Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after Stroke
Objective. Based on transcranial magnetic stimulation (TMS) with electroencephalography technology, this study analyzed the rehabilitation mechanism of patients’ motor function reconstruction and nerve remodeling after stroke. It revealed the function of the cerebral cortex network at a deeper level...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | International Journal of Clinical Practice |
| Online Access: | http://dx.doi.org/10.1155/2023/3051175 |
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| author | Linhong Mo Yiqiu Nie Guiling Wan Yingbin Zhang Man Zhao Jiaojiao Wu Huiqi Wang Qing Li Aixian Liu |
| author_facet | Linhong Mo Yiqiu Nie Guiling Wan Yingbin Zhang Man Zhao Jiaojiao Wu Huiqi Wang Qing Li Aixian Liu |
| author_sort | Linhong Mo |
| collection | DOAJ |
| description | Objective. Based on transcranial magnetic stimulation (TMS) with electroencephalography technology, this study analyzed the rehabilitation mechanism of patients’ motor function reconstruction and nerve remodeling after stroke. It revealed the function of the cerebral cortex network at a deeper level and established a set of prognostic marker evaluation indicators for the reconstruction of motor function after stroke. Methods. Twenty-one patients treated at the Beijing Rehabilitation Hospital of Capital Medical University because of ischemic stroke in the territory supplied by the middle cerebral artery were selected as the experimental group. Neurophysiological evaluation, motor function evaluation, and clinical evaluation were performed 30 and 180 d after the onset of ischemic stroke. In the control group, neurophysiological evaluation was also performed as a reference index to evaluate the changes in cortical patterns after stroke. Results. The brain topographic map showed the changes in energy or power spectral density (PSD) at 1,000 ms after stimulation as compared with before stimulation, but no difference was detected in these patients. The time-frequency analysis showed that when the left primary motor cortex (M1) area was stimulated using TMS, the PSD values of the left and right M1 and posterior occipital cortex areas produced an 8–40 Hz wave band in patients S1–S11. There was no significant energy change in patients S12–S16. Conclusions. For patients with different injury types, degrees of injury, and different onset periods, individualized intervention methods should be adopted. The evaluation methods should be as diverse as possible, and the rehabilitation effects of patients should be assessed from multiple perspectives to avoid the limitations of single factors. Possible mechanism: After brain injury, the nervous system can change its structure and function through different ways and maintain it for a certain period of time. This plasticity change will change with the course of the disease. |
| format | Article |
| id | doaj-art-fcf8d6ac73c64618aa4659ab9642577e |
| institution | Kabale University |
| issn | 1742-1241 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Clinical Practice |
| spelling | doaj-art-fcf8d6ac73c64618aa4659ab9642577e2025-02-03T06:47:21ZengWileyInternational Journal of Clinical Practice1742-12412023-01-01202310.1155/2023/3051175Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after StrokeLinhong Mo0Yiqiu Nie1Guiling Wan2Yingbin Zhang3Man Zhao4Jiaojiao Wu5Huiqi Wang6Qing Li7Aixian Liu8Neuro-Rehabilitation CenterNeuro-Rehabilitation CenterNeuro-Rehabilitation CenterNeuro-Rehabilitation CenterNeuro-Rehabilitation CenterNeuro-Rehabilitation CenterNeuro-Rehabilitation CenterNeuro-Rehabilitation CenterNeuro-Rehabilitation CenterObjective. Based on transcranial magnetic stimulation (TMS) with electroencephalography technology, this study analyzed the rehabilitation mechanism of patients’ motor function reconstruction and nerve remodeling after stroke. It revealed the function of the cerebral cortex network at a deeper level and established a set of prognostic marker evaluation indicators for the reconstruction of motor function after stroke. Methods. Twenty-one patients treated at the Beijing Rehabilitation Hospital of Capital Medical University because of ischemic stroke in the territory supplied by the middle cerebral artery were selected as the experimental group. Neurophysiological evaluation, motor function evaluation, and clinical evaluation were performed 30 and 180 d after the onset of ischemic stroke. In the control group, neurophysiological evaluation was also performed as a reference index to evaluate the changes in cortical patterns after stroke. Results. The brain topographic map showed the changes in energy or power spectral density (PSD) at 1,000 ms after stimulation as compared with before stimulation, but no difference was detected in these patients. The time-frequency analysis showed that when the left primary motor cortex (M1) area was stimulated using TMS, the PSD values of the left and right M1 and posterior occipital cortex areas produced an 8–40 Hz wave band in patients S1–S11. There was no significant energy change in patients S12–S16. Conclusions. For patients with different injury types, degrees of injury, and different onset periods, individualized intervention methods should be adopted. The evaluation methods should be as diverse as possible, and the rehabilitation effects of patients should be assessed from multiple perspectives to avoid the limitations of single factors. Possible mechanism: After brain injury, the nervous system can change its structure and function through different ways and maintain it for a certain period of time. This plasticity change will change with the course of the disease.http://dx.doi.org/10.1155/2023/3051175 |
| spellingShingle | Linhong Mo Yiqiu Nie Guiling Wan Yingbin Zhang Man Zhao Jiaojiao Wu Huiqi Wang Qing Li Aixian Liu Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after Stroke International Journal of Clinical Practice |
| title | Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after Stroke |
| title_full | Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after Stroke |
| title_fullStr | Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after Stroke |
| title_full_unstemmed | Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after Stroke |
| title_short | Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after Stroke |
| title_sort | application of transcranial magnetic stimulation with electroencephalography in the evaluation of brain function changes after stroke |
| url | http://dx.doi.org/10.1155/2023/3051175 |
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