{"id":211,"date":"2022-02-28T08:44:35","date_gmt":"2022-02-28T06:44:35","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/stimularea-magnetica-transcraniana-tms\/"},"modified":"2024-04-15T13:52:56","modified_gmt":"2024-04-15T11:52:56","slug":"stimularea-magnetica-transcraniana","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/stimularea-magnetica-transcraniana\/","title":{"rendered":"Ce este stimularea magnetic\u0103 transcranian\u0103 (TMS)?"},"content":{"rendered":"\n<h2><strong>Ce este stimularea magnetic\u0103 transcranian\u0103?<\/strong><\/h2>\n<p>Stimularea magnetic\u0103 transcranian\u0103 (TMS) este o <strong>tehnic\u0103 de stimulare a creierului, folosit\u0103 \u00een scop diagnostic, terapeutic \u015fi cu poten\u0163ial efect de cre\u015ftere a performan\u0163elor cognitive \u015fi motorii la persoanele s\u0103n\u0103toase<\/strong>. Efectul terapeutic al <strong>TMS <\/strong>se ob\u0163ine prin <strong>stimularea repetitiv\u0103 (rTMS)<\/strong> a unor zone din creier implicate \u00een unele afec\u0163iuni psihiatrice \u015fi neurologice, unde se recomand\u0103 ca \u015fi metod\u0103 de tratament.<\/p>\n<h2><strong>Cum func\u0163ioneaz\u0103 <\/strong><strong>stimularea magnetic\u0103 transcranian\u0103<\/strong><strong>?<\/strong><\/h2>\n<p style=\"text-align: left;\">Av\u00e2nd la baz\u0103 principiul induc\u0163iei electromagnetice Faraday, prin aplicarea unui c\u00e2mp magnetic la nivelul capului, acesta se propag\u0103 prin mediile adiacente pe care le str\u0103bate cu u\u015furin\u0163\u0103 (piele, os, \u0163esut conjunctiv) \u015fi determin\u0103 la nivel cerebral un c\u00e2mp electric care moduleaz\u0103 activitatea creierului \u00een func\u0163ie de parametrii folosi\u0163i \u015fi de patologia tratat\u0103, f\u0103r\u0103 a produce disconfort pacientului.<\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/-VGdHm6_Jn8?si=MJs9aq6OsqCi9xCQ\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><strong>Cui se adreseaz\u0103 <\/strong><strong>stimularea magnetic\u0103 transcranian\u0103<\/strong><strong>?<\/strong><\/h2>\n<p>rTMS s-a dovedit a fi o metod\u0103 terapeutic\u0103 eficient\u0103, non-invaziv\u0103 \u0219i cu\u00a0 pu\u021bine efecte adverse, util\u0103 pentru a trata afec\u021biuni neurologice \u015fi psihiatrice.<\/p>\n<p>Principalele afec\u0163iuni cu\u00a0 recomandare de tratament prin rTMS sunt prezentate \u00een <strong>imaginea de mai jos<\/strong>.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-854 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-1.jpeg\" alt=\"\" width=\"800\" height=\"367\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-1.jpeg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-1-300x137.jpeg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-1-1024x469.jpeg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-1-768x352.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-1-1536x704.jpeg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-1-750x344.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-1-1140x522.jpeg 1140w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p>Alte afec\u0163iuni la care s-au \u00eenregistrat efecte terapeutice benefice sunt:<\/p>\n<ul>\n<li>Recuperare dup\u0103 accident vascular cerebral (AVC) (deficit motor, spasticitate, afazie, hemineglijen\u0163\u0103)<\/li>\n<li>Tinnitus (o senzatie de zumzet, de tiuit sau de zgomot \u00een urechi)<\/li>\n<li>Stres post traumatic<\/li>\n<li>Anxietate<\/li>\n<li>Distonie<\/li>\n<li>Tremor esential<\/li>\n<li>Boala Parkinson<\/li>\n<li>Spasticitate (post-AVC, traumatism vertebro-medular, scleroz\u0103 multipl\u0103)<\/li>\n<li>Adic\u0163ie (nicotin\u0103, alcool, alte substan\u0163e)<\/li>\n<li>Schizofrenie<\/li>\n<li>Ataxie (pierderea controlului muscular)<\/li>\n<li>Tulburare de memorie, aten\u0163ie, concentrare<\/li>\n<li>Insomnie<\/li>\n<li>Sindrom de oboseal\u0103 cronic\u0103 [2-6].<\/li>\n<\/ul>\n<h2>Ce medic poate recomanda <strong>stimularea magnetic\u0103 transcranian\u0103?<\/strong><\/h2>\n<p>TMS poate fi recomandat de c\u0103tre:<\/p>\n<ul>\n<li>Psihiatru<\/li>\n<li>Neurolog<\/li>\n<li>Specialist \u00een medicin\u0103 fizic\u0103 \u015fi reabilitare<\/li>\n<li>Reumatolog<\/li>\n<li>Psiholog<\/li>\n<li>Fiziokinetoterapeut.<\/li>\n<\/ul>\n<p>Pacientul care solicit\u0103 acest tip de terapie este evaluat ini\u0163ial de c\u0103tre medicul coordonator al departamentului de <strong>TMS RoNeuro \u2013 Dr. Nicoleta Jemna \u2013 medic specialist neurolog.