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- W2016596082 abstract "Recovery of motor function after stroke occurs largely on the basis of a sustained capacity of the adult brain for plastic changes. This brain plasticity has been validated by functional imaging and electrophysiological studies. Various concepts of how to enhance beneficial plasticity and in turn improve functional recovery are emerging based on the concept of functional interhemispheric balance between the two motor cortices. Besides conventional rehabilitation interventions and the most recent neuropharmacological approaches, non-invasive brain stimulation (NIBS) has recently been proposed as an add-on method to promote motor function recovery after stroke. Several methods can be used based either on transcranial magnetic stimulation (repetitive mode: rTMS, TBS) via a coil, or small electric current via larges electrodes placed on the scalp, (transcranial direct current stimulation tDCS). Depending on the different electrophysiological parameters of stimulation used, NIBS can induce a transient modulation of the excitability of the stimulated motor cortex (facilitation or inhibition) via a probable LTP-LTD-like mechanism. Several small studies have shown feasible and positive treatment effects for most of these strategies and their potential clinical relevance to help restoring the disruption of interhemispheric imbalance after stroke. Results of these studies are encouraging but many questions remain unsolved: what are the optimal stimulation parameters? What is the best NIBS intervention? Which cortex, injured or intact, should be stimulated? What is the best window of intervention? Is there a special subgroup of stroke patients who could strongly benefit from these interventions? Finally is it possible to boost NIBS treatment effect by motor training of the paretic hand or by additional neuropharmacological interventions? There is clearly a need for large-scale, controlled, multicenter trials to answer these questions before proposing their routine use in the management of stroke patients. Le cerveau d’un patient victime d’un accident vasculaire cérébral (AVC) a les capacités de reconfigurer son activité dans les suites de l’infarctus. Cette plasticité cérébrale spontanée, substrat de la récupération fonctionnelle, a fait l’objet de nombreux travaux de recherche en imagerie fonctionnelle et en électrophysiologie aboutissant au concept de balance interhémisphérique et au développement de techniques de neuromodulation corticale, visant à faciliter les processus naturels de plasticité corticale. Ces méthodes non invasives utilisent soit, l’application sur le scalp à travers un coil d’un courant magnétique en mode répétitif, (stimulation magnétique transcrânienne répétitive rTMS, TBS), soit l’application d’un courant électrique continu de faible intensité à travers deux larges électrodes placées sur le scalp, (stimulation électrique directe transcrânienne, tDCS). Elles permettent d’induire une modulation de l’excitabilité du cortex moteur sous-jacent transitoire et focale, (facilitation ou inhibition en fonction des paramètres de stimulation), par un mécanisme de type LTP/LTD. Ces méthodes visent principalement à restaurer l’équilibre de la balance interhémisphérique entre le cortex moteur du côté lésé et du côté sain. Plusieurs études ont souligné leur intérêt potentiel dans la récupération motrice post-AVC en montrant des améliorations sensibles des performances motrices de la main parétique comparativement à des stimulations placebo, ainsi que leur bonne tolérance. Cependant, de nombreuses questions demeurent encore en suspens avant de pouvoir les utiliser en routine, concernant les paramètres de stimulation optimaux, les cibles potentielles, le choix des techniques, la meilleure période de leur application (phase aiguë, chronique), les critères de sélection des patients susceptibles d’en bénéficier et finalement leur place par rapport aux techniques conventionnelles de rééducation et les approches neuropharmacologiques." @default.
- W2016596082 created "2016-06-24" @default.
- W2016596082 creator A5036809604 @default.
- W2016596082 date "2014-11-01" @default.
- W2016596082 modified "2023-10-01" @default.
- W2016596082 title "Non-invasive brain stimulation (NIBS) and motor recovery after stroke" @default.
- W2016596082 cites W1966081332 @default.
- W2016596082 cites W1966395227 @default.
- W2016596082 cites W1968429176 @default.
