Effects of repetitive transcranial magnetic stimulation on recovery of function after spinal cord injury.
Identifieur interne : 000523 ( Main/Exploration ); précédent : 000522; suivant : 000524Effects of repetitive transcranial magnetic stimulation on recovery of function after spinal cord injury.
Auteurs : Toshiki Tazoe [Japon] ; Monica A. Perez [États-Unis]Source :
- Archives of physical medicine and rehabilitation [ 1532-821X ] ; 2015.
Descripteurs français
- KwdFr :
- Cortex moteur (physiopathologie), Humains, Névralgie (rééducation et réadaptation), Névralgie (étiologie), Parésie (rééducation et réadaptation), Parésie (étiologie), Récupération fonctionnelle, Spasticité musculaire (rééducation et réadaptation), Spasticité musculaire (étiologie), Stimulation magnétique transcrânienne (), Techniques de physiothérapie, Tractus pyramidaux (physiopathologie), Traumatismes de la moelle épinière (), Traumatismes de la moelle épinière (rééducation et réadaptation).
- MESH :
- physiopathologie : Cortex moteur, Tractus pyramidaux.
- rééducation et réadaptation : Névralgie, Parésie, Spasticité musculaire, Traumatismes de la moelle épinière.
- étiologie : Névralgie, Parésie, Spasticité musculaire.
- Humains, Récupération fonctionnelle, Stimulation magnétique transcrânienne, Techniques de physiothérapie, Traumatismes de la moelle épinière.
English descriptors
- KwdEn :
- Humans, Motor Cortex (physiopathology), Muscle Spasticity (etiology), Muscle Spasticity (rehabilitation), Neuralgia (etiology), Neuralgia (rehabilitation), Paresis (etiology), Paresis (rehabilitation), Physical Therapy Modalities, Pyramidal Tracts (physiopathology), Recovery of Function, Spinal Cord Injuries (complications), Spinal Cord Injuries (rehabilitation), Transcranial Magnetic Stimulation (methods).
- MESH :
- complications : Spinal Cord Injuries.
- etiology : Muscle Spasticity, Neuralgia, Paresis.
- methods : Transcranial Magnetic Stimulation.
- physiopathology : Motor Cortex, Pyramidal Tracts.
- rehabilitation : Muscle Spasticity, Neuralgia, Paresis, Spinal Cord Injuries.
- Humans, Physical Therapy Modalities, Recovery of Function.
Abstract
A major goal of rehabilitation strategies after spinal cord injury (SCI) is to enhance the recovery of function. One possible avenue to achieve this goal is to strengthen the efficacy of the residual neuronal pathways. Noninvasive repetitive transcranial magnetic stimulation (rTMS) has been used in patients with motor disorders as a tool to modulate activity of corticospinal, cortical, and subcortical pathways to promote functional recovery. This article reviews a series of studies published during the last decade that used rTMS in the acute and chronic stages of paraplegia and tetraplegia in humans with complete and incomplete SCI. In the studies, rTMS has been applied over the arm and leg representations of the primary motor cortex to target 3 main consequences of SCI: sensory and motor function impairments, spasticity, and neuropathic pain. Although some studies demonstrated that consecutive sessions of rTMS improve aspects of particular functions, other studies did not show similar effects. We discuss how rTMS parameters and postinjury reorganization in the corticospinal tract, motor cortical, and spinal cord circuits might be critical factors in understanding the advantages and disadvantages of using rTMS in patients with SCI. The available data highlight the limited information on the use of rTMS after SCI and the need to further understand the pathophysiology of neuronal structures affected by rTMS to maximize the potential beneficial effects of this technique in humans with SCI.
DOI: 10.1016/j.apmr.2014.07.418
PubMed: 25175159
Affiliations:
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Le document en format XML
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Perez</name><affiliation wicri:level="2"><nlm:affiliation>Department of Physical Medicine and Rehabilitation, Center for the Neural Basis of Cognition, Systems Neuroscience Institute, University of Pittsburgh, Pittsburgh, PA. 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One possible avenue to achieve this goal is to strengthen the efficacy of the residual neuronal pathways. Noninvasive repetitive transcranial magnetic stimulation (rTMS) has been used in patients with motor disorders as a tool to modulate activity of corticospinal, cortical, and subcortical pathways to promote functional recovery. This article reviews a series of studies published during the last decade that used rTMS in the acute and chronic stages of paraplegia and tetraplegia in humans with complete and incomplete SCI. In the studies, rTMS has been applied over the arm and leg representations of the primary motor cortex to target 3 main consequences of SCI: sensory and motor function impairments, spasticity, and neuropathic pain. Although some studies demonstrated that consecutive sessions of rTMS improve aspects of particular functions, other studies did not show similar effects. We discuss how rTMS parameters and postinjury reorganization in the corticospinal tract, motor cortical, and spinal cord circuits might be critical factors in understanding the advantages and disadvantages of using rTMS in patients with SCI. The available data highlight the limited information on the use of rTMS after SCI and the need to further understand the pathophysiology of neuronal structures affected by rTMS to maximize the potential beneficial effects of this technique in humans with SCI.</div></front></TEI><affiliations><list><country><li>Japon</li><li>États-Unis</li></country><region><li>Pennsylvanie</li><li>Région de Kantō</li></region><settlement><li>Pittsburgh</li><li>Tokyo</li></settlement><orgName><li>Université de Pittsburgh</li></orgName></list><tree><country name="Japon"><region name="Région de Kantō"><name sortKey="Tazoe, Toshiki" sort="Tazoe, Toshiki" uniqKey="Tazoe T" first="Toshiki" last="Tazoe">Toshiki Tazoe</name></region></country><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Perez, Monica A" sort="Perez, Monica A" uniqKey="Perez M" first="Monica A" last="Perez">Monica A. 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