\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/iEOxikHVWsM?si=5qm-ggpCPpp6_neI\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><strong>Resurse \u0219i suport pentru pacien\u021bi<\/strong><\/h2>\n<p><strong>Crede\u021bi c\u0103 stimularea magnetic\u0103 transcranian\u0103 v\u0103 poate ajuta? <\/strong>Programa\u021bi-v\u0103 acum la <strong>Dr. Primar Neurolog Nicoleta Jemna<\/strong> contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Cum decurge o \u0219edin\u021b\u0103 TMS?<\/h2>\n<p>\u00cen cursul evalu\u0103rii ini\u0163iale:<\/p>\n<ul>\n<li>Se verific\u0103 dac\u0103 pacientul are indica\u0163ie de terapie prin rTMS,<\/li>\n<li>Se verific\u0103 contraindica\u0163iile procedurii,<\/li>\n<li>Se stabilesc parametrii \u015fi zona de stimulare,<\/li>\n<li>Se stabile\u015fte num\u0103rul de \u015fedin\u0163e necesare,<\/li>\n<li>Pacientul este informat despre posibilele reac\u0163ii adverse care pot ap\u0103rea,<\/li>\n<li>Se explic\u0103 \u015fi se exemplific\u0103 procedura pentru a testa tolerabilitatea individual\u0103.<\/li>\n<\/ul>\n<p>\u00cen timpul \u015fedin\u0163ei de stimulare pacientul este a\u015fezat pe un scaun comod, \u00eentr-o postur\u0103 relaxat\u0103, iar prin intermediul unui dispozitiv (bobin\u0103) plasat la nivelul capului sunt desc\u0103rcate pulsuri de stimuli \u00eentr-o zon\u0103 prestabilit\u0103, \u00een func\u0163ie de patologie \u015fi \u00een func\u0163ie de scopul urm\u0103rit.<\/p>\n<p>O \u015fedin\u0163\u0103 dureaz\u0103 <strong>\u00eentre 30 \u015fi 60 minute<\/strong>, sunt necesare \u00eentre<strong> 10 \u2013 30 \u015fedin\u0163e efectuate \u00een zile consecutive <\/strong>pentru a ob\u0163ine un efect terapeutic optim.<\/p>\n<h2><strong>Care sunt beneficiile <\/strong><strong>stimul\u0103rii magnetice transcraniene?<\/strong><\/h2>\n<p>Beneficiile terapiei prin stimulare magnetic\u0103 transcranian\u0103 (TMS) includ o serie de avantaje semnificative pentru pacien\u021bi. Fiind o metod\u0103 neinvaziv\u0103 \u0219i nedureroas\u0103, TMS reprezint\u0103 o op\u021biune de tratament valid\u0103 pentru cei care caut\u0103 alternative la terapiile conven\u021bionale. Unul dintre cele mai importante aspecte este c\u0103 aceast\u0103 terapie nu provoac\u0103 dependen\u021b\u0103, marc\u00e2nd un punct important \u00een favoarea siguran\u021bei sale. \u00cen plus, este o metod\u0103 eficient\u0103, care nu necesit\u0103 sedare sau anestezie, permi\u021b\u00e2nd pacien\u021bilor s\u0103 r\u0103m\u00e2n\u0103 con\u0219tien\u021bi \u0219i confortabili pe durata tratamentului. Un efect terapeutic poate fi observat chiar dup\u0103 primele \u0219edin\u021be, eviden\u021biind capacitatea TMS de a avea un impact direct asupra creierului \u0219i de a \u00eembun\u0103t\u0103\u021bi simptomele asociate cu diverse condi\u021bii neurologice sau psihiatrice.<\/p>\n<p><img decoding=\"async\" class=\"wp-image-856 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-2-1.jpeg\" alt=\"Benficiile TMS\" width=\"800\" height=\"890\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-2-1.jpeg 1439w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-2-1-270x300.jpeg 270w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-2-1-921x1024.jpeg 921w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-2-1-768x854.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-2-1-1381x1536.jpeg 1381w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-2-1-750x834.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2022\/02\/Figura-2-1-1140x1268.jpeg 1140w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<h2><strong>Care sunt contraindica\u0163iile <\/strong><strong>stimul\u0103rii magnetice transcraniene?<\/strong><\/h2>\n<p>Contraindica\u0163ii majore sunt:<\/p>\n<ul>\n<li>prezen\u0163a aparatelor biomedicale care pot fi afectate de c\u00e2mpul magnetic: stimulator cardiac, implanturi auditive, \u015funt ventriculo-peritoneal<\/li>\n<li>prezen\u0163a implanturilor metalice \u00een zona capului (ex. clipsuri, placu\u0163e, \u015furuburi)<\/li>\n<li>epilepsie<\/li>\n<li>deprivare de somn, consum de droguri, toxice.<\/li>\n<\/ul>\n<h2><strong>Care sunt efectele adverse ale <\/strong><strong>stimul\u0103rii magnetice transcraniene?<\/strong><\/h2>\n<p>Efectele adverse ale TMS sunt pu\u0163ine \u015fi apar rar. Dintre acestea amintim:<\/p>\n<ul>\n<li>u\u0219oar\u0103 senza\u0163ie de disconfort, amor\u0163eal\u0103, durere la locul stimul\u0103rii<\/li>\n<li>sincop\u0103 (pierderea temporara a cunostintei sau le\u015fin)<\/li>\n<li>criza convulsiv\u0103 (foarte rar \u00eenregistrat\u0103 \u015fi ap\u0103rut\u0103 \u00een cazul nerespect\u0103rii normelor de siguran\u021b\u0103 sau a contraindica\u0163iilor).