《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2020, Vol. 26 ›› Issue (11): 1287-1291.doi: 10.3969/j.issn.1006-9771.2020.11.007
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CHEN Zhu1,2(),LU Yao1,CHEN Yi-yi1
Received:
2020-01-21
Revised:
2020-02-17
Published:
2020-11-25
Online:
2020-11-24
Contact:
CHEN Zhu
E-mail:812885660@qq.com
Supported by:
CLC Number:
CHEN Zhu,LU Yao,CHEN Yi-yi. Application of Neuromodulation in Rehabilitation for Dysphagia (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(11): 1287-1291.
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研究者 | 刺激方式 | 效果 | 参考策略 |
---|---|---|---|
Verin等[ | 刺激吞咽皮质 | 吞咽功能改善 | rTMS真刺激 |
进食时吞咽反应更快 | |||
Khedr等[ | 刺激受损皮质 | 真刺激有效 | rTMS真刺激 |
伪刺激组治疗2个月也未见吞咽功能显著改善 | |||
郑秀琴等[ | 以1 Hz、5 Hz和10 Hz刺激健康成人 | 5 Hz的刺激对吞咽皮质既有兴奋作用,也有后续效应 | 高频rTMS (5 Hz) |
1 Hz和10 Hz rTMS均无兴奋效应 | |||
Khedr等[ | 3 Hz刺激受损侧皮质 | 吞咽功能较前改善 | 高频rTMS (3 Hz) |
吞咽肌肉运动诱发电位振幅较前增大 | |||
Park等[ | 5 Hz刺激健侧咽部皮质区 | 健侧皮质兴奋性增加 | 高频rTMS (5 Hz) |
延髓运动神经元兴奋性增加 | |||
投射到咽部的刺激增加 | |||
Verin等[ | 1 Hz刺激吞咽障碍患者健侧皮质 | 患者吞咽协调性提高 | 低频rTMS (1 Hz) |
Du等[ | 以1 Hz和3 Hz刺激吞咽障碍患者皮质 | 1 Hz降低健侧皮质兴奋性,增加患侧皮质兴奋性 | 低频rTMS (1 Hz) |
3 Hz增强患侧皮质兴奋性 | |||
焦勇钢等[ | 3 Hz刺激急性期患者双侧相应区域 | 双侧高频刺激效果优于单侧刺激 | 双侧高频rTMS (3 Hz) |
Khedr等[ | 3 Hz刺激双侧吞咽运动区大脑皮质 | 治疗延髓损伤吞咽困难有效 | 双侧高频rTMS (3 Hz) |
可提高皮质延髓的兴奋性 |
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