A translational roadmap for transcranial magnetic and direct current stimulation in stroke rehabilitation: Consensus-based core recommendations from the third stroke recovery and rehabilitation roundtable.

Autor:	Edwards JD; University of Ottawa Heart Institute, Ottawa, ON, Canada.; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada., Dominguez-Vargas AU; Université de Montréal, Montréal, QC, Canada., Rosso C; Institut du Cerveau et de la Moelle épinière, Paris, France., Branscheidt M; Cereneo Center for Neurology and Rehabilitation, Vitznau, Switzerland., Sheehy L; Bruyére Research Institute, Ottawa, ON, Canada., Quandt F; University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Zamora SA; Cereneo Center for Neurology and Rehabilitation, Vitznau, Switzerland., Fleming MK; University of Oxford, Oxford, UK., Azzollini V; National Institutes of Health, Bethesda, MD, USA., Mooney RA; Johns Hopkins University, Baltimore, MD, USA., Stagg CJ; University of Oxford, Oxford, UK., Gerloff C; University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Rossi S; University of Siena, Siena, Italy., Cohen LG; National Institutes of Health, Bethesda, MD, USA., Celnik P; Johns Hopkins University, Baltimore, MD, USA., Nitsche MA; Leibniz Research Center for Working Environment and Human Factors, Dortmund, Germany., Buetefisch CM; Emory University, Atlanta, GA, USA., Dancause N; Université de Montréal, Montréal, QC, Canada.
Jazyk:	angličtina
Zdroj:	International journal of stroke : official journal of the International Stroke Society [Int J Stroke] 2024 Feb; Vol. 19 (2), pp. 145-157. Date of Electronic Publication: 2023 Oct 12.
DOI:	10.1177/17474930231203982
Abstrakt:	Background and Aims: The purpose of this Third Stroke Recovery and Rehabilitation Roundtable (SRRR3) was to develop consensus recommendations to address outstanding barriers for the translation of preclinical and clinical research using the non-invasive brain stimulation (NIBS) techniques Transcranial Magnetic Stimulation (TMS) and Transcranial Direct Current Stimulation (tDCS) and provide a roadmap for the integration of these techniques into clinical practice. Methods: International NIBS and stroke recovery experts (N = 18) contributed to the consensus process. Using a nominal group technique, recommendations were reached via a five-stage process, involving a thematic survey, two priority ranking surveys, a literature review and an in-person meeting. Results and Conclusions: Results of our consensus process yielded five key evidence-based and feasibility barriers for the translation of preclinical and clinical NIBS research, which were formulated into five core consensus recommendations. Recommendations highlight an urgent need for (1) increased understanding of NIBS mechanisms, (2) improved methodological rigor in both preclinical and clinical NIBS studies, (3) standardization of outcome measures, (4) increased clinical relevance in preclinical animal models, and (5) greater optimization and individualization of NIBS protocols. To facilitate the implementation of these recommendations, the expert panel developed a new SRRR3 Unified NIBS Research Checklist. These recommendations represent a translational pathway for the use of NIBS in stroke rehabilitation research and practice. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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