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Transcranial Direct Current Stimulation for Poststroke Motor Recovery: Challenges and Opportunities
Author(s) -
Feng Wuwei,
Kautz Steven A.,
Schlaug Gottfried,
Meinzer Caitlyn,
George Mark S.,
Chhatbar Pratik Y.
Publication year - 2018
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2018.04.012
Subject(s) - transcranial direct current stimulation , tolerability , medicine , brain stimulation , stroke recovery , physical medicine and rehabilitation , neuroplasticity , neuroscience , motor cortex , transcranial magnetic stimulation , neuromodulation , narrative review , stroke (engine) , stimulation , psychology , rehabilitation , adverse effect , intensive care medicine , mechanical engineering , engineering
There has been a renewed research interest in transcranial direct current stimulation (tDCS) as an adjunctive tool for poststroke motor recovery as it has a neuro‐modulatory effect on the human cortex. However, there are barriers towards its successful application in motor recovery as several scientific issues remain unresolved, including device‐related issues (ie, dose‐response relationship, safety and tolerability concerns, interhemispheric imbalance model, and choice of montage) and clinical trial‐related issues (ie, patient selection, timing of study, and choice of outcomes). This narrative review examines and discusses the existing challenges in using tDCS as a brain modulation tool in facilitating recovery after stroke. Potential solutions pertinent to using tDCS with the goal of harnessing the brains plasticity are proposed.