Article

This narrative review discusses the neurophysiology of human motor
cortex as it influences gait, and recent advances in the application of
non-invasive brain stimulation to the lower limb motor cortex of stroke
survivors. Although walking is a high priority following stroke, the efficacy of
promising new therapies has yet to warrant their widespread clinical use. For the
upper limb, numerous brain stimulation protocols have been described. These
protocols, adapted for the leg, are now being used to examine the cortical
control of gait. This research discounts the long-held notion that "we walk from
our spinal cords". METHODS: Our review describes this research as it relates to
the lower limb, especially the use of non-invasive brain stimulation to enhance
neuroplasticity. The review also discusses the possible development of a
prognostic algorithm for walking recovery after stroke. CONCLUSION: This review
concludes with the expectation that novel brain stimulation protocols combined
with therapy will eventually demonstrate a level of effectiveness sufficient to
promote their wide acceptance in neurorehabilitation settings.

Langue : ANGLAIS

Tiré à part : OUI