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A New Way to Treat Central Nervous System Dysfunction Caused by Musculoskeletal Injuries Using Transcranial Direct Current Stimulation: A Narrative Review.

作者信息

Perrey Stéphane

机构信息

EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Ales, 34090 Montpellier, France.

出版信息

Brain Sci. 2025 Jan 21;15(2):101. doi: 10.3390/brainsci15020101.


DOI:10.3390/brainsci15020101
PMID:40002434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11853165/
Abstract

BACKGROUND: Musculoskeletal injuries can have far-reaching consequences on brain function, leading to reduced motor control, altered movement patterns, increased inhibition of the injured muscle and joint, and changes in neuroplasticity. These deficits, controlled in part by the central nervous system (CNS), might be alleviated with an appropriate adjuvant treatment. One possibly suited treatment at the CNS level is transcranial direct current stimulation (tDCS), which modulates cortical excitability and further neuroplasticity. OBJECTIVES: The present review outlines the multifaceted repercussions of common musculo-skeletal injuries on CNS functions and presents original studies that mostly report beneficial effects regarding the use of the tDCS intervention in people who had experienced musculoskeletal injury rehabilitation. RESULTS: The first evidence suggests that tDCS, targeting brain areas responsible for motor control or on sensory and pain-related brain regions, may offer significant benefits in the recovery of brain function and motor performance following musculoskeletal injuries. Key findings include enhanced motor function, altered CNS excitability and inhibition, and reduced pain perception, all contributing to improved rehabilitation outcomes. However, the paucity of studies and the heterogeneity of injuries render it challenging to ascertain the optimal treatment parameters. Furthermore, the variability regarding stimulation parameters is a crucial aspect that remains to be addressed and limits the possibility of generalizing these first findings. CONCLUSIONS: It is concluded that well-powered trials with standardized protocols should be conducted to confirm these effects and establish clear clinical guidelines for the use of tDCS in sports injury rehabilitation.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2d/11853165/304b3c4adbbe/brainsci-15-00101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2d/11853165/304b3c4adbbe/brainsci-15-00101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2d/11853165/304b3c4adbbe/brainsci-15-00101-g001.jpg

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本文引用的文献

[1]
Anodal transcranial direct current stimulation (tDCS) modulates quadriceps motor cortex inhibition and facilitation during rehabilitation following anterior cruciate ligament (ACL) reconstruction: a triple-blind, randomised controlled proof of concept trial.

BMJ Open Sport Exerc Med. 2024-12-9

[2]
The Physiological Mechanisms of Transcranial Direct Current Stimulation to Enhance Motor Performance: A Narrative Review.

Biology (Basel). 2024-10-2

[3]
Exploring the use of bimodal transcranial direct current stimulation to enhance movement in individuals with patellofemoral pain-A sham-controlled double blinded pilot study.

Front Hum Neurosci. 2024-9-6

[4]
Lasting effects of transcranial direct current stimulation on the inducibility of synaptic plasticity by paired-associative stimulation in humans.

J Neuroeng Rehabil. 2024-9-18

[5]
Effects of transcranial direct current stimulation on pain and physical function in patients with knee osteoarthritis: a systematic review and meta-analysis.

BMC Musculoskelet Disord. 2024-9-3

[6]
Effects of transcranial direct current stimulation combined with Bosu ball training on the injury potential during drop landing in people with chronic ankle instability.

Front Physiol. 2024-8-14

[7]
How effective is transcranial direct current stimulation?

Lancet. 2024-6-22

[8]
The effects of anodal tDCS on pain reduction in people with knee osteoarthritis: A systematic review and meta-analysis.

Neurophysiol Clin. 2023-12

[9]
tDCS for pain management in knee osteoarthritis: A plea for noninvasive brain stimulation techniques in neuromusculoskeletal rehabilitation.

Neurophysiol Clin. 2023-12

[10]
Efficacy of transcranial direct current stimulation in patients with knee osteoarthritis: A systematic review.

Neurophysiol Clin. 2023-12

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