Non-invasive brain stimulation in early rehabilitation after stroke

J Med Life. 2015;8 Spec Issue(Spec Issue):52-6.

Abstract

The new tendency in rehabilitation involves non-invasive tools that, if applied early after stroke, promote neurorecovery. Repetitive transcranial magnetic stimulation and transcranial direct current stimulation may correct the disruption of cortical excitability and effectively contribute to the restoration of movement and speech. The present paper analyses the results of non-invasive brain stimulation (NIBS) trials, highlighting different aspects related to the repetitive transcranial magnetic stimulation frequency, transcranial direct current stimulation polarity, the period and stimulation places in acute and subacute ischemic strokes. The risk of adverse events, the association with motor or language recovery specific training, and the cumulative positive effect evaluation are also discussed.

Keywords: neurorehabilitation; repetitive transcranial magnetic stimulation; stroke; transcranial direct current stimulation.

MeSH terms

  • Brain / physiopathology*
  • Humans
  • Motor Activity
  • Speech
  • Stroke / complications
  • Stroke / physiopathology
  • Stroke Rehabilitation*
  • Transcranial Magnetic Stimulation*