Progress of the Target Selection and Localization of Repetitive Transcranial Magnetic Stimulation to Improve Upper Limb Function after Stroke

Stroke is a common cerebrovascular disease with high morbidity, mortality, disability, and recurrence imposing significant social and economic burdens. Following a stroke, approximately 30%-60% of patients experience varying degrees of upper limb motor dysfunction. Currently, rehabilitation techniqu...

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Main Authors: LIU Canhuan, SHEN Ying, DAI Wenjun, GUO Chuan, CHENG Yihui, ZHU Yi, WANG Tong
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2024-06-01
Series:康复学报
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.03012
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author LIU Canhuan
SHEN Ying
DAI Wenjun
GUO Chuan
CHENG Yihui
ZHU Yi
WANG Tong
author_facet LIU Canhuan
SHEN Ying
DAI Wenjun
GUO Chuan
CHENG Yihui
ZHU Yi
WANG Tong
author_sort LIU Canhuan
collection DOAJ
description Stroke is a common cerebrovascular disease with high morbidity, mortality, disability, and recurrence imposing significant social and economic burdens. Following a stroke, approximately 30%-60% of patients experience varying degrees of upper limb motor dysfunction. Currently, rehabilitation techniques for improving post-stroke upper limb motor function, both domestically and internationally, primarily involve motor function training.Repetitive transcranial magnetic stimulation (rTMS), because it can enhance upper limb motor function recovery by modulating cortical excitability and promoting neuroplasticity, has been increasingly used in stroke rehabilitation and has been included in the guideline as a grade A recommendation.However, there is still large heterogeneity in the relevant clinical studies, and the therapeutic effect is affected by factors such as different target selection and target localization accuracy. In recent years, the number of studies on new stimulation targets and different localization methods has been increasing. In this paper, we review the protocols, efficacy, mechanism of action, and localization of stimulation targets of rTMS in the primary motor cortex (MI), premotor cortex (PMC), and other brain regions, aiming to provide guidance for the clinical application of rTMS in the rehabilitation of upper limb motor function after stroke.
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id doaj-art-835a02edd29945178098b47018f18259
institution Kabale University
issn 2096-0328
language English
publishDate 2024-06-01
publisher Editorial Office of Rehabilitation Medicine
record_format Article
series 康复学报
spelling doaj-art-835a02edd29945178098b47018f182592025-01-14T10:08:53ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282024-06-013429430365666790Progress of the Target Selection and Localization of Repetitive Transcranial Magnetic Stimulation to Improve Upper Limb Function after StrokeLIU CanhuanSHEN YingDAI WenjunGUO ChuanCHENG YihuiZHU YiWANG TongStroke is a common cerebrovascular disease with high morbidity, mortality, disability, and recurrence imposing significant social and economic burdens. Following a stroke, approximately 30%-60% of patients experience varying degrees of upper limb motor dysfunction. Currently, rehabilitation techniques for improving post-stroke upper limb motor function, both domestically and internationally, primarily involve motor function training.Repetitive transcranial magnetic stimulation (rTMS), because it can enhance upper limb motor function recovery by modulating cortical excitability and promoting neuroplasticity, has been increasingly used in stroke rehabilitation and has been included in the guideline as a grade A recommendation.However, there is still large heterogeneity in the relevant clinical studies, and the therapeutic effect is affected by factors such as different target selection and target localization accuracy. In recent years, the number of studies on new stimulation targets and different localization methods has been increasing. In this paper, we review the protocols, efficacy, mechanism of action, and localization of stimulation targets of rTMS in the primary motor cortex (MI), premotor cortex (PMC), and other brain regions, aiming to provide guidance for the clinical application of rTMS in the rehabilitation of upper limb motor function after stroke.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.03012stroketranscranial magnetic stimulationstimulation targetupper limb motor functionrehabilitation
spellingShingle LIU Canhuan
SHEN Ying
DAI Wenjun
GUO Chuan
CHENG Yihui
ZHU Yi
WANG Tong
Progress of the Target Selection and Localization of Repetitive Transcranial Magnetic Stimulation to Improve Upper Limb Function after Stroke
康复学报
stroke
transcranial magnetic stimulation
stimulation target
upper limb motor function
rehabilitation
title Progress of the Target Selection and Localization of Repetitive Transcranial Magnetic Stimulation to Improve Upper Limb Function after Stroke
title_full Progress of the Target Selection and Localization of Repetitive Transcranial Magnetic Stimulation to Improve Upper Limb Function after Stroke
title_fullStr Progress of the Target Selection and Localization of Repetitive Transcranial Magnetic Stimulation to Improve Upper Limb Function after Stroke
title_full_unstemmed Progress of the Target Selection and Localization of Repetitive Transcranial Magnetic Stimulation to Improve Upper Limb Function after Stroke
title_short Progress of the Target Selection and Localization of Repetitive Transcranial Magnetic Stimulation to Improve Upper Limb Function after Stroke
title_sort progress of the target selection and localization of repetitive transcranial magnetic stimulation to improve upper limb function after stroke
topic stroke
transcranial magnetic stimulation
stimulation target
upper limb motor function
rehabilitation
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.03012
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