Towards Effective Neurorehabilitation for Stroke Patients

Shiraliyeva, R K

doi:10.4172/2329-9096.1000183

Cited by 4 publications

(2 citation statements)

References 81 publications

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“…MI, in which patients are instructed to imagine moving their own limbs, but without performing a real movement) has been envisaged to alleviate this loss of focus (162). This positive effect may be due to the promotion of neural plasticity and engagement of relevant sensorimotor regions of the brain (163,164). Nevertheless, further studies are needed to clarify the effects and mechanisms of MI in stroke rehabilitation.…”

Section: Summary Of Device Progressmentioning

confidence: 99%

Robotic devices and brain-machine interfaces for hand rehabilitation post-stroke

McConnell¹,

Moioli²,

Brasil³

et al. 2017

J Rehabil Med

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Section: Summary Of Device Progressmentioning

confidence: 99%

Robotic devices and brain-machine interfaces for hand rehabilitation post-stroke

McConnell¹,

Moioli²,

Brasil³

et al. 2017

J Rehabil Med

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“…Stroke is considered as the major cause of long-term motor disability in adults [ 1 , 2 ]. Despite using intensive rehabilitation strategies, most survivors suffer from motor deficits especially in the upper limbs [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Contralateral Limb Cross Education and High-Frequency Repetitive Transcranial Magnetic Stimulation on Functional Indices of the Affected Upper Limb in Subacute Phase of Stroke

Rezaei,

Kordi Yoosefinejad,

Moslemi Haghighi

et al. 2023

Stroke Research and Treatment

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Background. Stroke is one of the causes of long-term morbidity. Despite rehabilitation strategies, most survivors live with motor deficits in the upper limbs. Objectives. The aim of the study was to compare the effect of contralateral cross education (CE) and high-frequency repetitive magnetic stimulation (HF-rTMS) on the function of upper extremity in subacute phase of stroke. Methods. Forty patients were randomly assigned into 4 groups. Group “A” received physical therapy (PT) for 10 sessions, 3 times per week. Group “B” received PT and HF-rTMS as follows: stimulation of 20 Hz for 5 s, intertrain interval for 50 s, 20 trains, 2000 pulses at 90% resting motor threshold, and conventional PT. Group “C” was treated with CE and PT. In group “D,” HF-rTMS, CE, and PT were administered. Results. Significant differences were found in the Fugl-Meyer scale between “A” and “C” ( P = 0.01 ), “A” and “D” ( P = 0.02 ), and “B” and “C” groups ( P = 0.01 ). In the box-block test, there were significant differences between “A” and “B” ( P = 0.01 ), “A” and “C” ( P < 0.001 ), “B” and “D” ( P = 0.001 ), and “B” and “C” groups ( P = 0.01 ). Statistical differences were observed in grip strength between “A” and “B” ( P = 0.01 ) and “A” and “C” groups ( P = 0.02 ). Conclusions. It is suggested that clinicians select the therapeutic methods in line with their expected goal. When the goal is to improve upper extremity function, CE+PT could be more effective than HF-rTMS+PT. Also, CE+PT and HF-rTMS+PT were more effective than CE+HF-rTMS+PT at improving grip strength. Therefore, combining several methods would not always lead to better results.

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Top-down and bottom-up stimulation techniques combined with action observation treatment in stroke rehabilitation: a perspective

Nitsche

Ren

et al. 2023

Front. Neurol.

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Stroke is a central nervous system disease that causes structural lesions and functional impairments of the brain, resulting in varying types, and degrees of dysfunction. The bimodal balance-recovery model (interhemispheric competition model and vicariation model) has been proposed as the mechanism of functional recovery after a stroke. We analyzed how combinations of motor observation treatment approaches, transcranial electrical (TES) or magnetic (TMS) stimulation and peripheral electrical (PES) or magnetic (PMS) stimulation techniques can be taken as accessorial physical therapy methods on symptom reduction of stroke patients. We suggest that top-down and bottom-up stimulation techniques combined with action observation treatment synergistically might develop into valuable physical therapy strategies in neurorehabilitation after stroke. We explored how TES or TMS intervention over the contralesional hemisphere or the lesioned hemisphere combined with PES or PMS of the paretic limbs during motor observation followed by action execution have super-additive effects to potentiate the effect of conventional treatment in stroke patients. The proposed paradigm could be an innovative and adjunctive approach to potentiate the effect of conventional rehabilitation treatment, especially for those patients with severe motor deficits.

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Towards Effective Neurorehabilitation for Stroke Patients

Cited by 4 publications

References 81 publications

Robotic devices and brain-machine interfaces for hand rehabilitation post-stroke

Robotic devices and brain-machine interfaces for hand rehabilitation post-stroke

Evaluation of Contralateral Limb Cross Education and High-Frequency Repetitive Transcranial Magnetic Stimulation on Functional Indices of the Affected Upper Limb in Subacute Phase of Stroke

Top-down and bottom-up stimulation techniques combined with action observation treatment in stroke rehabilitation: a perspective

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