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oapen-20.500.12657-493292021-11-23T14:05:13Z Chapter Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation del Ama-Espinosa, Antonio Moreno, Juan Laczko, Jozsef Pascual-Valdunciel, Alejandro Barroso, Filipe O. Torricelli, Diego L Pons, Jose spinal cord injury, rehabilitation, noninvasive modalities, functional electrical stimulation, transcranial magnetic stimulation, exoskeletons bic Book Industry Communication::M Medicine::MB Medicine: general issues In the past three decades, research on plasticity after spinal cord injury (SCI) has led to a gradual shift in SCI rehabilitation: the former focus on learning compensatory strategies changed to functional neurorecovery, that is, promoting restoration of function through the use of affected limbs. This paradigm shift contributed to the development of technology-based interventions aiming to promote neurorecovery through repetitive training. This chapter presents an overview of a range of noninvasive modalities that have been used in rehabilitation after SCI. Among others, we present repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), surface electrical stimulation tools such as transcutaneous electrical spinal cord stimulation (tcSCS), transcutaneous electrical nerve stimulation (TENS), and functional electrical stimulation (FES), as well as its integration with cycling training and assistive robotic devices. The most recent results attained and the potential relevance of these new techniques to strengthen the efficacy of the residual neuronal pathways and improve spasticity are also presented. Future efforts toward the widespread clinical application of these modalities include more advances in the technology, together with the knowledge obtained from basic research and clinical trials. This can ultimately lead to novel customized interventions that meet specific needs of SCI patients. 2021-06-02T10:12:18Z 2021-06-02T10:12:18Z 2019 chapter ONIX_20210602_10.5772/intechopen.83654_443 https://library.oapen.org/handle/20.500.12657/49329 eng application/pdf n/a 65272.pdf InTechOpen 10.5772/intechopen.83654 10.5772/intechopen.83654 09f6769d-48ed-467d-b150-4cf2680656a1 H2020-IOT-2017 611695 779982 open access
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In the past three decades, research on plasticity after spinal cord injury (SCI) has led to a gradual shift in SCI rehabilitation: the former focus on learning compensatory strategies changed to functional neurorecovery, that is, promoting restoration of function through the use of affected limbs. This paradigm shift contributed to the development of technology-based interventions aiming to promote neurorecovery through repetitive training. This chapter presents an overview of a range of noninvasive modalities that have been used in rehabilitation after SCI. Among others, we present repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), surface electrical stimulation tools such as transcutaneous electrical spinal cord stimulation (tcSCS), transcutaneous electrical nerve stimulation (TENS), and functional electrical stimulation (FES), as well as its integration with cycling training and assistive robotic devices. The most recent results attained and the potential relevance of these new techniques to strengthen the efficacy of the residual neuronal pathways and improve spasticity are also presented. Future efforts toward the widespread clinical application of these modalities include more advances in the technology, together with the knowledge obtained from basic research and clinical trials. This can ultimately lead to novel customized interventions that meet specific needs of SCI patients.
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