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Related Experiment Video

Updated: Feb 18, 2026

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
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Revisiting interhemispheric imbalance in chronic stroke: A tDCS study.

Alana B McCambridge1, James W Stinear2, Winston D Byblow2

  • 1Department of Exercise Sciences, University of Auckland, New Zealand; Centre for Brain Research, University of Auckland, New Zealand; Graduate School of Health, University of Technology Sydney, Australia.

Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology
|November 18, 2017
PubMed
Summary

Anodal transcranial direct current stimulation (a-tDCS) increased brain excitability in stroke survivors with moderate-severe motor impairment. This suggests a-tDCS may offer a novel therapeutic approach for improving motor function after stroke.

Keywords:
ContralesionalInterhemispheric competitionMagnetic resonance imagingMagnetic resonance spectroscopyStrokeTMSTranscranial direct current stimulationTranscranial magnetic stimulationtDCS

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Neurology

Background:

  • Chronic stroke patients with moderate-to-severe motor impairment often exhibit altered motor control strategies.
  • There is a potential reliance on contralesional motor areas for controlling the paretic limb in these patients.

Purpose of the Study:

  • To investigate if enhancing contralesional motor cortex excitability using anodal transcranial direct current stimulation (a-tDCS) can improve motor performance.
  • To assess the effects of a-tDCS on motor function in chronic stroke patients with moderate-to-severe impairment.

Main Methods:

  • Ten chronic stroke patients with moderate-to-severe motor impairment participated.
  • Participants received a-tDCS, cathodal tDCS (c-tDCS), and sham stimulation targeting the contralesional motor cortex (M1).
  • Motor performance, corticospinal excitability, corticospinal tract integrity, and basal GABA concentration were assessed.

Main Results:

  • Anodal tDCS significantly increased contralesional corticomotor excitability.
  • Cathodal tDCS did not significantly alter corticomotor excitability.
  • The impact of tDCS on motor performance was negatively correlated with ipsilesional GABA concentration following c-tDCS.

Conclusions:

  • Anodal tDCS effectively modulates contralesional motor cortex excitability in chronic stroke patients.
  • Further research into non-invasive brain stimulation protocols, like a-tDCS, is needed to facilitate contralesional M1 function.
  • The findings suggest the inter-hemispheric imbalance model may require re-evaluation for patients with more severe stroke impairments.