Noninvasive brain stimulation in traumatic brain injury
Open accessAbstract
OBJECTIVE: To review novel techniques of noninvasive brain stimulation (NBS), which may have value in assessment and treatment of traumatic brain injury (TBI). METHODS: Review of the following techniques: transcranial magnetic stimulation, transcranial direct current stimulation, low-level laser therapy, and transcranial Doppler sonography. Furthermore, we provide a brief overview of TMS studies to date. MAIN FINDINGS: We describe the rationale for the use of these techniques in TBI, discuss their possible mechanisms of action, and raise a number of considerations relevant to translation of these methods to clinical use. Depending on the stimulation parameters, NBS may enable suppression of the acute glutamatergic hyperexcitability following TBI and/or counter the excessive GABAergic effects in the subacute stage. In the chronic stage, brain stimulation coupled to rehabilitation may enhance behavioral recovery, learning of new skills, and cortical plasticity. Correlative animal models and comprehensive safety trials seem critical to establish the use of these modalities in TBI. CONCLUSIONS: Different forms of NBS techniques harbor the promise of diagnostic and therapeutic utility, particularly to guide processes of cortical reorganization and enable functional restoration in TBI. Future lines of safety research and well-designed clinical trials in TBI are warranted to determine the capability of NBS to promote recovery and minimize disability.
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The potential of non-invasive brain stimulation for diagnostic and therapeutic purposes in mTBI has been proposed but not yet comprehensively explored.
“The potential of non-invasive brain stimulation (NIBS) for diagnostic and therapeutic purposes in mTBI has been proposed, but not yet comprehensively explored (Demirtas-Tatlidede, Vahabzadeh-Hagh, Bernabeu, Tormos, & Pascual-Leone, 2012).”
From Investigation of neurobiological responses to theta burst stimulation during recovery from mild traumatic brain injury (mTBI) (2023) · cites this paper as Demirtas-Tatlidede, Vahabzadeh-Hagh, Bernabeu, Tormos, & Pascual-Leone, 2012
The Conclusion (section 7; page unavailable) says noninvasive brain stimulation has potential diagnostic and therapeutic utility in TBI, while evidence remains sparse. The paper discusses diagnostic TMS studies involving mild TBI (section 4.3), but frames its therapeutic proposals around TBI generally rather than specifically mTBI (section 5). The mTBI-specific therapeutic part of the claim is therefore not established by this copy. (LLM, conf=0.84)
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- Authors
- Demirtas-Tatlidede, A., Vahabzadeh-Hagh, A. M., Bernabeu, M., Tormos, J. M., & Pascual-Leone, A.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- ORCID
- Bernabeu, Montserrat
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 2012-07
- Volume
- 27
- Issue
- 4
- Pages
- 274-292
- ISSN
- 0885-9701 (ISSN-L)
- PMC
- PMC3342413
- OpenAlex
- W2117293864
- Cited by
- 149
- References
- 160
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 10 · 2023: 14 · 2022: 12 · 2021: 11 · 2020: 11 · 2019: 9 · 2018: 17 · 2017: 10 · 2016: 11 · 2015: 14 · 2014: 8 · 2013: 6 · 2012: 7
- FWCI
- 0.59
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Head Trauma Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RIUCV (Universidad Católica de Valencia San Vicente Martír) (submittedVersion, cc-by)
- Hispana (submittedVersion, cc-by)
- Funders
- Brain Research Foundation
- Banco Bilbao Vizcaya Argentaria
- National Institutes of Health
- Instituto de Salud Carlos III
- National Center for Research Resources (K24RR018875)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- non-invasive brain stimulation, traumatic brain injury, transcranial magnetic stimulation, transcranial direct current stimulation, low-level laser therapy, transcranial Doppler, GABAergic inhibition, cortical plasticity, cortical reorganization, neurorehabilitation, functional recovery, animal models
- MeSH terms
- Animals, Brain, Brain Injuries, Brain Mapping, Cerebral Cortex, Combined Modality Therapy, Disease Models, Animal, Electric Stimulation Therapy, Humans, Magnetic Resonance Imaging, Nerve Regeneration, Neuronal Plasticity, Prognosis, Thrombolytic Therapy, Randomized Controlled Trials as Topic, Ultrasonography, Doppler, Transcranial, Neurotransmitter Agents, Evoked Potentials, Motor, Brain Injury, Chronic, Transcranial Magnetic Stimulation, Translational Research, Biomedical
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