T/CARM 012-2023 Active

Scope: This standard provides technical guidance on TMS treatment for post-stroke swallowing disorders, and is applicable to rehabilitation physicians and therapists in secondary-level and above medical institutions in formulating and implementing TMS treatment plans for patients with post-stroke swallowing disorders. Main technical content: TMS treatment for post-stroke swallowing disorders 1. Scope This standard provides technical guidance on TMS treatment for post-stroke swallowing disorders, and is applicable to rehabilitation physicians and therapists in secondary-level and above medical institutions in formulating and implementing TMS treatment plans for patients with post-stroke swallowing disorders. 2. Normative references The content of the following documents is an integral part of this document through normative references. Among them, the referenced documents with a specified date apply only to the version corresponding to that date; for unspecified date referenced documents, the latest version (including all amendment sheets) applies to this document. - T/SRMA 5—2019: Guidelines for Transcranial Magnetic Stimulation - GB 9706.1-2007: Medical Electrical Equipment Part 1: General Safety Requirements - YY/T 0994-2015: Magnetic Stimulation Equipment 3. Terms and definitions The following terms and definitions are applicable to this document. 3.1 Transcranial Magnetic Stimulation (TMS) A magnetic stimulation technique that uses time-varying pulse magnetic fields to act on the central nervous system (mainly the brain), altering the membrane potential of cortical neurons to produce induced currents, affecting brain metabolism and neurophysiological activities, thereby causing a series of physiological and biochemical reactions. Stimulation modes include single-pulse TMS, dual-pulse TMS, repetitive TMS, paired-associated stimulation, and patterned repetitive TMS. 3.2 Single-Pulse TMS (spTMS) Outputs a single stimulus pulse each time,