Journal of Neurorestoratology最新文献

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Virtual reality as a non-conventional rehabilitation for stroke: A comprehensive review 虚拟现实作为治疗中风的非常规康复手段:综合评述
IF 3.1 4区 医学
Journal of Neurorestoratology Pub Date : 2024-06-18 DOI: 10.1016/j.jnrt.2024.100135
{"title":"Virtual reality as a non-conventional rehabilitation for stroke: A comprehensive review","authors":"","doi":"10.1016/j.jnrt.2024.100135","DOIUrl":"10.1016/j.jnrt.2024.100135","url":null,"abstract":"<div><p>Stroke survivors often experience debilitating neural, physical, and cognitive impairments, particularly affecting upper limb functions. Conventional rehabilitations, though effective, are perceived as slow and monotonous by stroke survivors. This review explores the potential of Virtual Reality (VR) as an engaging rehabilitation approach to address such limitations. Our findings show that VR-based rehabilitations can be beneficial in restoring post-stroke upper limb functions and improving routine life of survivors. Moreover, VR offers adaptability, and user-friendliness across age groups. However, further research with larger sample size studies and stronger evidence base is needed to definitively establish the effectiveness of VR in post-stroke rehabilitation.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2324242624000421/pdfft?md5=f9d81b9c5501e98f86e5d1bfa979843a&pid=1-s2.0-S2324242624000421-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The 2023 yearbook of Neurorestoratology 2023 年神经恢复学年鉴
IF 3.1 4区 医学
Journal of Neurorestoratology Pub Date : 2024-06-13 DOI: 10.1016/j.jnrt.2024.100136
{"title":"The 2023 yearbook of Neurorestoratology","authors":"","doi":"10.1016/j.jnrt.2024.100136","DOIUrl":"10.1016/j.jnrt.2024.100136","url":null,"abstract":"<div><p>Remarkable advancements have been made in understanding the pathogenesis of Alzheimer's disease, Parkinson's disease, and other neurological disease; in our depth of understanding neurorestorative mechanisms such as anti-inflammatory processes, immune regulation, neuromodulation, neovascularization/neural repair, and neuroprotection; and in clinical neurorestorative treatments. Multiple types of cell therapies have been reported, with some positive outcomes. Diverse forms of neurostimulation and neuromodulation as well as brain–computer interfaces have shown good therapeutic outcomes in clinical applications. Further, therapeutic neurorestorative surgery and pharmaceutic therapy have been very impressive. These fundamental achievements are helpful for understanding the pathogenesis of neurological diseases and the mechanisms of neurorestoration. Patients with neurological impairments have benefited from therapeutic progress, but some of these therapies still require confirmation in higher-level randomized clinical trials.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2324242624000433/pdfft?md5=f1d96797a2736929de41d950264bc2f4&pid=1-s2.0-S2324242624000433-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of a combination of troxerutin and cerebroprotein hydrolysate in acute cerebral infarction: Meta-analysis and systematic review 特罗凯鲁汀和脑蛋白水解物复方制剂对急性脑梗塞的疗效:元分析和系统综述
IF 3.1 4区 医学
Journal of Neurorestoratology Pub Date : 2024-06-13 DOI: 10.1016/j.jnrt.2024.100137
{"title":"Efficacy of a combination of troxerutin and cerebroprotein hydrolysate in acute cerebral infarction: Meta-analysis and systematic review","authors":"","doi":"10.1016/j.jnrt.2024.100137","DOIUrl":"10.1016/j.jnrt.2024.100137","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the efficacy and safety of combining troxerutin and cerebroprotein hydrolysate (TCH) for treating acute cerebral infarction via a systematic review.</p></div><div><h3>Methods</h3><p>The computer-based search encompassed eight databases—PubMed, Cochrane Library, Embase, Web of Science, China Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang Data, and China Science and Technology Journal Database—from their establishment until December 2023. Randomized controlled trials that assessed TCH for acute cerebral infarction were selected according to inclusion and exclusion criteria. The data extraction, data quality evaluation, and meta-analysis were performed using RevMan 5.4.1 software.