- W2016596082 cites W1979316985 @default.
- W2016596082 cites W1983968131 @default.
- W2016596082 cites W1984587710 @default.
- W2016596082 cites W1985067482 @default.
- W2016596082 cites W1990995690 @default.
- W2016596082 cites W1992745167 @default.
- W2016596082 cites W2001833418 @default.
- W2016596082 cites W2004610281 @default.
- W2016596082 cites W2016123945 @default.
- W2016596082 cites W2018676635 @default.
- W2016596082 cites W2022326834 @default.
- W2016596082 cites W2024933671 @default.
- W2016596082 cites W2026787200 @default.
- W2016596082 cites W2028805271 @default.
- W2016596082 cites W2029034370 @default.
- W2016596082 cites W2031592758 @default.
- W2016596082 cites W2034753893 @default.
- W2016596082 cites W2034832382 @default.
- W2016596082 cites W2035318495 @default.
- W2016596082 cites W2036439000 @default.
- W2016596082 cites W2045756227 @default.
- W2016596082 cites W2048773943 @default.
- W2016596082 cites W2052061822 @default.
- W2016596082 cites W2055362996 @default.
- W2016596082 cites W2055816939 @default.
- W2016596082 cites W2055917188 @default.
- W2016596082 cites W2059331478 @default.
- W2016596082 cites W2064434028 @default.
- W2016596082 cites W2066439376 @default.
- W2016596082 cites W2071039248 @default.
- W2016596082 cites W2073633782 @default.
- W2016596082 cites W2073787888 @default.
- W2016596082 cites W2074813852 @default.
- W2016596082 cites W2077343267 @default.
- W2016596082 cites W2079890482 @default.
- W2016596082 cites W2080352719 @default.
- W2016596082 cites W2083920471 @default.
- W2016596082 cites W2085157891 @default.
- W2016596082 cites W2087668226 @default.
- W2016596082 cites W2089659891 @default.
- W2016596082 cites W2091823845 @default.
- W2016596082 cites W2097075465 @default.
- W2016596082 cites W2097273459 @default.
- W2016596082 cites W2098147635 @default.
- W2016596082 cites W2098196786 @default.
- W2016596082 cites W2100254792 @default.
- W2016596082 cites W2103088051 @default.
- W2016596082 cites W2103270219 @default.
- W2016596082 cites W2104721123 @default.
- W2016596082 cites W2109431728 @default.
- W2016596082 cites W2111115344 @default.
- W2016596082 cites W2117507153 @default.
- W2016596082 cites W2117597191 @default.
- W2016596082 cites W2119556982 @default.
- W2016596082 cites W2120365397 @default.
- W2016596082 cites W2120838035 @default.
- W2016596082 cites W2121401473 @default.
- W2016596082 cites W2123181592 @default.
- W2016596082 cites W2126597767 @default.
- W2016596082 cites W2129241661 @default.
- W2016596082 cites W2132878222 @default.
- W2016596082 cites W2137447544 @default.
- W2016596082 cites W2137916523 @default.
- W2016596082 cites W2139779221 @default.
- W2016596082 cites W2142491045 @default.
- W2016596082 cites W2143699529 @default.
- W2016596082 cites W2147464541 @default.
- W2016596082 cites W2148412161 @default.
- W2016596082 cites W2149490453 @default.
- W2016596082 cites W2157795035 @default.
- W2016596082 cites W2158450617 @default.
- W2016596082 cites W2158935809 @default.
- W2016596082 cites W2163462123 @default.
- W2016596082 cites W2164481855 @default.
- W2016596082 cites W2164748597 @default.
- W2016596082 cites W2166562931 @default.
- W2016596082 cites W2167614804 @default.
- W2016596082 doi "https://doi.org/10.1016/j.rehab.2014.08.003" @default.
- W2016596082 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25193774" @default.
- W2016596082 hasPublicationYear "2014" @default.
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