PM & R : the journal of injury, function, and rehabilitation · 2018
Transcranial Direct Current Stimulation for Poststroke Motor Recovery: Challenges and Opportunities.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
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Feng Wuwei, Kautz Steven A, Schlaug Gottfried, Meinzer Caitlyn, George Mark S, Chhatbar Pratik Y
Аннотация
There has been a renewed research interest in transcranial direct current stimulation (tDCS) as an adjunctive tool for poststroke motor recovery as it has a neuro-modulatory effect on the human cortex. However, there are barriers towards its successful application in motor recovery as several scientific issues remain unresolved, including device-related issues (ie, dose-response relationship, safety and tolerability concerns, interhemispheric imbalance model, and choice of montage) and clinical trial-related issues (ie, patient selection, timing of study, and choice of outcomes). This narrative review examines and discusses the existing challenges in using tDCS as a brain modulation tool in facilitating recovery after stroke. Potential solutions pertinent to using tDCS with the goal of harnessing the brains plasticity are proposed.