Research progress on the application of transcranial magnetic stimulation in spinal cord injury rehabilitation: a narrative review

Frontiers in Neurology

Neurology

Li Li¹  Xiahuang Li²  Yi Fu³  Huiyun Zhao⁴  Rui Xu⁵  Lili Yang⁵  Tingting Dong⁵  Yuhong Wang⁵  Xuesong Gai⁵  Dongdong Qin⁶ 

[1] Department of Emergency Trauma Surgery, The First People’s Hospital of Yunnan Province, Kunming, China;Department of Neurosurgery, Mengzi People’s Hospital, Mengzi, China;Department of Pulmonary and Critical Care Medicine, Kunming Municipal Hospital of Traditional Chinese Medicine, Kunming, China;Department of Rehabilitation Medicine, Dongchuan District People’s Hospital, Kunming, China;Department of Rehabilitation Medicine, The First People’s Hospital of Yunnan Province, Kunming, China;Key Laboratory of Traditional Chinese Medicine for Prevention and Treatment of Neuropsychiatric Diseases, Yunnan University of Chinese Medicine, Kunming, China;

关键词: spinal cord injury;    transcranial magnetic stimulation;    rehabilitation;    neuroplasticity;    non-invasive brain stimulation;   

DOI  :  10.3389/fneur.2023.1219590

 received in 2023-05-11, accepted in 2023-07-05,  发布年份 2023

来源: Frontiers

【 摘 要 】

Traumatic or non-traumatic spinal cord injury (SCI) can lead to severe disability and complications. The incidence of SCI is high, and the rehabilitation cycle is long, which increases the economic burden on patients and the health care system. However, there is no practical method of SCI treatment. Recently, transcranial magnetic stimulation (TMS), a non-invasive brain stimulation technique, has been shown to induce changes in plasticity in specific areas of the brain by regulating the activity of neurons in the stimulation site and its functionally connected networks. TMS is a new potential method for the rehabilitation of SCI and its complications. In addition, TMS can detect the activity of neural circuits in the central nervous system and supplement the physiological evaluation of SCI severity. This review describes the pathophysiology of SCI as well as the basic principles and classification of TMS. We mainly focused on the latest research progress of TMS in the physiological evaluation of SCI as well as the treatment of motor dysfunction, neuropathic pain, spasticity, neurogenic bladder, respiratory dysfunction, and other complications. This review provides new ideas and future directions for SCI assessment and treatment.

【 授权许可】

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Copyright © 2023 Wang, Dong, Li, Zhao, Yang, Xu, Fu, Li, Gai and Qin.