Article

Innovative technologies for sensorimotor rehabilitation after stroke have
dramatically increased these past 20 years. Based on a review of the literature
on "Medline" and "Web of Science" between 1990 and 2013, we offer an overview of
available tools and their current level of validation. Neuromuscular electric
stimulation and/or functional electric stimulation are widely used and highly
suspected of being effective in upper or lower limb stroke rehabilitation.
Robotic rehabilitation has yielded various results in the literature. It seems to
have some effect on functional capacities when used for the upper limb. Its
effectiveness in gait training is more controversial. Virtual reality is widely
used in the rehabilitation of cognitive and motor impairments, as well as
posture, with admitted benefits. Non-invasive brain stimulation (rTMS and TDCS)
are promising in this indication but clinical evidence of their effectiveness is
still lacking. In the same manner, these past five years, neurofeedback
techniques based on brain signal recordings have emerged with a special focus on
their therapeutic relevance in rehabilitation. Technological devices applied to
rehabilitation are revolutionizing our clinical practices. Most of them are based
on advances in neurosciences allowing us to better understand the phenomenon of
brain plasticity, which underlies the effectiveness of rehabilitation. The acceptation and "real use" of those devices is still an issue since most of them
are not easily available in current practice.
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Langue : ANGLAIS ; FRANCAIS