Enhancing rehabilitation of motor deficits with peripheral nerve stimulation

Kaelin-Lang, Alain (2008). Enhancing rehabilitation of motor deficits with peripheral nerve stimulation. NeuroRehabilitation, 23(1), pp. 89-93. Amsterdam: IOS Press

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A number of different neurorehabilitation strategies include manipulation of the somatosensory system, e.g. in the form of training by passive movement. Recently, peripheral electrical nerve stimulation has been proposed as a simple, painless method of enhancing rehabilitation of motor deficits. Several physiological studies both in animals and in humans indicate that a prolonged period of patterned peripheral electrical stimulation induces short-term plasticity at multiple levels of the motor system. Small-scale studies in humans indicate that these plastic changes are linked with improvement in motor function, particularly in patients with chronic motor deficits after stroke. Somatosensory-mediated disinhibition of motor pathways is a possible underlying mechanism and might explain why peripheral electrical stimulation is more effective when combined with active training. Further large-scale studies are needed to identify the optimal stimulation protocol and the patient groups that stand to benefit the most from this technique.

Item Type:	Journal Article (Further Contribution)
Division/Institute:	04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
UniBE Contributor:	Kaelin, Alain
ISSN:	1053-8135
ISBN:	18356592
Publisher:	IOS Press
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 15:05
Last Modified:	05 Dec 2022 14:20
PubMed ID:	18356592
Web of Science ID:	000254739800009
URI:	https://boris.unibe.ch/id/eprint/28445 (FactScience: 120811)