</p></div><div><h3>Results</h3><p>The analysis incorporated 18 studies encompassing 1,957 cases. Compared with the control group, the TCH treatment group had superior outcomes in effective rates (risk ratio [RR] = 1.24, 95% confidence interval [CI; 1.18, 1.30], Z = 8.84, <em>p</em> &lt; 0.05), neurological deficit scores (mean difference [MD] = −3.71, 95% CI [−4.32, −3.10], Z = 11.92, <em>p</em> &lt; 0.05), activity of daily living scores (MD = 13.32, 95% CI [11.66, 14.98], Z = 15.75, <em>p</em> &lt; 0.05), changes in low shear viscosity (MD = −1.82, 95% CI [−2.57, −1.06], Z = 4.73, <em>p</em> &lt; 0.05), and plasma fibrinogen levels (MD = −0.43, 95% CI [−0.47, −0.39], Z = 20.01, <em>p</em> &lt; 0.05). However, there was no significant difference in adverse reaction between the two groups (RR = 0.72, 95% CI [0.45, 1.14], Z = 1.39, <em>p</em> = 0.16). No severe adverse drug reactions were observed in either group.</p></div><div><h3>Conclusion</h3><p>Combined TCH is effective and safe for treating acute cerebral infarction.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2324242624000445/pdfft?md5=f65051c02561b8b32a0f834558073efa&pid=1-s2.0-S2324242624000445-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Restoration of C-type natriuretic peptide and glial fibrillary acidic protein expression in fear centers and intrinsic cardiac ganglia by theta frequency sound during chronic stress in mice 在小鼠慢性应激过程中,θ频率声音可恢复恐惧中枢和固有心脏神经节中C型钠尿肽和神经胶质纤维酸性蛋白的表达
IF 3.1 4区 医学
Journal of Neurorestoratology Pub Date : 2024-06-12 DOI: 10.1016/j.jnrt.2024.100133
{"title":"Restoration of C-type natriuretic peptide and glial fibrillary acidic protein expression in fear centers and intrinsic cardiac ganglia by theta frequency sound during chronic stress in mice","authors":"","doi":"10.1016/j.jnrt.2024.100133","DOIUrl":"10.1016/j.jnrt.2024.100133","url":null,"abstract":"<div><h3>Background</h3><p>C-type natriuretic peptide (CNP) can be altered during stress and has protective effects in both the heart and brain; the functions of both organs can be positively affected by CNP modulation. Low arousal sounds can modulate heart–brain communication and improve stress responses. Here, we aimed to explore the modulation of CNP and glial fibrillary acidic protein (GFAP) and neuroprotective effects of low arousal theta frequency sound (TFS).</p></div><div><h3>Methods</h3><p>Chronic stress was induced in mice (n &gt; 4) using four different stressors on alternate days for 15 days, followed by TFS therapy on alternate days. Open field and elevated plus maze tests were administered for the behavioral analysis, and enzyme-linked immunosorbent assay was used to analyze corticosterone, dopamine, and serotonin levels. Hematoxylin and eosin and cresyl violet staining were used for the morphological analysis of brain and heart sections, and immunohistochemistry for GFAP and CNP was performed.</p></div><div><h3>Results</h3><p>TFS significantly increased the time spent in the open arms during the elevated plus maze (<em>p</em> <em>&lt;</em> 0.05) and improved exploration in the open field test (<em>p</em> &lt; 0.05). In both tests, decision-making times were significantly reduced by TFS. Nuclear morphology and GFAP expression demonstrated significantly reduced gliosis in fear pathways after TFS therapy x. CNP levels were restored in fear pathways but not intrinsic cardiac ganglia (responsible for heart–brain communication) in TFS-treated mice. Brain corticosterone and dopamine levels increased after TFS therapy, reflecting restored motivational behaviors.</p></div><div><h3>Conclusions</h3><p>Low arousal TFS is a potential neuromodulator for treating stress and related complications.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2324242624000408/pdfft?md5=9dc9d9e3bc9b65c473231c9c3065d30d&pid=1-s2.0-S2324242624000408-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in STXBP1 encephalopathy research and translational opportunities STXBP1 脑病研究进展与转化机会
IF 3.1 4区 医学
Journal of Neurorestoratology Pub Date : 2024-06-10 DOI: 10.1016/j.jnrt.2024.100134
