Two is More Than One: How to Combine Brain Stimulation Rehabilitative Training for Functional Recovery?
A number of studies have shown that non-invasive brain stimulation has an additional effect in combination with rehabilitative therapy to enhance functional recovery than either therapy alone. The combination enhances use-dependent plasticity induced by repetitive training. The neurophysiological me...
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pubmed-46396972015-11-27 Two is More Than One: How to Combine Brain Stimulation Rehabilitative Training for Functional Recovery? Koganemaru, Satoko Fukuyama, Hidenao Mima, Tatsuya Neuroscience A number of studies have shown that non-invasive brain stimulation has an additional effect in combination with rehabilitative therapy to enhance functional recovery than either therapy alone. The combination enhances use-dependent plasticity induced by repetitive training. The neurophysiological mechanism of the effects of this combination is based on associative plasticity. However, these effects were not reported in all cases. We propose a list of possible strategies to achieve an effective association between rehabilitative training with brain stimulation for plasticity: (1) control of temporal aspect between stimulation and task execution; (2) the use of a shaped task for the combination; (3) the appropriate stimulation of neuronal circuits where use-dependent plastic changes occur; and (4) phase synchronization between rhythmically patterned brain stimulation and task-related patterned activities of neurons. To better utilize brain stimulation in neuro-rehabilitation, it is important to develop more effective techniques to combine them. Frontiers Media S.A. 2015-11-10 /pmc/articles/PMC4639697/ /pubmed/26617497 http://dx.doi.org/10.3389/fnsys.2015.00154 Text en Copyright © 2015 Koganemaru, Fukuyama and Mima. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution and reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Koganemaru, Satoko Fukuyama, Hidenao Mima, Tatsuya |
spellingShingle |
Koganemaru, Satoko Fukuyama, Hidenao Mima, Tatsuya Two is More Than One: How to Combine Brain Stimulation Rehabilitative Training for Functional Recovery? |
author_facet |
Koganemaru, Satoko Fukuyama, Hidenao Mima, Tatsuya |
author_sort |
Koganemaru, Satoko |
title |
Two is More Than One: How to Combine Brain Stimulation Rehabilitative Training for Functional Recovery? |
title_short |
Two is More Than One: How to Combine Brain Stimulation Rehabilitative Training for Functional Recovery? |
title_full |
Two is More Than One: How to Combine Brain Stimulation Rehabilitative Training for Functional Recovery? |
title_fullStr |
Two is More Than One: How to Combine Brain Stimulation Rehabilitative Training for Functional Recovery? |
title_full_unstemmed |
Two is More Than One: How to Combine Brain Stimulation Rehabilitative Training for Functional Recovery? |
title_sort |
two is more than one: how to combine brain stimulation rehabilitative training for functional recovery? |
description |
A number of studies have shown that non-invasive brain stimulation has an additional effect in combination with rehabilitative therapy to enhance functional recovery than either therapy alone. The combination enhances use-dependent plasticity induced by repetitive training. The neurophysiological mechanism of the effects of this combination is based on associative plasticity. However, these effects were not reported in all cases. We propose a list of possible strategies to achieve an effective association between rehabilitative training with brain stimulation for plasticity: (1) control of temporal aspect between stimulation and task execution; (2) the use of a shaped task for the combination; (3) the appropriate stimulation of neuronal circuits where use-dependent plastic changes occur; and (4) phase synchronization between rhythmically patterned brain stimulation and task-related patterned activities of neurons. To better utilize brain stimulation in neuro-rehabilitation, it is important to develop more effective techniques to combine them. |
publisher |
Frontiers Media S.A. |
publishDate |
2015 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4639697/ |
_version_ |
1613499366504398848 |