通过皮肤对基本震进行外周神经刺激:一项随机临床试验
William G Ondo1, Wen Lv2, Xiaodong Zhu3
1Houston Methodist Hospital, Houston, Texas.
JAMA neurology
|October 20, 2025
概括
一种人工智能驱动的通过皮肤外周神经刺激 (TPNS) 装置显著改善了基本震 (ET) 患者的日常活动. 这种非侵入性治疗为管理ET症状提供了一个有希望的新选择.
科学领域:
- 神经学 神经学
- 生物医学工程 生物医学工程
- 人工智能的人工智能
背景情况:
- 基本震 (ET) 是最常见的手臂震形式.
- 通过皮肤对外围神经刺激 (TPNS) 提供了一种调节中央震生成网络的方法.
研究的目的:
- 与假装设备相比,评估人工智能 (AI) 驱动的TPNS设备在缓解ET的有效性.
- 评估人工智能驱动的TPNS对ET患者日常活动的影响.
主要方法:
- 一项随机临床试验,涉及125名成年人,在美国和中国的12家诊所进行ET.
- 参与者使用了活跃的AI驱动的TPNS设备或假装设备90天.
- 测量的主要结果是TETRAS的修改后的日常生活活动 (mADL) 子规模的变化.
主要成果:
- 人工智能驱动的TPNS组在90天 (P < .001) 显示mADL得分显著降低 (6.9分),相比假装组 (2.7分).
- 皮肤刺激是最常见的不良事件,发生在TPNS组的33.7%,而假药组的4.8%.
- 其他不良事件很少发生,主要在TPNS组中报告.
结论:
- 在90天内,人工智能驱动的TPNS在改善ET患者的上肢功能和日常活动方面表现出卓越的有效性.
- 该设备代表了一种潜在的有效,非侵入性的治疗选择,用于管理基本震.
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