Abstract

CASTILLO-CASTELBLANCO, GABRIEL AUGUSTO; RAMIREZ-GARCIA, SERGIO FRANCISCO  and  ARCOS-BURGOS, MAURICIO. The ontogenetic model for CVA rehabilitation with transcranial stimulation. Acta Med Colomb [online]. 2022, vol.47, n.4, pp.33-34.  Epub May 27, 2023. ISSN 0120-2448.  https://doi.org/10.36104/amc.2022.2466.

Currently, transcranial stimulation for CVA treatment is based on the interhemispheric rivalry model. This model has proven to have many anomalies, necessitating a new paradigm. Spontaneous recovery from post-CVA hemiplegia has an ontogenetic pattern. We reanalyzed the 2008 longitudinal London study and found that cortical disinhibition is the mechanism for ontogenetic CVA recovery. We propose that transcranial stimulation with 10 Hz rTMS or anode electrical microstimulation can produce CVA recovery similar to spontaneous recovery. (Acta Med Colomb 2022; 47. DOI:https://doi.org/10.36104/amc.2022.2466).

Keywords : transcranial magnetic stimulation; motor evoked potential; cerebrovascular accident rehabilitation; neural plasticity; neural inhibition.

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