Chapter Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

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. T...

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Autori principali: del Ama-Espinosa, Antonio, Moreno, Juan, Laczko, Jozsef, Pascual-Valdunciel, Alejandro, Barroso, Filipe O., Torricelli, Diego, L Pons, Jose
Natura: Online
Lingua:inglese
Pubblicazione: InTechOpen 2021
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Accesso online:ONIX_20210602_10.5772/intechopen.83654_443
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author del Ama-Espinosa, Antonio
Moreno, Juan
Laczko, Jozsef
Pascual-Valdunciel, Alejandro
Barroso, Filipe O.
Torricelli, Diego
L Pons, Jose
author_browse Barroso, Filipe O.
L Pons, Jose
Laczko, Jozsef
Moreno, Juan
Pascual-Valdunciel, Alejandro
Torricelli, Diego
del Ama-Espinosa, Antonio
author_facet del Ama-Espinosa, Antonio
Moreno, Juan
Laczko, Jozsef
Pascual-Valdunciel, Alejandro
Barroso, Filipe O.
Torricelli, Diego
L Pons, Jose
author_sort del Ama-Espinosa, Antonio
collection Directory of Open Access Books
description 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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spelling doab-20.500.12854ir-705612025-08-13T14:11:59Z 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 thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues thema EDItEUR::M Medicine and Nursing::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. 2021-02-10T12:58:18Z 2021-06-02T10:12:18Z 2019 chapter ONIX_20210602_10.5772/intechopen.83654_443 https://library.oapen.org/handle/20.500.12657/49329 https://directory.doabooks.org/handle/20.500.12854/70561 eng open access image/jpeg image/jpeg image/jpeg n/a n/a n/a https://library.oapen.org/bitstream/20.500.12657/49329/1/65272.pdf https://library.oapen.org/bitstream/20.500.12657/49329/1/65272.pdf https://library.oapen.org/bitstream/20.500.12657/49329/1/65272.pdf InTechOpen 10.5772/intechopen.83654 10.5772/intechopen.83654 035ecc65-6737-43cf-a13a-6bdf67ce01f4 open access
spellingShingle spinal cord injury, rehabilitation, noninvasive modalities, functional electrical stimulation, transcranial magnetic stimulation, exoskeletons
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues
del Ama-Espinosa, Antonio
Moreno, Juan
Laczko, Jozsef
Pascual-Valdunciel, Alejandro
Barroso, Filipe O.
Torricelli, Diego
L Pons, Jose
Chapter Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation
title Chapter Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation
title_full Chapter Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation
title_fullStr Chapter Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation
title_full_unstemmed Chapter Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation
title_short Chapter Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation
title_sort chapter noninvasive modalities used in spinal cord injury rehabilitation
topic spinal cord injury, rehabilitation, noninvasive modalities, functional electrical stimulation, transcranial magnetic stimulation, exoskeletons
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues
topic_facet spinal cord injury, rehabilitation, noninvasive modalities, functional electrical stimulation, transcranial magnetic stimulation, exoskeletons
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues
url ONIX_20210602_10.5772/intechopen.83654_443
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