{"title":"Advances in STXBP1 encephalopathy research and translational opportunities","authors":"","doi":"10.1016/j.jnrt.2024.100134","DOIUrl":"10.1016/j.jnrt.2024.100134","url":null,"abstract":"<div><p><em>STXBP1</em> encephalopathy (<em>STXBP1</em>-E) is a rare neurodevelopmental disorder that includes epilepsy; it is caused by <em>de novo STXBP1</em> mutations. In clinical settings, pharmaceutical interventions to treat <em>STXBP1</em>-E predominantly concentrate on seizure control. However, effective treatments for seizure recurrence, treatment resistance, and common comorbidities remain scarce. Patients with <em>STXBP1</em>-E display a wide range of pathogenic variations that manifest as loss-of-function, gain-of-function, or dominant-negative effects. However, recent studies have primarily investigated the pathogenic mechanisms resulting from loss-of-function mutations using <em>STXBP1</em> haploinsufficiency models. This approach fails to accurately assess the impact of disease-causing mutations. Moreover, to evaluate new syntaxin-binding protein 1 (STXBP1)-targeting drugs, novel models that incorporate disease-causing mutations or even the genetic backgrounds of patients are needed. Here, we discuss the clinical symptoms of <em>STXBP1</em>-E and the relationship between this disorder and <em>STXBP1</em> mutations. We also review recent progress toward understanding the biological function of STXBP1 and its deficiency-induced cellular defects. We then discuss recent discoveries concerning the pathogenesis of <em>STXBP1</em>-E and the limitations and challenges associated with the current research model. Additionally, we underscore the value of leveraging stem cell technology to study the pathogenic mechanisms of <em>STXBP1</em>-E, and review stem cell transplantation as a potential approach for treating this disorder. We also discuss potential future research directions that need to be resolved.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S232424262400041X/pdfft?md5=f7a8b09795703d81f7a217f44f1e9bba&pid=1-s2.0-S232424262400041X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of ultrashort wave on neuronal damage and heat shock protein 70 expression after cerebral ischemia-reperfusion injury in rats 超短波对大鼠脑缺血再灌注损伤后神经元损伤和热休克蛋白 70 表达的影响
IF 3.1 4区 医学
Journal of Neurorestoratology Pub Date : 2024-06-09 DOI: 10.1016/j.jnrt.2024.100132
Jing Yin , Jiaxin Sun , Wenbin Li , Yongmei Fan , Zhang Lei
{"title":"Effects of ultrashort wave on neuronal damage and heat shock protein 70 expression after cerebral ischemia-reperfusion injury in rats","authors":"Jing Yin ,&nbsp;Jiaxin Sun ,&nbsp;Wenbin Li ,&nbsp;Yongmei Fan ,&nbsp;Zhang Lei","doi":"10.1016/j.jnrt.2024.100132","DOIUrl":"10.1016/j.jnrt.2024.100132","url":null,"abstract":"<div><h3>Background</h3><p>Ultrashort wave (USW) therapy has been reported to alleviate cerebral ischemia/reperfusion (IR) injury, however the underlying mechanisms remain elusive. The aim of this study was to observe the effect of non-thermal USW therapy on neuronal damage and expression of heat shock protein 70 (HSP70) after cerebral IR in rats.</p></div><div><h3>Methods</h3><p>Focal ischemia-reperfusion (IR) was induced in Sprague–Dawley rats by middle cerebral artery occlusion/reperfusion (MCAO/R). The Ninety-two rats (both male and female) were screened using the Zea-Longa 5 grade evaluation. Included rats were then randomly divided into blank, sham, model 1-day, model 3-day, model 7-day, USW 1-day, USW 3-day, or USW 7-day groups. All rats in the model groups received sham USW treatment, while rats in the USW groups received USW treatment, for 1, 3, or 7 days. We assessed the National Institutes of Health Stroke Scale, brain infarction volumes, ultrastructural damage scores using electron microscopy, and HSP70 expression by western blotting between the different groups.</p></div><div><h3>Results</h3><p>USW treatment reduced the National Institutes of Health Stroke Scale, infarction volume, and ultrastructural neuronal damage, and increased expression of HSP70, in the hippocampal CA1 region.</p></div><div><h3>Conclusions</h3><p>Non-thermal USW therapy may improve neurological function, decrease infarction volume, and reduce neuronal damage by increasing HSP70 expression following cerebral IR injury.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2324242624000391/pdfft?md5=5a7ce8f6cc1ae34e6325b8a2ba31324f&pid=1-s2.0-S2324242624000391-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of chronic restraint stress-and lipopolysaccharide-induced mouse models of depression: Behavior, c-Fos expression, and microglial and astrocytic activation 慢性束缚应激和脂多糖诱导的抑郁症小鼠模型的比较:行为、c-Fos表达以及小胶质细胞和星形胶质细胞活化
IF 3.1 4区 医学
