Clinical Application and Protocol on Repetitive Transcranial Magnetic Stimulation

초록

The purpose of this study was to find out how to apply repetitive transcranial magnetic stimulation (rTMS) for neurological condition in clinical practice. Repetitive transcranial magnetic stimulation (rTMS) can be largely applied in four rTMS protocol: low frequency rTMS (LF-rTMS), high frequency rTMS (HF-rTMS), theta burst stimulation (TBS), and paired associative stimulation (PAS). Specifically, LF-rTMS and continuous TBS (cTBS) are methods of suppressing the excitability of the cerebral cortex, and HF-rTMS and intermittent TBS (iTBS) are used as methods of increasing the excitability of the cortex. PAS is being introduced as a method in which excitability can be suppressed or increased depending on the price between stimulation for afferent information and stimulation for TMS. In addition, rTMS can be used in combination with residual effects and other protocol depending on the differences in applied methods. Further research will have to be explained by including effects such as differences in the number and intensity of stimulation used in the rTMS clinical application. Through the four clinical applications of rTMS presented in this study, it is expected to be used as a basis for future TMS protocol.

키워드