Arch Phys Med Rehabil, 2015 · DOI: 10.1016/j.apmr.2014.09.019 · Published: April 1, 2015
The main goal of neurorehabilitation is to help patients regain as much function as possible after a neurological injury, ideally by leveraging the brain's ability to adapt and reorganize itself. Non-invasive brain stimulation techniques, like TMS and tDCS, can directly target brain structures to either boost or calm their activity, which helps guide the brain's recovery process. These techniques, combined with advances in stereotactic navigation and electric field modeling, allow for more precise targeting of specific brain areas in patients, both for diagnosis and treatment. This supplement highlights the significance of TMS and tDCS in neurorehabilitation for various conditions like stroke, traumatic brain injury, and spinal cord injury. The supplement emphasizes that non-invasive brain stimulation, whether used alone or with neurorehabilitation, can work together to significantly improve clinical outcomes. The included articles showcase the technologies' diagnostic abilities compared to neuroimaging and highlight their therapeutic benefits, optimal delivery methods, and factors influencing patient response.
Navigated TMS offers a cost-effective clinical diagnostic modality, complementing state-of-the-art imaging techniques, to reveal mechanisms of functional motor recovery.
Combining tDCS with rehabilitation can improve clinical outcomes and optimize kinematic parameters in pediatric stroke survivors, maximizing benefits within therapy limits.
Individualized approaches using rTMS can modify cortical excitability and improve symptoms in focal hand dystonia, providing a model to stratify likely responders.