Abstract
Walking rehabilitation is one of the primary goals in stroke survivors because of its great potential for recovery and its functional relevance in daily living activities. Although 70% to 80% of people in the chronic poststroke phases are able to walk, impairment of gait often persists, involving speed, endurance, and stability. Walking involves several brain regions, such as the sensorimotor cortex, supplementary motor area, cerebellum, and brainstem, which are approachable by the application of noninvasive brain stimulation (NIBS). NIBS techniques, such as repetitive transcranial magnetic stimulation and transcranial direct current stimulation, have been reported to modulate neural activity beyond the period of stimulation, facilitating neuroplasticity. NIBS methods have been largely applied for improving paretic hand motor function and stroke-associated cognitive deficits. Recent studies suggest a possible effectiveness of these techniques also in the recovery of poststroke gait disturbance. This article is a selective review about functional investigations addressing the mechanisms of lower-limb motor system reorganization after stroke and the application of NIBS for neurorehabilitation.
| Original language | English |
|---|---|
| Pages (from-to) | 71-82 |
| Number of pages | 12 |
| Journal | Neurorehabilitation and Neural Repair |
| Volume | 30 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 1 2016 |
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Keywords
- gait disorders
- lower limb
- NIBS
- rehabilitation
- stroke
ASJC Scopus subject areas
- Clinical Neurology
- Rehabilitation
- Neurology
Cite this
Noninvasive Neuromodulation in Poststroke Gait Disorders : Rationale, Feasibility, and State of the Art. / Chieffo, Raffaella; Comi, Giancarlo; Leocani, Letizia.
In: Neurorehabilitation and Neural Repair, Vol. 30, No. 1, 01.01.2016, p. 71-82.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Noninvasive Neuromodulation in Poststroke Gait Disorders
T2 - Rationale, Feasibility, and State of the Art
AU - Chieffo, Raffaella
AU - Comi, Giancarlo
AU - Leocani, Letizia
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Walking rehabilitation is one of the primary goals in stroke survivors because of its great potential for recovery and its functional relevance in daily living activities. Although 70% to 80% of people in the chronic poststroke phases are able to walk, impairment of gait often persists, involving speed, endurance, and stability. Walking involves several brain regions, such as the sensorimotor cortex, supplementary motor area, cerebellum, and brainstem, which are approachable by the application of noninvasive brain stimulation (NIBS). NIBS techniques, such as repetitive transcranial magnetic stimulation and transcranial direct current stimulation, have been reported to modulate neural activity beyond the period of stimulation, facilitating neuroplasticity. NIBS methods have been largely applied for improving paretic hand motor function and stroke-associated cognitive deficits. Recent studies suggest a possible effectiveness of these techniques also in the recovery of poststroke gait disturbance. This article is a selective review about functional investigations addressing the mechanisms of lower-limb motor system reorganization after stroke and the application of NIBS for neurorehabilitation.
AB - Walking rehabilitation is one of the primary goals in stroke survivors because of its great potential for recovery and its functional relevance in daily living activities. Although 70% to 80% of people in the chronic poststroke phases are able to walk, impairment of gait often persists, involving speed, endurance, and stability. Walking involves several brain regions, such as the sensorimotor cortex, supplementary motor area, cerebellum, and brainstem, which are approachable by the application of noninvasive brain stimulation (NIBS). NIBS techniques, such as repetitive transcranial magnetic stimulation and transcranial direct current stimulation, have been reported to modulate neural activity beyond the period of stimulation, facilitating neuroplasticity. NIBS methods have been largely applied for improving paretic hand motor function and stroke-associated cognitive deficits. Recent studies suggest a possible effectiveness of these techniques also in the recovery of poststroke gait disturbance. This article is a selective review about functional investigations addressing the mechanisms of lower-limb motor system reorganization after stroke and the application of NIBS for neurorehabilitation.
KW - gait disorders
KW - lower limb
KW - NIBS
KW - rehabilitation
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=84949920805&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84949920805&partnerID=8YFLogxK
U2 - 10.1177/1545968315586464
DO - 10.1177/1545968315586464
M3 - Article
AN - SCOPUS:84949920805
VL - 30
SP - 71
EP - 82
JO - Journal of Neurologic Rehabilitation
JF - Journal of Neurologic Rehabilitation
SN - 1545-9683
IS - 1
ER -