Abstract
The role of cerebellar-cerebral neural circuitry in gait recovery in post-stroke hemiplegic patients
  
DOI:10.3870/zgkf.2025.07.010
EN KeyWords: stroke  lower limb motor function  hemiplegic gait  cerebellar-cerebral loop  transcranial magnetic stimulation  rehabilitation
Fund Project:国家自然科学基金委员会地区项目(82260452,82060419);贵州省科技计划项目[黔科合基础-zk(2022)重点045];[黔科合基础-zk(2022)一般438]
作者单位
孙思杰 1.贵州医科大学临床医学院贵阳 5500042.贵州医科大学附属医院康复医学科贵阳 550004 
曾妮 2.贵州医科大学附属医院康复医学科贵阳 550004 
吴霜 1.贵州医科大学临床医学院贵阳 5500042.贵州医科大学附属医院康复医学科贵阳 550004 
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EN Abstract:
  Rehabilitation treatment of hemiplegic gait after stroke is mainly divided into conventional rehabilitation treatment and neuromodulation treatment,in which transcranial magnetic therapy has gradually become a research hotspot due to the advantages of short action time and low intensity, etc. However, the current choice of stimulation targets for promoting the recovery of lower limb motor function is still relatively single. Based on the cerebellar-cerebral neural circuit, this paper summarizes and explores the possible new ideas or new targets to promote the recovery of lower limb motor function. We reviewed and analyzed the relevant literature by searching the key words including stroke, lower limb motor function, hemiplegic gait, cerebellar-cerebral neural circuit, transcranial magnetic stimulation, and rehabilitation. Transcranial magnetic therapy can affect the contralateral cerebellum by adjusting the symmetry of excitability between the bilateral cerebral hemispheres or the excitability of the brain region on the affected side, and it can also affect the cerebellar-cerebellar neural circuit by stimulating the cerebellum to improve the lower limb motor function of stroke patients. Simultaneous dual-target stimulation of the lower limb motor cortex and cerebellum may provide new ideas for the recovery of lower limb motor function in hemiplegic patients after stroke.
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