Transcranial direct current stimulation (tDCS) for upper limb rehabilitation after stroke: future directions.

Journal of NeuroEngineering and Rehabilitation

Jan Mehrholz¹  Bernhard Elsner¹  Joachim Kugler¹ 

[1] Department of Public Health, Dresden Medical School, Technical University Dresden;

关键词: Stroke;    Arm;    Rehabilitation;    Transcranial direct current stimulation;    Magnetic resonance imaging;    Electroencephalography;   

DOI  :  10.1186/s12984-018-0459-7

来源: DOAJ

【 摘 要 】

Abstract Transcranial Direct Current Stimulation (tDCS) is a potentially useful tool to improve upper limb rehabilitation outcomes after stroke, although its effects in this regard have shown to be limited so far. Additional increases in effectiveness of tDCS in upper limb rehabilitation after stroke may for example be achieved by (1) applying a more focal stimulation approach like high definition tDCS (HD-tDCS), (2) involving functional imaging techniques during stimulation to identify target areas more exactly, (3) applying tDCS during Electroencephalography (EEG) (EEG-tDCS), (4) focusing on an effective upper limb rehabilitation strategy as an effective base treatment after stroke. Perhaps going even beyond the application of tDCS and applying alternative stimulation techniques such as transcranial Alternating Current Stimulation (tACS) or transcranial Random Noise Stimulation (tRNS) will further increase effectiveness of upper limb rehabilitation after stroke.

【 授权许可】

Unknown