Traumatic Brain Injury and Potential for Neuromodulation
- PMID: 26583187
- Bookshelf ID: NBK326732
Traumatic Brain Injury and Potential for Neuromodulation
Excerpt
Traumatic brain injury (TBI) is a major health problem with devastating consequences and an enormous socioeconomic burden on individuals and their families. While significant progress has been made in understanding TBI pathophysiology, current interventions are still insufficient to prevent long-term disabilities.
Recent insights on the brain’s innate neuroplasticity provide an array of therapeutic possibilities (yet to be fully understood) that may allow for neuromodulation following a TBI to limit damage and promote recovery. Neuromodulation strategies using various forms of electrical stimulation have recently been applied to treat functional deficits in animal models and clinical stroke trials. The results from these studies suggest that neuromodulation may augment both motor and cognitive deficits after brain injury. As imaging, targeting, and technologies continue to rapidly improve, future studies will validate the feasibility of these techniques and clinical applications for TBI.
© 2016 by Taylor & Francis Group, LLC.
Sections
- INTRODUCTION
- CURRENT LANDSCAPE
- TRANSCRANIAL MAGNETIC STIMULATION
- SHORT-TERM EFFECTS OF REPETITIVE TMS
- LONG-TERM EFFECTS OF rTMS
- CORTICAL STIMULATION
- HUMAN TRIALS OF DIRECT CORTICAL STIMULATION
- NONINVASIVE STIMULATION FOR POST-TRAUMATIC COGNITIVE SEQUELAE
- DEEP BRAIN STIMULATION (DBS)
- DBS FOR POST-TRAUMATIC TREMOR
- DBS FOR POST-TRAUMATIC DYSTONIA AND PARKINSONISM
- DBS FOR RECOVERY OF COGNITIVE FUNCTION
- DBS IN THE MINIMALLY CONSCIOUS STATE
- DBS FOR POST-TRAUMATIC DEPRESSION
- DBS FOR POST-TRAUMATIC EPILEPSY
- CONCLUSIONS
- REFERENCES
References
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- Bazarian J.J et al. Long-term neurologic outcomes after traumatic brain injury. J Head Trauma Rehabil. 2009;24:439–451. - PubMed
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- George M.S et al. Daily repetitive transcranial magnetic stimulation (rTMS) improves mood in depression. Neuroreport. 1995;6:1853–1856. - PubMed
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- Fitzgerald P.B, Fountain S, Daskalakis Z.J. A comprehensive review of the effects of rTMS on motor cortical excitability and inhibition. Clin Neurophysiol. 2006;117:2584–2596. - PubMed
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- Kwon T.G et al. Effective method of combining rTMS and motor training in stroke patients. Restor Neurol Neurosci. 2014;32:223–232. - PubMed
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