著者
井上 雄吉
出版者
日本神経治療学会
雑誌
神経治療学 (ISSN:09168443)
巻号頁・発行日
vol.33, no.2, pp.228-233, 2016 (Released:2016-08-10)
参考文献数
40

Repetitive transcranial magnetic stimulation (rTMS) has the potentials to change brain excitability, inducing plasticity. In recent years, the use of rTMS has been increased for basic research and clinical applications, such as post–stroke complicatons, including hemiparesis, aphasia or unilateral spatial neglect.rTMS is classified into inhibitory low–frequency (≦1Hz) and facilitatory high–frequency rTMS (≧5Hz), totally named as conventional rTMS (c–rTMS), in which stimulation pattern is regular. In contrast, patterned rTMS (p–rTMS) has irregularly modified stimulation pattern. The after–effect of rTMS, lasting beyond stimulation time, depends on the number, intensity and frequency of stimulation pulses, contributing to clinical efficacy of rTMS. Lastly, p–rTMS is used much often than c–rTMS, because the after–effect of the former is more than the latter in duration and magnitude of the effect. The author and collegue use theta burst stimulation (TBS) (Huang et al, 2005) among various p–rTMS. TBS is classified into inhibitory continuous TBS (cTBS) and facilitatory intermittent TBS (iTBS). In this report, in addition to c–rTMS, the efficacies of cTBS are described for unilateral spatial neglect (USN) or non–fluent aphasia, stimulating over posterior parietal cortex or Brodmann area 45 (BA45) on unaffected hemisphere, respectively. Also, in recent, we have reported the effect for post–stroke ataxia of hybrid therapy of iTBS over the motor cortex on affected hemisphere combined with integrated volitional control electrical stimulation (IVES).rTMS (in particular, TBS) is expected a promising useful therapy for rehabilitation.

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@achaxfms ここまで回復するとは、自分でも信じられない思いです。 井上雄吉先生に感謝します。 先生の論文を貼ります。 https://t.co/JOEr6ugRBv
患者様からの情報 #磁気刺激療法 #rTMS 療法 井上 雄吉先生 https://t.co/BzS66upz9j https://t.co/dYB2Ar4JNE 診療予約は 富山県リハビリテーション病院病院 地域連携室… https://t.co/lHw4tRSQvC

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