Non-invasive Brain Stimulation for Motor Recovery after Stroke:Mechanisms and Future Views

摘要：

　　Repetitive transcranial magnetic stimulation and transcranial direct current stimulation are noninvasive brain stimulation(NIBS)techniques that can alter excitability of the human cortex.Considering the interhemispheric competition occurring after stroke,improvement in motor deficits can be achieved by increasing the excitability of the affected hemisphere or decreasing the excitability of the unaffected hemisphere.Many reports have shown that NIBS application improves motor function in stroke patients by using their physiological peculiarity.For continuous motor improvement,it is important to impart additional motor training while NIBS modulates the neural network between both hemispheres and remodels the disturbed network in the affected hemisphere.NIBS can be an adjuvant therapy for developed neurorehabilitation strategies for stroke patients.Moreover,recent studies have reported that bilateral NIBS can more effectively facilitate neural plasticity and induce motor recovery after stroke.However,the best NIBS pattern has not been established,and clinicians should select the type of NIBS by considering the NIBS mechanism.Here,we review the underlying mechanisms and future views of NIBS therapy and propose rehabilitation approaches for appropriate cortical reorganization.

关键词： Non-invasive brain stimulation Hemiplegia Rehabilitation

作者: Shin-Ichi Izumi Naoyuki Takeuchi

作者单位: Department of Physical Medicine and Rehabilitation Tohoku University Graduate School of Biomedical E Department of Physical Medicine and Rehabilitation Tohoku University Graduate School of Medicine Sen

会议类型: 国际会议

会议名称: The 2014 ICME International Conference on Complex Medical Engineering (CME2014)ICME复合医学工程国际会议

会议地点: 台北

会议语种:英文

页码: 163-166,95

在线出版日期: 2014-06-26（万方平台首次上网日期，不代表论文的发表时间）