中国现代神经疾病杂志 ›› 2025, Vol. 25 ›› Issue (8): 689-696. doi: 10.3969/j.issn.1672-6731.2025.08.003

• 专题综述 • 上一篇    下一篇

2 双位点经颅磁刺激技术在脑卒中后运动障碍中的康复治疗

吴晓莉, 杜晓霞*()   

  1. 100068 首都医科大学康复医学院 中国康复研究中心北京博爱医院神经康复科
  • 收稿日期:2025-07-15 出版日期:2025-08-25 发布日期:2025-09-06
  • 通讯作者: 杜晓霞
  • 基金资助:
    中国康复研究中心科研项目(2025ZX-04)

Progress on dual-site transcranial magnetic stimulation technology in post-stroke motor dysfunction

Xiao-li WU, Xiao-xia DU*()   

  1. School of Rehabilitation Medicine, Capital Medical University; Department of Neurorehabilitation, Beijing Boai Hospital; China Rehabilitation Research Center, Beijing 100068, China
  • Received:2025-07-15 Online:2025-08-25 Published:2025-09-06
  • Contact: Xiao-xia DU
  • Supported by:
    Scientific Research Project of China Rehabilitation Research Center(2025ZX-04)

摘要:

脑卒中后运动障碍显著影响患者生活质量,非侵入性脑刺激技术为脑卒中康复提供新策略,但单位点经颅磁刺激难以精准调控脑卒中后双侧半球功能交互异常的复杂网络。双位点经颅磁刺激(DS-TMS)技术通过同时或序贯刺激关联脑区实现神经网络动态平衡,其作用机制涉及跨半球相互作用及半球内各脑区相互作用,为脑卒中后运动障碍康复治疗提供更加精准的干预策略。本文系统综述DS-TMS技术原理和分类及其在脑运动网络间功能连接中的作用机制和脑卒中后运动障碍中的康复治疗进展,探讨临床转化前景,为优化参数和选择个性化方案提供理论依据。

关键词: 卒中, 运动障碍, 康复, 经颅磁刺激, 神经元可塑性, 功能连接(非 MeSH 词), 综述

Abstract:

Post-stroke motor dysfunction significantly impacts patients' quality of life. Non-invasive brain stimulation (NIBS) techniques offer novel strategies for stroke rehabilitation, yet single - target transcranial magnetic stimulation (TMS) struggles to precisely modulate the complex network of bilateral hemispheric functional interactions post - stroke. Dual - site transcranial magnetic stimulation (DS - TMS), which dynamically balances neural networks through simultaneous or sequential stimulation of correlated brain regions, exerts its mechanisms via interhemispheric connectivity and intrahemispheric interactions among brain regions. This provides a more precise intervention strategy for motor rehabilitation in post - stroke patients. This review systematically summarizes the technical principles and classifications of DS - TMS, its mechanisms of action within motor network connectivity, and research progress in its application for post-stroke motor dysfunction rehabilitation. We discuss clinical translation prospects, aiming to provide theoretical foundations for optimizing parameters and developing individualized treatment protocols.

Key words: Stroke, Motor disorders, Rehabilitation, Transcranial magnetic stimulation, Neuronal plasticity, Functional connectivity (not in MeSH), Review