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Transcranial direct current stimulation for the treatment of motor impairment following traumatic brain injury

Cited 9 time in Web of Science Cited 11 time in Scopus
Authors
Kim, Won-Seok; Lee, Kiwon; Kim, Seonghoon; Cho, Sungmin; Paik, Nam-Jong
Issue Date
2019-01-25
Publisher
BioMed Central
Citation
Journal of NeuroEngineering and Rehabilitation. 2019 Jan 25;16(1):14
Keywords
Traumatic brain injuriesTranscranial direct current stimulationRecovery of function, RehabilitationNeuronal plasticityElectroencephalographyFunctional near infrared spectroscopyVirtual reality
Abstract
After traumatic brain injury (TBI), motor impairment is less common than neurocognitive or behavioral problems. However, about 30% of TBI survivors have reported motor deficits limiting the activities of daily living or participation. After acute primary and secondary injuries, there are subsequent changes including increased GABA-mediated inhibition during the subacute stage and neuroplastic alterations that are adaptive or maladaptive during the chronic stage. Therefore, timely and appropriate neuromodulation by transcranial direct current stimulation (tDCS) may be beneficial to patients with TBI for neuroprotection or restoration of maladaptive changes.
Technologically, combination of imaging-based modelling or simultaneous brain signal monitoring with tDCS could result in greater individualized optimal targeting allowing a more favorable neuroplasticity after TBI. Moreover, a combination of task-oriented training using virtual reality with tDCS can be considered as a potent tele-rehabilitation tool in the home setting, increasing the dose of rehabilitation and neuromodulation, resulting in better motor recovery.
This review summarizes the pathophysiology and possible neuroplastic changes in TBI, as well as provides the general concepts and current evidence with respect to the applicability of tDCS in motor recovery. Through its endeavors, it aims to provide insights on further successful development and clinical application of tDCS in motor rehabilitation after TBI.
ISSN
1743-0003
Language
English
URI
https://hdl.handle.net/10371/147143
DOI
https://doi.org/10.1186/s12984-019-0489-9
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College of Medicine/School of Medicine (의과대학/대학원)Rehabilitation Medicine (재활의학전공)Journal Papers (저널논문_재활의학전공)
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