Journal of Neurorestoratology Pub Date : 2024-06-08 DOI: 10.1016/j.jnrt.2024.100130
{"title":"Comparison of chronic restraint stress-and lipopolysaccharide-induced mouse models of depression: Behavior, c-Fos expression, and microglial and astrocytic activation","authors":"","doi":"10.1016/j.jnrt.2024.100130","DOIUrl":"10.1016/j.jnrt.2024.100130","url":null,"abstract":"<div><p>Depression is a mental disease that involves a variety of complex physiological mechanisms. A wide range of methods have therefore been used to establish mouse models of depression, and there are currently many ways to develop such mouse models. The present study aimed to compare the effects of various model induction methods and assesses their different effects. To this end, C57BL/6J mice were divided into three experimental groups: the chronic restraint stress (CRS) group received 6 hours of daily confinement within restraint tubes over a 3-week period; the chronic lipopolysaccharide (C-LPS) administration group received daily intraperitoneal injections of 0.5 mg/kg LPS for 1 week; and the acute LPS (A-LPS) administration group received a singular intraperitoneal injection of 0.83 mg/kg LPS. A corresponding control group was established for each experimental condition. Following mouse model establishment, depression-like behaviors were assessed through the forced swimming and tail suspension tests; anxiety-related behaviors were evaluated using the open field test and elevated plus maze. Furthermore, the expression of the immediate early gene c-Fos, ionized calcium-binding adapter molecule 1 (IBA1), and glial fibrillary acidic protein (GFAP) was examined via immunofluorescence. Longer immobility durations during the forced swimming and tail suspension tests were observed across all model groups (<em>p</em> &lt; 0.05), indicating depression-like behaviors. Furthermore, the CRS and C-LPS group, but not the A-LPS group, showed significant anxiety-like behaviors in the elevated plus maze (<em>p</em> &lt; 0.05). All model groups also exhibited significant increases in both time and distance explored within the central area of the open field test (<em>p</em> &lt; 0.05). The activation of GFAP- and IBA1-positive cells in the cerebral cortex and hippocampus was also markedly pronounced in all experimental groups, suggesting the association of neuroinflammatory responses with induced depressive states. The present findings contribute to our understanding of the pathophysiology of stress-induced and neuroinflammatory-associated depression, and will help researchers to choose suitable depression models for their investigations.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2324242624000378/pdfft?md5=7a7c7c0bf937867ee601b6849c8cef0f&pid=1-s2.0-S2324242624000378-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PRP and other techniques for restoring function across peripheral nerve gaps PRP 和其他恢复周围神经间隙功能的技术
IF 3.1 4区 医学
Journal of Neurorestoratology Pub Date : 2024-06-08 DOI: 10.1016/j.jnrt.2024.100131
Damien P. Kuffler
{"title":"PRP and other techniques for restoring function across peripheral nerve gaps","authors":"Damien P. Kuffler","doi":"10.1016/j.jnrt.2024.100131","DOIUrl":"10.1016/j.jnrt.2024.100131","url":null,"abstract":"<div><p>Restoring function to peripheral nerves with a gap is challenging, with &lt;50% of patients undergoing nerve repair surgery recovering function. Sensory nerve grafts (autografts) are the clinical “gold standard” for bridging nerve gaps to restore sensory and motor function. They have significant limitations and restore meaningful function only across short gaps when repairs are performed soon after trauma and patients are young. When the value of any of these variables is large, the extent of recovery decreases precipitously, and when two or all are simultaneously large, there is little to no recovery. The extent of restored meaningful recovery has not increased in almost 70 years. Thus, novel techniques are needed that enhance both the extent of recovery and the percentage of patients who recover meaningful recovery. This paper reviews the limitations of autografts and other materials used to repair nerves. It also examines autologous platelet-rich plasma (PRP), a promising nerve gap repair technique that induces recovery in clinical settings where autografts are ineffective, including when the values of all three variables are simultaneously large.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S232424262400038X/pdfft?md5=582f62d527b387398931b96d9c29d834&pid=1-s2.0-S232424262400038X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141405536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two sides of one coin: Neurorestoratology and Neurorehabilitation 一枚硬币的两面:神经恢复学和神经康复学
