Transcranial direct current stimulation (tDCS) and robotic practice in chronic stroke: The dimension of timing

Giacobbe, V.; Krebs, Hermano Igo; Volpe, Bruce T.; Pascual‐Leone, Álvaro; Rykman, Avrielle; Zeiarati, G.; Fregni, Felipe; Dipietro, Laura; Thickbroom, Gary; Edwards, Dylan

doi:10.3233/nre-130927

Cited by 89 publications

(74 citation statements)

References 19 publications

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“…These findings are listed in the following: – A single session of anodal tDCS during bilateral RT on subacute stroke patients leads to significant improvements in FMS (Hesse et al, 2007);– Delivering tDCS before RT seems to be more effective than during or after RT (Giacobbe et al, 2013);– tDCS may enhance the averaged accuracy of classifying the MI of the stroke-affected upper limb (Ang et al, 2015). …”

Section: Discussionmentioning

confidence: 99%

Literature Review on the Effects of tDCS Coupled with Robotic Therapy in Post Stroke Upper Limb Rehabilitation

Simonetti

Zollo

Milighetti

et al. 2017

Front. Hum. Neurosci.

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Today neurological diseases such as stroke represent one of the leading cause of long-term disability. Many research efforts have been focused on designing new and effective rehabilitation strategies. In particular, robotic treatment for upper limb stroke rehabilitation has received significant attention due to its ability to provide high-intensity and repetitive movement therapy with less effort than traditional methods. In addition, the development of non-invasive brain stimulation techniques such as transcranial Direct Current Stimulation (tDCS) has also demonstrated the capability of modulating brain excitability thus increasing motor performance. The combination of these two methods is expected to enhance functional and motor recovery after stroke; to this purpose, the current trends in this research field are presented and discussed through an in-depth analysis of the state-of-the-art. The heterogeneity and the restricted number of collected studies make difficult to perform a systematic review. However, the literature analysis of the published data seems to demonstrate that the association of tDCS with robotic training has the same clinical gain derived from robotic therapy alone. Future studies should investigate combined approach tailored to the individual patient's characteristics, critically evaluating the brain areas to be targeted and the induced functional changes.

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Section: Discussionmentioning

confidence: 99%

Literature Review on the Effects of tDCS Coupled with Robotic Therapy in Post Stroke Upper Limb Rehabilitation

Simonetti

Zollo

Milighetti

et al. 2017

Front. Hum. Neurosci.

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“…the training typically lasted some minutes/hours longer than tDCS). Other studies, using tDCS or TMS have also suggested that brain stimulation applied before training induce training-dependent enhancements (Koganemaru et al, 2010;Avenanti et al, 2012b;Giacobbe et al, 2013) suggesting the beneficial effect of priming functional network prior to learning. In this study, tDCS lasted for 20 min.…”

Section: Transcranial Direct Current Stimulationmentioning

confidence: 96%

a-tDCS on the ipsilesional parietal cortex boosts the effects of prism adaptation treatment in neglect

Làdavas

Giulietti

Avenanti

et al. 2015

RNN

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“…This image demonstrates in 12 patients with chronic stroke that the timing of tDCS improves smoothness of movement when applied before robot treatment, yet interferes with aiming and mean speed when applied during or after robot training. These effects are significant (26). The image is adapted from (26) mented extraordinary motor recovery after stroke that appeared to depend on effort and intensive practice (33)(34)(35).…”

Section: Discussionmentioning

confidence: 99%

“…Recently we demonstrated that the use of transcranial direct current stimulation (tDCS) could alter the performance on the robot in 12 patients with chronic stroke (26). For this study, a 2 mA current was delivered by a battery-driven stimulator for 20 min before, during or after robotmeasured movement tasks.…”

Section: Can the Robot Training Emerge As A Platform For Combination mentioning

confidence: 99%

Bioelectronic Medicine and the Dawn of Robotic Training to Improve Motor Outcome in Chronic Stroke

Volpe

2014

Bioelectron Med

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Engineers and clinicians have cooperated to produce and test new classes of bioelectronics that have altered motor impairment that occurs after stroke. The rationale that increased intensity of training alters outcome derives from past clinical and preclinical work. Now several studies have demonstrated that interactive robotic devices are a potent tool for the therapist to deliver effortlessly, reproducible high intensity movement training. These robots are safe and can provide a platform so that recovery might be influenced by a combination of noninvasive novel treatment programs. Also, these robotic devices provide a continuous objective history of movement parameters that will open the horizon for their use in generating novel movement biomarkers to understand, predict and measure the influence of new treatments on motor outcome after neurological injury.

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Transcranial direct current stimulation (tDCS) and robotic practice in chronic stroke: The dimension of timing

Cited by 89 publications

References 19 publications

Literature Review on the Effects of tDCS Coupled with Robotic Therapy in Post Stroke Upper Limb Rehabilitation

Literature Review on the Effects of tDCS Coupled with Robotic Therapy in Post Stroke Upper Limb Rehabilitation

a-tDCS on the ipsilesional parietal cortex boosts the effects of prism adaptation treatment in neglect

Bioelectronic Medicine and the Dawn of Robotic Training to Improve Motor Outcome in Chronic Stroke

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