TY - CHAP
T1 - Efficacy of Noninvasive Brain Stimulation for Motor Rehabilitation After Stroke
AU - Cunningham, David A.
AU - Lin, Yin Liang
AU - Potter-Baker, Kelsey A.
AU - Knutson, Jayme S.
AU - Plow, Ela B.
N1 - Publisher Copyright:
© 2019 Elsevier Inc. All rights reserved.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Noninvasive brain stimulation (NIBS) is an emerging modality that is intended to accelerate and enhance the effects of physical and occupational therapy following a stroke. Despite promising early studies, larger clinical trials and metaanalyses have suggested that NIBS has limited abilities to accelerate and enhance rehabilitative motor outcomes. The discrepancy between studies regarding the effectiveness of NIBS on motor recovery may be due to the heterogeneity of the stroke population including but not limited to: time post stroke, stroke severity, and lesion location. The aim of this chapter is to introduce NIBS, specifically repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS), and discuss its current application and efficacy to augment rehabilitative motor outcomes for patients following stroke. This chapter will also discuss how stroke heterogeneity may influence the efficacy of NIBS in relation to time post stroke, stroke severity, and lesion location, as well as discuss current research aimed to tailor NIBS delivery based on these patient characteristics.
AB - Noninvasive brain stimulation (NIBS) is an emerging modality that is intended to accelerate and enhance the effects of physical and occupational therapy following a stroke. Despite promising early studies, larger clinical trials and metaanalyses have suggested that NIBS has limited abilities to accelerate and enhance rehabilitative motor outcomes. The discrepancy between studies regarding the effectiveness of NIBS on motor recovery may be due to the heterogeneity of the stroke population including but not limited to: time post stroke, stroke severity, and lesion location. The aim of this chapter is to introduce NIBS, specifically repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS), and discuss its current application and efficacy to augment rehabilitative motor outcomes for patients following stroke. This chapter will also discuss how stroke heterogeneity may influence the efficacy of NIBS in relation to time post stroke, stroke severity, and lesion location, as well as discuss current research aimed to tailor NIBS delivery based on these patient characteristics.
KW - Heterogeneity
KW - Motor
KW - Noninvasive brain stimulation
KW - Rehabilitation
KW - Repetitive transcranial magnetic stimulation
KW - Stroke
KW - Transcranial direct current stimulation
UR - http://www.scopus.com/inward/record.url?scp=85123658601&partnerID=8YFLogxK
U2 - 10.1016/B978-0-323-55381-0.00018-4
DO - 10.1016/B978-0-323-55381-0.00018-4
M3 - Chapter
AN - SCOPUS:85123658601
SP - 249
EP - 265
BT - Stroke Rehabilitation
PB - Elsevier
ER -