IF 3.3 4区 医学
Journal of Neurorestoratology Pub Date : 2024-04-20 DOI: 10.1016/j.jnrt.2024.100121
Hongyun Huang, Hari Shanker Sharma, Lin Chen, Ali Otom, John R. Bach, Wagih S. El Masri
{"title":"Two sides of one coin: Neurorestoratology and Neurorehabilitation","authors":"Hongyun Huang,&nbsp;Hari Shanker Sharma,&nbsp;Lin Chen,&nbsp;Ali Otom,&nbsp;John R. Bach,&nbsp;Wagih S. El Masri","doi":"10.1016/j.jnrt.2024.100121","DOIUrl":"10.1016/j.jnrt.2024.100121","url":null,"abstract":"","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2324242624000287/pdfft?md5=b96f85910eef215d47c0ab8da5a42c66&pid=1-s2.0-S2324242624000287-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of deep brain stimulation and transcranial magnetic stimulation in stroke neurorestoration: A review 脑深部刺激和经颅磁刺激在中风神经恢复中的应用:综述
IF 3.3 4区 医学
Journal of Neurorestoratology Pub Date : 2024-04-18 DOI: 10.1016/j.jnrt.2024.100120
Yanxi Chen , Zhidong Xu , Tingting Liu , Dan Li , Xin Tian , Ruifang Zheng , Yifu Ma , Songyang Zheng , Jianguo Xing , Wen Wang , Fangling Sun
{"title":"Application of deep brain stimulation and transcranial magnetic stimulation in stroke neurorestoration: A review","authors":"Yanxi Chen ,&nbsp;Zhidong Xu ,&nbsp;Tingting Liu ,&nbsp;Dan Li ,&nbsp;Xin Tian ,&nbsp;Ruifang Zheng ,&nbsp;Yifu Ma ,&nbsp;Songyang Zheng ,&nbsp;Jianguo Xing ,&nbsp;Wen Wang ,&nbsp;Fangling Sun","doi":"10.1016/j.jnrt.2024.100120","DOIUrl":"10.1016/j.jnrt.2024.100120","url":null,"abstract":"<div><p>Stroke is a global cause of death and neurological disability. Survivors of stroke experience impaired quality of life because of post-stroke motor disorders, which are the primary driver of stroke-associated healthcare expenditures. Neuromodulatory techniques offer a promising avenue for addressing these post-stroke motor disorders. Post-stroke motor disorders are thought to be related to ongoing maladaptive responses and abnormal brain network reorganization; this offers insights into the inadequacy of most current treatments. In the present review, we summarize the following models involved in post-stroke motor disorders: the dual-pathway model of the basal ganglia, the cerebrocerebellar model, and the interhemispheric inhibition model. By identifying these critical elements, it will be clinically possible to explore mechanism-based therapeutics. On the basis of this physiological understanding, we review progress in the clinical application of the main therapeutic modalities; namely, invasive deep brain stimulation (DBS) and noninvasive transcranial magnetic stimulation (TMS), both of which are currently under investigation for neuromodulation in stroke. Both DBS and TMS are approved by the Food and Drug Administration because of their safety and efficacy. Although little is known about their underlying molecular mechanisms, recent studies have indicated that DBS and TMS promote post-stroke neurogenesis and neuroplasticity, suggesting potential pathways for restoring post-stroke motor disorders. Moreover, we focus specifically on the interactions between TMS and DBS, and discuss the ways in which combined DBS and TMS—for the future personalization of treatment strategies—will further ameliorate post-stroke motor disorders. For example, TMS can be used safely in movement disorder patients with DBS, and pairing DBS with TMS at specific intervals and patterns produces long-term potentiation-like effects related to cortical plasticity. A further characterization of the precise repair mechanisms, together with technological innovations, is likely to substantially improve the efficacy of treatments for post-stroke motor disorders.</p></div>","PeriodicalId":44709,"journal":{"name":"Journal of Neurorestoratology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2324242624000275/pdfft?md5=742c26112a52e9ef11c8e0b56ca5d279&pid=1-s2.0-S2324242624000275-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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