重复性跨脑磁刺激对中风患者平衡功能的影响:系统性审查
Ningling Chen1, Shuo Xu1, Yilong Zou1
1Department of Rehabilitation Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China.
Journal of back and musculoskeletal rehabilitation
|January 27, 2026
概括
通过准运动皮层或小脑,重复性跨磁刺激 (rTMS) 可以改善中风幸存者的平衡. 低频rTMS或小脑间歇性甲爆刺激显示出有效的中风后康复的前景.
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
- 神经学 神经学
背景情况:
- 重复性横磁刺激 (rTMS) 是一种非侵入性脑刺激技术.
- 在中风后,rTMS显示出改善运动,言语和认知功能的潜力.
- 对中风后平衡的rTMS的研究是有限的,参数不一致.
研究的目的:
- 系统地评估rTMS有效性,以改善中风患者的平衡.
- 分析刺激参数和目标部位,以实现最佳的中风后平衡康复.
- 确定基于证据的rTMS协议来恢复平衡.
主要方法:
- 系统地搜索PubMed,Embase,Cochrane图书馆和科学网络中的RCT.
- 包括18个高质量的RCT (PEDro得分≥6).
- 对刺激部位 (M1,小脑),参数 (LF-rTMS,iTBS) 和临床结果的分析.
主要成果:
- 针对主要运动皮层 (M1) 或小脑的rTMS改善了平衡 (BBS),下肢功能 (FMA-LE) 和步行.
- 低频rTMS (LF-rTMS) 或间歇性甲基突破刺激 (iTBS) 是常见的协议.
- 改善是持续的,一些研究表明姿势摇摆减少和变化的运动唤起潜能.
结论:
- 针对M1或小脑的rTMS对于改善中风后平衡是有效的.
- 初步证据表明,LF-rTMS对未受影响的M1或小脑iTBS作为有效的协议.
- 需要进一步进行高质量的试验,以标准化中风患者的rTMS治疗参数.
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