背景:经颅磁刺激技术因其无痛、无创、有效及安全性好等优势,在神经心理科、康复医学科及儿科等各个方面得到了广泛应用,但目前尚无针对经颅磁刺激治疗脑卒中领域的可视化分析。目的:客观分析近10年国内外经颅磁刺激治疗脑卒中患者的文...背景:经颅磁刺激技术因其无痛、无创、有效及安全性好等优势,在神经心理科、康复医学科及儿科等各个方面得到了广泛应用,但目前尚无针对经颅磁刺激治疗脑卒中领域的可视化分析。目的:客观分析近10年国内外经颅磁刺激治疗脑卒中患者的文献研究,总结该领域近期研究方向及梳理国内外知识结构。方法:基于中国知网和Web of Science数据库中关于经颅磁刺激治疗脑卒中后患者的相关文献,运用Citespace软件对经颅磁刺激治疗脑卒中这一研究领域进行可视化分析。分别对此研究的相关文献的数量、国家、作者、研究机构、关键词、被引文献及期刊、基金支持进行分析,探索此领域研究热点及发展趋势。结果与结论:①Web of Science数据库中共纳入1729篇文献。发文最多的机构是哈佛大学医学院,发文最多的国家是美国,中国的发文量占据第2位,中国在国际上的基金支持排名首位,热点关键词是康复、兴奋性和运动皮质等,有代表性的经典英文研究是发现了以1 Hz的频率对脑卒中患者进行经颅磁刺激治疗能更大程度的改善患者的运动功能;②中国知网数据库中共纳入分析455篇文献,其中发文量最多的机构是复旦大学附属华山医院康复医学科,热点关键词是康复、抑郁、运动功能和失语症等,有代表性的中文经典研究是发现了高频经颅磁刺激较低频经颅磁刺激对改善卒中后抑郁及日常生活能力的效果更明显;③总体分析得出结论,国际上应用经颅磁刺激治疗脑卒中的近10年研究热点主要集中在经颅磁刺激对大脑皮质运动区的作用机制的探讨,以及经颅磁刺激与其他康复疗法(如运动学习和镜像疗法等)相结合治疗脑卒中后各种功能障碍的疗效研究方面;而中国近10年研究热点主要集中于经颅磁刺激治疗脑卒后抑郁和运动功能方面。展开更多
For decades visual field defects were considered irreversible because it was thought that in the visual system the regeneration potential of the neuronal tissues is low.Nevertheless,there is always some potential for ...For decades visual field defects were considered irreversible because it was thought that in the visual system the regeneration potential of the neuronal tissues is low.Nevertheless,there is always some potential for partial recovery of the visual field defect that can be achieved through induction of neuroplasticity.Neuroplasticity refers to the ability of the brain to change its own functional architecture by modulating synaptic efficacy.It is maintained throughout life and just as neurological rehabilitation can improve motor coordination,visual field defects in glaucoma,diabetic retinopathy or optic neuropathy can be improved by inducing neuroplasticity.In ophthalmology many new treatment paradigms have been tested that can induce neuroplastic changes,including non-invasive alternating current stimulation.Treatment with alternating current stimulation(e.g.,30 minutes,daily for 10 days using transorbital electrodes and^10 Hz)activates the entire retina and parts of the brain.Electroencephalography and functional magnetic resonance imaging studies revealed local activation of the visual cortex,global reorganization of functional brain networks,and enhanced blood flow,which together activate neurons and their networks.The future of low vision is optimistic because vision loss is indeed,partially reversible.展开更多
文摘背景:经颅磁刺激技术因其无痛、无创、有效及安全性好等优势,在神经心理科、康复医学科及儿科等各个方面得到了广泛应用,但目前尚无针对经颅磁刺激治疗脑卒中领域的可视化分析。目的:客观分析近10年国内外经颅磁刺激治疗脑卒中患者的文献研究,总结该领域近期研究方向及梳理国内外知识结构。方法:基于中国知网和Web of Science数据库中关于经颅磁刺激治疗脑卒中后患者的相关文献,运用Citespace软件对经颅磁刺激治疗脑卒中这一研究领域进行可视化分析。分别对此研究的相关文献的数量、国家、作者、研究机构、关键词、被引文献及期刊、基金支持进行分析,探索此领域研究热点及发展趋势。结果与结论:①Web of Science数据库中共纳入1729篇文献。发文最多的机构是哈佛大学医学院,发文最多的国家是美国,中国的发文量占据第2位,中国在国际上的基金支持排名首位,热点关键词是康复、兴奋性和运动皮质等,有代表性的经典英文研究是发现了以1 Hz的频率对脑卒中患者进行经颅磁刺激治疗能更大程度的改善患者的运动功能;②中国知网数据库中共纳入分析455篇文献,其中发文量最多的机构是复旦大学附属华山医院康复医学科,热点关键词是康复、抑郁、运动功能和失语症等,有代表性的中文经典研究是发现了高频经颅磁刺激较低频经颅磁刺激对改善卒中后抑郁及日常生活能力的效果更明显;③总体分析得出结论,国际上应用经颅磁刺激治疗脑卒中的近10年研究热点主要集中在经颅磁刺激对大脑皮质运动区的作用机制的探讨,以及经颅磁刺激与其他康复疗法(如运动学习和镜像疗法等)相结合治疗脑卒中后各种功能障碍的疗效研究方面;而中国近10年研究热点主要集中于经颅磁刺激治疗脑卒后抑郁和运动功能方面。
文摘For decades visual field defects were considered irreversible because it was thought that in the visual system the regeneration potential of the neuronal tissues is low.Nevertheless,there is always some potential for partial recovery of the visual field defect that can be achieved through induction of neuroplasticity.Neuroplasticity refers to the ability of the brain to change its own functional architecture by modulating synaptic efficacy.It is maintained throughout life and just as neurological rehabilitation can improve motor coordination,visual field defects in glaucoma,diabetic retinopathy or optic neuropathy can be improved by inducing neuroplasticity.In ophthalmology many new treatment paradigms have been tested that can induce neuroplastic changes,including non-invasive alternating current stimulation.Treatment with alternating current stimulation(e.g.,30 minutes,daily for 10 days using transorbital electrodes and^10 Hz)activates the entire retina and parts of the brain.Electroencephalography and functional magnetic resonance imaging studies revealed local activation of the visual cortex,global reorganization of functional brain networks,and enhanced blood flow,which together activate neurons and their networks.The future of low vision is optimistic because vision loss is indeed,partially reversible.
