNS) 的审查.
  • 对外围神经肌肉电刺激 (NMES) 技术的审查,包括穿皮电神经刺激 (TENS),NMES和功能电刺激 (FES).

主要成果:

  • 各种非侵入性脑刺激技术显示出调节皮质运动系统的潜力.
  • 外围电刺激为肢体运动提供治疗和辅助应用.
  • 每种方法都有独特的好处,挑战和安全性.
  • 根据不同的神经刺激模式,FDA的状态有所不同.

结论:

  • 神经刺激是一个快速发展的领域,在中风恢复方面具有显著的潜力.
  • 对不同技术的全面理解对于有效的临床应用至关重要.
  • 需要进一步的研究来优化方案,并确认长期的疗效和安全性.