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PL
W artykule przedstawiono przezczaszkową stymulację stałoprądową (tDCS), którą uznaje się za bezpieczną i nieinwazyjną metodą stymulacji mózgu człowieka. W pracy zawarto parametry techniczne niezbędne do przeprowadzenia stymulacji tDCS, jak również opisano zjawiska biologiczne i elektryczne zachodzące podczas stymulacji prądem stałym. Ponadto omówiono wykorzystanie tDCS w badaniach naukowych psychologicznych oraz medycynie, jak również innowacyjne zastosowania metody tDCS w leczeniu chorób neurologicznych i zaburzeń psychiatrycznych.
EN
The paper provides an overview of transcranial direct current stimulation (tDCS) which is safe, non-invasive method of stimulating the human brain. We discussed basic information how to perform tDCS stimulation (specifications) and biological as well as electrical phenomena occurring in the brain when stimulated. We also briefly reviewed application of tDCS in psychological and medical research along with innovative approaches of tDCS therapies in the treatment of neurological and psychiatric disorders.
EN
In the motor system, transcranial magnetic stimulation (TMS) has proved an invaluable tool to study the organisation and interaction of the cortical motor areas. In this review I describe some of the ways in which TMS has been used to map out the major topographical features of the motor output and to test how these change in response motor learning or after peripheral (e.g. amputation) or central (e.g. stroke) injury. More recent work has shown that longer periods of repeated TMS involving several hundred to a thousand pulses can lead to lasting changes in motor cortex excitability that are thought to involve changes in the efficacy of intracortical synapses equivalent to LTP and LTP in slice preparations. These are accompanied by changes in the rate of motor learning and are presently being trialled as potential treatments to speed recovery from stroke.
EN
Sleep disturbance is common in Parkinson's disease (PD). In this study we investigated the effect of a novel therapeutic tool, repetitive transcranial magnetic stimulation (rTMS) on sleep quality in PD patients. The study group consisted of 11 PD patients who underwent ten daily rTMS sessions at 15 Hz. Their sleep patterns were monitored with polysomnography. After the stimulation, non-REM stage-1 sleep and the number of nocturnal arousals decreased, thus improving sleep quality. These changes were probably related to the improvement of motor symptoms observed in UPDRS and in the 9 Hole peg test.
4
Content available remote Non-invasive cortical stimulation for the treatment of pain
EN
Non-invasive cortical stimulation techniques are promising tools in the arsenal against refractory chronic pain. Repetitive transcranial magnetic stimulation can produce analgesic effects, leading to consideration of this technique as a therapeutic tool per se or as a prognostic tool to select candidates for subsequent implanted epidural motor cortex stimulation. This review focuses on the optimal parameters of stimulation, including the cortical target, coil orientation, stimulation intensity and frequency. The long-lasting effects of consecutive daily sessions and the possibility for ameliorating specific components of pain are also discussed.
5
Content available remote Excitatory and inhibitory effects of transcranial magnetic stimulation
EN
This paper reviews the use of transcranial magnetic stimulation (TMS) in investigating intracortical circuits in the primary motor cortex (MI). TMS is a noninvasive and painless method of stimulating the human brain and has become a widely used technique in neuro-physiology and neurology. When TMS is applied to the M1, it generates a motor evoked potential (MEP) in the target muscles. TMS also activates different intracortical circuits within the M1 and connections from other cortical areas to the M1. These intracortical circuits interact with each other. Abnormalities in these circuits are found in neurological and psychiatric disorders and studies of these circuits are useful in understanding the pathophysiology of these conditions.
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