<\/li>\n<\/ul>\n<h2><strong>Concluzii | <\/strong><strong>Stimularea magnetic\u0103 transcranian\u0103<\/strong><\/h2>\n<p>TMS reprezint\u0103 un tratament revolu\u021bionar \u00een domeniul psihiatriei \u015fi a neurologiei. Dispozitivele \u0219i protocoalele de stimulare sunt \u00eentr-o dezvoltare continu\u0103, iar terapia prezint\u0103 indica\u0163ii tot mai vaste, inclusiv la subiec\u0163i s\u0103n\u0103to\u015fi pentru men\u0163inerea sau cre\u015fterea performan\u0163elor cognitive \u0219i motorii.<\/p>\n<p>TMS nu este doar o terapie, este o experien\u0163\u0103 unic\u0103, stabilit\u0103 \u00eentre medic \u015fi pacient, cu impact pozitiv asupra st\u0103rii de s\u0103n\u0103tate fizice \u0219i mentale.<\/p>\n<h2><strong>Referin\u021be<\/strong><strong>\u00a0<\/strong><\/h2>\n<ol>\n<li>Pridmore W, Pridmore S. A happiness magnet? Reviewing the evidence for repetitive transcranial magnetic stimulation in major depressive disorder. Australas Psychiatry. 2021;29(2):207-213. doi: 10.1177\/1039856220956474.<\/li>\n<li>Lefaucheur JP, Andr\u00e9-Obadia N, Antal A, Ayache SS, et al. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS). Clin Neurophysiol. 2014;125(11):2150-2206. doi: 10.1016\/j.clinph.2014.05.021.<\/li>\n<li>Aging Neurosci. 2021 Sec. Neurocognitive Aging and Behavior Volume 12 &#8211; 2020 <a href=\"https:\/\/doi.org\/10.3389\/fnagi.2020.593000\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3389\/fnagi.2020.593000<\/a><\/li>\n<li>im YI, Kim SM, Kim H, Han DH. The Effect of High-Frequency Repetitive Transcranial Magnetic Stimulation on Occupational Stress among Health Care Workers: A Pilot Study. Psychiatry Investig. 2016;13(6):622-629. doi: 10.4306\/pi.2016.13.6.622.<\/li>\n<li>Oroz, R., Kung, S., Croarkin, P.E. <em>et al.<\/em> Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a review. <em>Sleep Science Practice<\/em> 5, 3 (2021). <a href=\"https:\/\/doi.org\/10.1186\/s41606-020-00057-9\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1186\/s41606-020-00057-9<\/a><\/li>\n<li>Lefaucheur JP, Aleman A, Baeken C, Benninger DH, et al. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018). Clin Neurophysiol. 2020;131(2):474-528. doi: 10.1016\/j.clinph.2019.11.002. Epub 2020 Jan 1. Erratum in: Clin Neurophysiol. 2020;131(5):1168-1169.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ce este stimularea magnetic\u0103 transcranian\u0103? Stimularea magnetic\u0103 transcranian\u0103 (TMS) este o tehnic\u0103 de stimulare a creierului, folosit\u0103 \u00een scop diagnostic, terapeutic \u015fi cu poten\u0163ial efect de cre\u015ftere a performan\u0163elor cognitive \u015fi motorii la persoanele s\u0103n\u0103toase. Efectul terapeutic al TMS se ob\u0163ine prin stimularea repetitiv\u0103 (rTMS) a unor zone din creier implicate \u00een unele afec\u0163iuni psihiatrice [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":532,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"1","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"right-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"top","share_float_style":"share-monocrhome","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"0","post_reading_time_wpm":"300","show_zoom_button":"0","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"1","show_popup_post":"1","number_popup_post":"1","show_author_box":"0","show_post_related":"0","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":{"override_view_counter":"0","view_counter_number":"0","override_share_counter":"0","share_counter_number":"0","override_like_counter":"0","like_counter_number":"0","override_dislike_counter":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[6],"tags":[],"class_list":["post-211","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/211","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=211"}],"version-history":[{"count":7,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/211\/revisions"}],"predecessor-version":[{"id":961,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/211\/revisions\/961"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/532"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=211"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=211"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}