神经调控技术在脑卒中后失语症治疗中的应用OA
Application and Prospects of Neuromodulation Technology for Post-Stroke Aphasia
脑卒中是全球范围内导致成人失用的主要原因之一,其继发的失语症严重损害患者的语言功能及生存质量.随着神经科学研究的深入,基于神经可塑性调控原理的神经调控技术,通过侵入性或非侵入性干预模式,经突触可塑性机制诱导语言网络功能重组,在改善脑卒中后失语症(PSA)治疗方面彰显了临床应用潜力.本研究系统综述了神经调控技术在PSA治疗中的研究进展,首先概述PSA语言中枢的损伤及恢复机制和神经调控技术的基本原理,随后重点介绍经颅磁刺激(TMS)、经颅电刺激(TES)、脑机接口(BCI)等神经调控技术在PSA中的临床应用,归纳其长期疗效与安全性,并分析神经调控技术治疗PSA的优势、局限性及未来发展方向,以期为优化PSA神经调控治疗的临床实践提供理论依据.
Stroke is one of the leading causes of adult in disability globally,and post-stroke aphasia(PSA),a common neurolog-ical sequela,severely impairs language function and reduces quality of life.With advances in neuroscience,neuromodulation tech-nologies based on the principles of neuroplasticity have emerged as promising therapeutic strategies for PSA.Through invasive or non-invasive interventions,these techniques promote functional reorganization of language networks by modulating synaptic plastic-ity,thereby facilitating language recovery.This review systematically summarizes recent progress in the application of neuromodula-tion technologies for the treatment of PSA.First,it elaborates on the mechanisms underlying language network injury and recovery in PSA,as well as the fundamental principles of neuromodulation.Subsequently,it highlights the clinical applications of mainstream neuromodulation techniques,including transcranial magnetic stimulation(TMS),transcranial electrical stimulation(TES),and brain-computer interface(BCI),and synthesizes existing evidence on their long-term efficacy and safety.Furthermore,the advantages,cur-rent limitations,and future research directions of neuromodulation for PSA are discussed,with the aim of providing a theoretical foundation for optimizing the clinical application of neuromodulation in post-stroke aphasia rehabilitation.
缪嘉丽;夏晓昧;陈文莉
东南大学,江苏 南京 210009连云港市第一人民医院,江苏 连云港 222000东南大学附属中大医院,江苏 南京 210009
脑卒中脑卒中后失语症神经调控技术无创神经电刺激康复治疗
strokepost-stroke aphasianeuromodulation technologynon-invasive neural electrical stimulationrehabilitation therapy
《康复学报》 2026 (7)
508-516,9
江苏省卫生健康委干部保健面上项目(BJ24014)中国博士后科学基金第72批面上项目(2022M720722)
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