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脑卒中的辅助治疗：重复经颅磁刺激.pdf

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NEURALREGENERATIONRESEARCH Volume7,Issue8,March2012www.nrronline.org Citethisarticleas:NeuralRegenRes.2012;7(8):627-634. Clinicalapplicationofrepetitivetranscranial magneticstimulationinstrokerehabilitation*☆● JoonhoShin,EunJooYang,KyeHeeCho,CarmeloLBarcenas,WooJinKim,YusunMin, Nam-JongPaik DepartmentofRehabilitationMedicine,BundangHospital,CollegeofMedicine,SeoulNationalUniversity,Seongnam463-707,Republicof Korea Abstract ProperstimulationtoaffectedcerebralhemispherewouldpromotethefunctionalrecoveryofJoonhoShin☆,M.D., patientswithstroke.EffectsofrepetitivetranscranialmagneticstimulationoncorticalexcitabilitycanDepartmentofRehabilitation becanbealteredbythestimulationfrequency,intensityandduration.TherehasbeennoconsistentMedicine,BundangHospital, CollegeofMedicine,Seoul recognitionregardingthebeststimulationfrequencyandintensity.ThisstudyreviewstheNationalUniversity, interventioneffectsofrepetitivetranscranialstimulationonmotorimpairment,dysphagia,Seongnam463-707, visuospatialneglectandaphasia,andsummarizesthestimulationfrequency,intensityandareaforRepublicofKorea repetitivetranscranialmagneticstimulationtoyieldthebesttherapeuticeffects. Correspondingauthor: KeyWords:stroke;repetitivetranscranialmagneticstimulation;rehabilitation;reviewNam-JongPaik,M.D.,Ph.D., Abbreviations:rTMS,repetitivetranscranialmagneticstimulation;TBS,thetaburststimulation;DepartmentofRehabilitation fMRI,functionalmagneticresonanceimagingMedicine,BundangHospital, CollegeofMedicine,Seoul NationalUniversity,300 Gumi-dong,Bundang-gu, post-strokeinadultpatientsarereviewed.Seongnam-si,Gyeonggi-do, INTRODUCTION463-707,RepublicofKorea njpaik@snu.ac.kr EFFECTSOFRTMSONMOTOR Manyinterventions,suchaspharmacologicalIMPAIRMENTPOST-STROKEReceived:2011-11-05 Accepted:2012-02-03 treatments,physicalandbehavioraltherapies(NY20111011004/H) havebeenlargelyappliedtoimprovediverse(Table1) ShinJ,YangEJ,ChoKH, post-strokeneurologicdeficits,includingNaturalrecoveryisnolongerexpectedinBarcenasCL,KimWJ,MinY, vis