《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2019, Vol. 25 ›› Issue (6): 644-647.doi: 10.3969/j.issn.1006-9771.2019.06.005

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Advance in Transcranial Magnetic Stimulation for Spasticity post Spinal Cord Injury (review)

Chin-hsuan CHIA, WU Yi   

  1. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Received:2018-11-12 Revised:2019-01-27 Online:2019-06-25
  • Contact: WU Yi, E-mail: wuyi@fudan.edu.cn
  • Supported by:
    Supported by Shanghai Health and Family Planning Committee Key Weak Discipline Construction Project (No. 2015ZB0401) and Shanghai Science and Technology Committee Project (No. 17411953900)

Abstract: Spasticity is one of the common symptoms in patients with spinal cord injury, the mechanism can be summarized that the disappearance of the inhibition signals of descending pass of the spinal cord lead to the change of the balance between the circuit of the feedback and feedforward formed by the intra spindle muscle and extra spindle muscle, and the spasticity appear. Transcranial magnetic stimulation (TMS) can release the spasticity through increasing the excitability of the inhibitory interneurons to decrease the excitability of the spinal level. This article discussed about the mechanism of the spasticity after spinal cord injury first and then summarized the application and the therapeutic theory of the TMS on it.

Key words: spinal cord injury, spasticity, transcranial magnetic stimulation, review

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