Use of noninvasive brain stimulation and neurorehabilitation devices to enhance poststroke recovery: review of the current evidence and pitfalls

J Int Med Res. 2024 Apr;52(4):3000605241238066. doi: 10.1177/03000605241238066.

Abstract

Neurorehabilitation devices and technologies are crucial for enhancing stroke recovery. These include noninvasive brain stimulation devices that provide repetitive transcranial magnetic stimulation or transcranial direct current stimulation, which can remodulate an injured brain. Technologies such as robotics, virtual reality, and telerehabilitation are suitable add-ons or complements to physical therapy. However, the appropriate application of these devices and technologies, which target specific deficits and stages, for stroke therapy must be clarified. Accordingly, a literature review was conducted to evaluate the theoretical and practical evidence on the use of neurorehabilitation devices and technologies for stroke therapy. This narrative review provides a practical guide for the use of neurorehabilitation devices and describes the implications of use and potential integration of these devices into healthcare.

Keywords: Neurorehabilitation; noninvasive brain stimulation; repetitive transcranial magnetic stimulation; robotics; stroke; telerehabilitation; transcranial direct current stimulation; virtual reality.

Publication types

  • Review

MeSH terms

  • Brain
  • Humans
  • Neurological Rehabilitation*
  • Stroke Rehabilitation*
  • Stroke* / therapy
  • Transcranial Direct Current Stimulation*
  • Transcranial Magnetic Stimulation