Transcranial Direct Current Stimulation for Motor Recovery Following Brain Injury

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: To discuss the potential use of transcranial direct current stimulation (tDCS) to improve motor behavior after brain injury. Recent Findings: Despite evidence that tDCS can improve motor function following brain injury, meta-analysis studies have largely failed to find conclusive support for tDCS as a viable treatment. In part, these inconsistencies arise from widespread variability in individuals’ responsiveness to tDCS because of biological and experimental factors. Summary: Properly designed smart clinical studies are still needed to determine the optimal stimulation parameters and combinations of tDCS. However, some patterns of “best practice” have begun to emerge: (1) pairing tDCS concurrently with high-intensity motor training as opposed to before, after, or in the absence of physical practice, (2) repeating sessions of stimulation in close succession over a single administration, (3) administering stimulation during more acute periods of recovery over chronic states, and (4) utilizing modeling techniques based on individual anatomy to tailor electrode placement and optimize current flow.

Original languageEnglish (US)
Pages (from-to)268-279
Number of pages12
JournalCurrent Physical Medicine and Rehabilitation Reports
Volume8
Issue number3
DOIs
StatePublished - Sep 1 2020

Keywords

  • Brain injury
  • Motor recovery
  • Neurorehabilitation
  • tDCS

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Orthopedics and Sports Medicine
  • Medicine (miscellaneous)

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