title: Innovative technologies applied to sensorimotor rehabilitation after stroke.
abstract: 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.
authors.affiliation: Département de médecine physique et de réadaptation, hôpital Lapeyronie, CHU de Montpellier, 191, boulevard du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France; Movement to Health, Euromov, université Montpellier 1, 700, avenue du Pic-Saint-Loup, 34090 Montpellier, France. Electronic address: i-laffont@chu-montpellier.fr.
authors.forename: I
authors.initials: I
authors.lastname: Laffont
authors.affiliation: Département de médecine physique et de réadaptation, hôpital Lapeyronie, CHU de Montpellier, 191, boulevard du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France; Movement to Health, Euromov, université Montpellier 1, 700, avenue du Pic-Saint-Loup, 34090 Montpellier, France.
authors.forename: K
authors.initials: K
authors.lastname: Bakhti
authors.affiliation: Département de médecine physique et de réadaptation, hôpital Lapeyronie, CHU de Montpellier, 191, boulevard du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France; Movement to Health, Euromov, université Montpellier 1, 700, avenue du Pic-Saint-Loup, 34090 Montpellier, France.
authors.forename: F
authors.initials: F
authors.lastname: Coroian
authors.affiliation: Département de médecine physique et de réadaptation, hôpital Lapeyronie, CHU de Montpellier, 191, boulevard du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France; Movement to Health, Euromov, université Montpellier 1, 700, avenue du Pic-Saint-Loup, 34090 Montpellier, France.
authors.forename: L
authors.initials: L
authors.lastname: van Dokkum
authors.affiliation: Movement to Health, Euromov, université Montpellier 1, 700, avenue du Pic-Saint-Loup, 34090 Montpellier, France.
authors.forename: D
authors.initials: D
authors.lastname: Mottet
authors.affiliation: Movement to Health, Euromov, université Montpellier 1, 700, avenue du Pic-Saint-Loup, 34090 Montpellier, France; Computational Neuro-Rehabilitation Laboratory, University of Southern California, 1540 Alcazar Street, CHP 155, Los Angeles, CA 90089-9006, USA.
authors.forename: N
authors.initials: N
authors.lastname: Schweighofer
authors.affiliation: Movement to Health, Euromov, université Montpellier 1, 700, avenue du Pic-Saint-Loup, 34090 Montpellier, France; Département de médecine physique et de réadaptation, hôpital universitaire de rééducation et de réadaptation, CHU de Nîmes, Le Boucanet, 30240 Le-Grau-du-Roi, France.
authors.forename: J
authors.initials: J
authors.lastname: Froger
mesh_terms: D001921:Brain / Q000503:physiopathology; D004558:Electric Stimulation / Q000379:methods*; D006801:Humans; D062069:Inventions / Q000639:trends*; D000066530:Neurological Rehabilitation / Q000379:methods*; D009473:Neuronal Plasticity; D020127:Recovery of Function; D012371:Robotics; D066191:Sensorimotor Cortex / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D034941:Upper Extremity / Q000503:physiopathology
keywords: Accident vasculaire cérébral; Brain stimulation; New technologies; Rehabilitation; Robotics; Robotique; Réalité virtuelle; Rééducation; Stimulation cérébrale; Stroke; Technologies nouvelles; Virtual reality