Transcranial Magnetic Stimulation for the Prediction and Enhancement of Rehabilitation Treatment Effects
Overview
Authors
Affiliations
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.
Zaidi K, Harris-Love M PeerJ. 2023; 11:e16374.
PMID: 38089910 PMC: 10712307. DOI: 10.7717/peerj.16374.
Preliminary evidence of prolonged timing effects of theta-burst stimulation in the reading system.
Harrington R, Krishnamurthy L, Ossowski A, Jeter M, Davis A, Bledniak E Front Hum Neurosci. 2023; 17:1227194.
PMID: 37706172 PMC: 10496289. DOI: 10.3389/fnhum.2023.1227194.
Alcon C, Wang-Price S Front Pain Res (Lausanne). 2022; 3:959609.
PMID: 36438443 PMC: 9686004. DOI: 10.3389/fpain.2022.959609.
Shamili A, Hassani Mehraban A, Azad A, Raissi G, Shati M Neural Plast. 2022; 2022:5284044.
PMID: 36160327 PMC: 9507745. DOI: 10.1155/2022/5284044.
Betancur D, Tarrago M, Torres I, Fregni F, Caumo W Front Neurol. 2021; 12:678198.
PMID: 34484097 PMC: 8416310. DOI: 10.3389/fneur.2021.678198.