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Erschienen in:

2021 | OriginalPaper | Buchkapitel

9. Sensorisch afferente Stimulation

verfasst von : Stefan M. Golaszewski

Erschienen in: Funktionelle Elektrostimulation in der Neurorehabilitation

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Zunehmend wird die Bedeutung der Neuromodulation mit nichtinvasiver Hirnstimulation (NIBS) zur Outcome-Verbesserung in der Neurorehabilitation klar. Sensorisch-afferente Elektrostimulation (SAES) als ein Verfahren der NIBS induziert im sensorimotorischen Kortex Neuromodulation auf synaptischer Ebene mit Induktion von Kurzzeit-, Langzeit- und struktureller Plastizität. Es kommen gepulste elektrische Stimuli zur Anwendung, wodurch Aktionspotenziale in afferenten Nervenfasern ausgelöst werden, die zu einem erhöhten sensorisch-afferenten Input des Gehirns führen. Diskutiert werden die der SAES zugrunde liegenden neurobiologischen Mechanismen, biophysikalische Mechanismen der Auslösung von Aktionspotenzialen in afferenten Nervenfasern und technische Stimulationsparameter. Hinsichtlich der Evidenz für SAES bei der sensorimotorischen Parese und beim Neglekt wird die Literatur reviewt, evidenzbasierte Empfehlungen werden gegeben und Möglichkeiten zur Verbesserung der Therapieeffekte diskutiert.

Vorheriges Kapitel Strukturelle und Funktionelle Elektrostimulation bei Schädigung des unteren motorischen Neurons

Nächstes Kapitel Funktionelle Elektrostimulation bei Fazialisparese

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Titel: Sensorisch afferente Stimulation
verfasst von: Stefan M. Golaszewski
Verlag: Springer Berlin Heidelberg
Buch: Funktionelle Elektrostimulation in der Neurorehabilitation
Print ISBN: 978-3-662-61704-5

Electronic ISBN: 978-3-662-61705-2

Copyright-Jahr: 2021
DOI: https://doi.org/10.1007/978-3-662-61705-2_9

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Zusammenfassung

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