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@ARTICLE{Fink:807841,
author = {Fink, Gereon R. and Grefkes, Christian and Weiss, Peter H.},
title = {{N}ew hope for ameliorating stroke-induced deficits?},
journal = {Brain},
volume = {139},
number = {4},
issn = {1460-2156},
address = {Oxford},
publisher = {Oxford Univ. Press},
reportid = {FZJ-2016-02201},
pages = {1002 - 1004},
year = {2016},
abstract = {This scientific commentary refers to ‘Electrical
stimulation of the motor cortex enhances treatment outcome
in post-stroke aphasia’ by Meinzer et al.
(doi:10.1093/brain/aww002).The overall decline in stroke
mortality observed over the past decades is due to both a
reduction in stroke incidence, primarily resulting from
cardiovascular risk factor interventions, and substantial
progress in the acute treatment of stroke (e.g.
recanalization due to thrombolysis and thrombectomy,
decompressive therapy) as well as patient care (stroke
units) (Mozaffarian et al., 2016). These improvements (in
particular among people older than 65 years) are mirrored,
however, by an increasing number of stroke survivors, who
are left with persistent neurological deficits. Despite
intensive rehabilitation, at least in countries with well
developed healthcare systems, many stroke survivors are left
with motor, language, spatial or other neuropsychological
sequelae, all of which result in reduced functional
independence. Consequently, stroke is the leading cause of
acquired long-term disability and globally produces immense
health, social and economic burdens (Mozaffarian et al.,
2016). While physiotherapy, language therapy and
occupational therapy are widely accepted elements of
rehabilitation medicine that aim to restore functioning and
quality of life in those with physical disabilities or
cognitive impairments, novel approaches to rehabilitation
are urgently needed. Such therapies may comprise
behavioural, pharmacological or technical approaches, the
latter including the use of robotic devices as well as
non-invasive neuromodulatory techniques [i.e. transcranial
magnetic stimulation (TMS) or transcranial direct current
stimulation (tDCS)]. In this issue of Brain, Meinzer and
colleagues raise new hope for the treatment of post-stroke
aphasia by showing that electrical stimulation of the motor
cortex [sic!] enhances treatment outcomes (Meinzer et al.,
2016).},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572)},
pid = {G:(DE-HGF)POF3-572},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000374234900009},
pubmed = {pmid:27012489},
doi = {10.1093/brain/aww034},
url = {https://juser.fz-juelich.de/record/807841},
}