2. Research officer, Department of Neurology,AIIMS, New Delhi, India.
3. Head, Department of Neurology, AIIMS, New Delhi, India.
4. Professor, Department of NMR & MRI facility, AIIMS, New Delhi, India.
Transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) have great therapeutic potential in diagnostic and interventional neuroscience, neurophysiology and psychiatry. These have emerged as a boon for stroke recovery in the last decade. TMS allows neurostimulation and neuromodulation, while tDCS purely converges in neuromodulation. This review on non invasive brain stimulation (NIBS) provides a comprehensive summary of the current evidence in stroke upper motor recovery with most robust reviews, recent trials included at clinicaltrials.gov, pubmed, CINAHL and other search engines. We also expand this review with our experience of both the interventional modalities for post stroke arm and hand function recovery. Our results show that NIBS works on neurophysiological principles of learning & plasticity and aids in motor performance when applied in different stages of stroke recovery.
Keywords: Non invasive stimulation, stroke, neural rehabilitation, upper limb recovery