Post-stroke balance rehabilitation under multi-level electrotherapy: a conceptual review

Show simple item record Dutta, Anirban Lahiri, Uttama Das, Abhijit Nitsche, Michael A Guiraud, David 2014-11-27T05:24:33Z 2014-11-27T05:24:33Z 2014-12
dc.identifier.citation Dutta, Anirban; Lahiri,Uttama; Das, Abhijit; Nitsche, Michael A. and Guiraud, David "Post-stroke balance rehabilitation under multi-level electrotherapy: a conceptual review", Frontiers in Neuroscience, DOI: 10.3389/fnins.2014.00403, Dec.2014 en_US
dc.identifier.issn 1662-453X
dc.description.abstract Stroke is caused when an artery carrying blood from heart to an area in the brain bursts or a clot obstructs the blood flow thereby preventing delivery of oxygen and nutrients. About half of the stroke survivors are left with some degree of disability. Innovative methodologies for restorative neurorehabilitation are urgently required to reduce long-term disability. The ability of the nervous system to respond to intrinsic or extrinsic stimuli by reorganizing its structure, function and connections is called neuroplasticity. Neuroplasticity is involved in post-stroke functional disturbances, but also in rehabilitation. It has been shown that active cortical participation in a closed-loop brain machine interface (BMI) can induce neuroplasticity in cortical networks where the brain acts as a controller, e.g., during a visuomotor task. Here, the motor task can be assisted with neuromuscular electrical stimulation (NMES) where the BMI will act as a real-time decoder. However, the cortical control and induction of neuroplasticity in a closed-loop brain machine interface is also dependent on the state of brain, e.g., visuospatial attention during visuomotor task performance. In fact, spatial neglect is a hidden disability that is a common complication of stroke and is associated with prolonged hospital stays, accidents, falls, safety problems and chronic functional disability. This hypothesis and theory article presents a multi-level electrotherapy paradigm towards motor rehabilitation in virtual reality that postulates that while the brain acts as a controller in a closed-loop BMI to drive NMES, the state of brain can be can be altered towards improvement of visuomotor task performance with non-invasive brain stimulation. This leads to a multi-level electrotherapy paradigm where a virtual reality-based adaptive response technology is proposed for post-stroke balance rehabilitation. In this article, we present a conceptual review of the related experimental findings. en_US
dc.description.statementofresponsibility by Uttama Lahiri et. al.,
dc.format.extent vol.8
dc.language.iso en en_US
dc.publisher Frontiers en_US
dc.subject Motor learning en_US
dc.subject Neuromuscular electrical stimulation en_US
dc.subject Neurorehabilitation en_US
dc.subject Non-invasive brain stimulation en_US
dc.subject Operant conditioning en_US
dc.subject Stroke en_US
dc.title Post-stroke balance rehabilitation under multi-level electrotherapy: a conceptual review en_US
dc.type Article en_US
dc.relation.journal Frontiers in Neuroscience

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