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Computer-Guided Non-Invasive High-Definition Transcranial Direct Current Brain Stimulation as a Targeted Intervention After a Stroke

Presented at 2023 American Physical Therapy Association Combined Sections Meeting. San Diego, CA.


L. Vince Lepak, PT, DPT, MPH, CWS, CES1; Carolyn Cheema, PT, DSc, OCS, FAAOMPT1, Shirley James, PT, PhD2, Yuan Yang, PhD1,3,4; 1OUHSC College of Allied Health; 2OUHSC Hudson College of Public Health; 3OU Stephenson School of Biomedical Engineering; 4Northwestern University Physical Therapy and Human Movement Sciences.

  1. Williamson, J. N., Sikora, W. A., James, S. A., Parmar, N. J., Lepak, L. V., Cheema, C. F., Refai, H. H., Wu, D. H., Sidorov, E. V., Dewald, J. P. A., & Yang, Y. (2022). Cortical Reorganization of Early Somatosensory Processing in Hemiparetic Stroke. J Clin Med, 11(21).
  2. McPherson, J. G., Chen, A., Ellis, M. D., Yao, J., Heckman, C. J., & Dewald, J. P. A. (2018). Progressive recruitment of contralesional cortico-reticulospinal pathways drives motor impairment post stroke. J Physiol, 596(7), 1211-1225.
  3. Rozisky, J. R., Antunes, L. C., Brietzke, A. P., de Sousa, A. C., & Caumo, W. (2016). Transcranial direct current stimulation and neuroplasticity. Transcranial Direct Current Stimulation (tDCS): Emerging Used, Safety and Neurobiological Effects, ed L. Rogers (New York, NY: Nova Science Publishers Inc), 1-26.
  4. Filatova, O. G., Yang, Y., Dewald, J. P. A., Tian, R., Maceira-Elvira, P., Takeda, Y., Kwakkel, G., Yamashita, O., & van der Helm, F. C. T. (2018). Dynamic Information Flow Based on EEG and Diffusion MRI in Stroke: A Proof-of-Principle Study [Clinical Trial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't]. Frontiers in Neural Circuits, 12, 79.
  5. Page, S. J., Fulk, G. D., & Boyne, P. (2012). Clinically important differences for the upper- extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke. Phys Ther, 92(6), 791-798.
  6. Chen, H. M., Chen, C. C., Hsueh, I. P., Huang, S. L., & Hsieh, C. L. (2009). Test-retest reproducibility and smallest real difference of 5 hand function tests in patients with stroke [Evaluation Study Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't]. Neurorehabilitation & Neural Repair, 23(5), 435-440. ​

Other useful reference not included in presentation.

  1. Bornheim, S., Croisier, J. L., Maquet, P., & Kaux, J. F. (2019). Proposal of a New Transcranial Direct Current Stimulation Safety Screening Tool. American Journal of Physical Medicine & Rehabilitation, 98(7), e77-e78.
  2. Matsumoto, H., & Ugawa, Y. (2017). Adverse events of tDCS and tACS: A review. Clin Neurophysiol Pract, 2, 19-25.
  3. Wilkins, K. B., Owen, M., Ingo, C., Carmona, C., Dewald, J. P. A., & Yao, J. (2017). Neural Plasticity in Moderate to Severe Chronic Stroke Following a Device-Assisted Task-Specific Arm/Hand Intervention. Front Neurol, 8, 284.

Last updated on January 10th, 2023