Use of noninvasive brain stimulation and neurorehabilitation devices to enhance poststroke recovery: review of the current evidence and pitfalls

Author:

Wang Chien-Chih123ORCID,Hu Tsung-Ming45,Lin Yung-Jie6,Chen Chien-Lung78,Hsu Yu-Chuan9,Kao Chung-Lan2101112

Affiliation:

1. Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan, ROC

2. Department of Physical Medicine and Rehabilitation, School of Medicine, National Yang Ming Chao Tung University, Taipei, Taiwan, ROC

3. Intelligent Long Term Medical Care Research Center, Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan, ROC

4. Department of Future Studies and LOHAS Industry, Fo Guang University, Yilan, Taiwan, ROC

5. Department of Psychiatry, Taipei Veterans General Hospital Yuli Branch, Hualien, Taiwan, ROC

6. Department of Family Medicine, Taipei Veterans General Hospital Yuli Branch, Hualien, Taiwan, ROC

7. Taipei Hospital, Ministry of Health and Welfare, Taipei, Taiwan, ROC

8. National Yang Ming Chao Tung University, Institute of Hospital and Health Care Administration, Taipei Taiwan, ROC

9. Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC

10. Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan, ROC

11. Institute of Clinical Medicine, National Yang Ming Chao Tung University, Taipei, Taiwan, ROC

12. Center For Intelligent Drug Systems and Smart Bio-devices (IDS2B), National Chiao Tung University, Hsinchu, Taiwan, ROC

Abstract

Neurorehabilitation devices and technologies are crucial for enhancing stroke recovery. These include noninvasive brain stimulation devices that provide repetitive transcranial magnetic stimulation or transcranial direct current stimulation, which can remodulate an injured brain. Technologies such as robotics, virtual reality, and telerehabilitation are suitable add-ons or complements to physical therapy. However, the appropriate application of these devices and technologies, which target specific deficits and stages, for stroke therapy must be clarified. Accordingly, a literature review was conducted to evaluate the theoretical and practical evidence on the use of neurorehabilitation devices and technologies for stroke therapy. This narrative review provides a practical guide for the use of neurorehabilitation devices and describes the implications of use and potential integration of these devices into healthcare.

Funder

Taipei Veterans General Hospital Yuli Branch

Publisher

SAGE Publications

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