Transcranial magnetic stimulation for the prediction and enhancement of rehabilitation treatment effects. [Review]

MedStar author(s):
Citation: Journal of Neurologic Physical Therapy. 36(2):87-93, 2012 Jun.PMID: 22592064Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, N.I.H., Extramural | Research Support, U.S. Gov't, Non-P.H.S. | ReviewSubject headings: *Brain Diseases | *Cerebral Cortex/ph [Physiology] | *Neurology/mt [Methods] | *Transcranial Magnetic Stimulation/mt [Methods] | Brain Diseases/di [Diagnosis] | Brain Diseases/rh [Rehabilitation] | Forecasting | Humans | Neurology/td [Trends] | Predictive Value of Tests | Transcranial Magnetic Stimulation/td [Trends]Local holdings: Available online from MWHC library: 1992 - presentISSN:
  • 1557-0576
Name of journal: Journal of neurologic physical therapy : JNPTAbstract: In this update on rehabilitation technology, transcranial magnetic stimulation (TMS), a technique that allows noninvasive stimulation of the brain, is examined. The background and basic principles of TMS are reviewed, and its usefulness as a tool to inform and possibly augment the rehabilitation process is discussed. The three main paradigms by which TMS is applied-physiological measurement, disruption/virtual lesion studies, and modulation of cortical excitability-are discussed relative to the types of scientific information each paradigm can provide and their potential clinical usefulness in the future. One of the more exciting prospects is that, when combined with rehabilitation training, TMS modulation of cortical excitability could potentially enhance the effects of rehabilitation and lead to greater levels of recovery than are currently attainable with rehabilitation alone. It is concluded that current studies must focus on the mechanisms of recovery based on the specific structures and processes affected by the disorder and the neural effects of specific rehabilitation interventions in order for the potential of TMS-augmented rehabilitation to be realized.All authors: Harris-Love MDigital Object Identifier: Date added to catalog: 2013-09-17
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Journal Article MedStar Authors Catalog Article Available 22592064

Available online from MWHC library: 1992 - present

In this update on rehabilitation technology, transcranial magnetic stimulation (TMS), a technique that allows noninvasive stimulation of the brain, is examined. The background and basic principles of TMS are reviewed, and its usefulness as a tool to inform and possibly augment the rehabilitation process is discussed. The three main paradigms by which TMS is applied-physiological measurement, disruption/virtual lesion studies, and modulation of cortical excitability-are discussed relative to the types of scientific information each paradigm can provide and their potential clinical usefulness in the future. One of the more exciting prospects is that, when combined with rehabilitation training, TMS modulation of cortical excitability could potentially enhance the effects of rehabilitation and lead to greater levels of recovery than are currently attainable with rehabilitation alone. It is concluded that current studies must focus on the mechanisms of recovery based on the specific structures and processes affected by the disorder and the neural effects of specific rehabilitation interventions in order for the potential of TMS-augmented rehabilitation to be realized.

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