Possibilities of regulation of neuroimmune and neuroendocrine processes using physiotherapy

Angelová, Gabriela; Bičı́ková, Marie; Kolátorová, Lucie; Kučera, Petr; Jandová, Dobroslava; Lippertová, Marcela Grünerová; Řasová, Kamila

doi:10.14735/amcsnn2018410

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“…Neurorehabilitation after a stroke includes multidisciplinary rehabilitation methods to compensate for the motor deficit, restore motor functions, and improve the life quality of patients ( 8 , 9 ). Despite intensive therapeutic efforts during stroke rehabilitation, a relevant amount of stroke survivors failed to regain their motor functions that are important for activities of daily living completely ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Top-down and bottom-up stimulation techniques combined with action observation treatment in stroke rehabilitation: a perspective

Nitsche

Ren

et al. 2023

Front. Neurol.

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Stroke is a central nervous system disease that causes structural lesions and functional impairments of the brain, resulting in varying types, and degrees of dysfunction. The bimodal balance-recovery model (interhemispheric competition model and vicariation model) has been proposed as the mechanism of functional recovery after a stroke. We analyzed how combinations of motor observation treatment approaches, transcranial electrical (TES) or magnetic (TMS) stimulation and peripheral electrical (PES) or magnetic (PMS) stimulation techniques can be taken as accessorial physical therapy methods on symptom reduction of stroke patients. We suggest that top-down and bottom-up stimulation techniques combined with action observation treatment synergistically might develop into valuable physical therapy strategies in neurorehabilitation after stroke. We explored how TES or TMS intervention over the contralesional hemisphere or the lesioned hemisphere combined with PES or PMS of the paretic limbs during motor observation followed by action execution have super-additive effects to potentiate the effect of conventional treatment in stroke patients. The proposed paradigm could be an innovative and adjunctive approach to potentiate the effect of conventional rehabilitation treatment, especially for those patients with severe motor deficits.

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Section: Introductionmentioning

confidence: 99%