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A New Way to Treat Central Nervous System Dysfunction Caused by Musculoskeletal Injuries Using Transcranial Direct

Stéphane Perrey¹

¹EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Ales, 34090 Montpellier, France.

|February 26, 2025

Summary

Transcranial direct current stimulation (tDCS) shows promise for improving brain function and motor recovery after musculoskeletal injuries. Further research with standardized protocols is needed to confirm benefits and guide clinical use in sports rehabilitation.

Keywords:

ankle instability central nervous system excitability knee injuries motor performance neural drive pain sensitivity recovery sports

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Area of Science:

Neuroscience
Rehabilitation Medicine
Sports Medicine

Background:

Musculoskeletal injuries negatively impact central nervous system (CNS) functions, including motor control and neuroplasticity.
These CNS deficits may be mitigated by central treatments like transcranial direct current stimulation (tDCS).
tDCS modulates cortical excitability and neuroplasticity, offering a potential therapeutic avenue.

Purpose of the Study:

To review the effects of musculoskeletal injuries on CNS functions.
To present studies on the use of tDCS in musculoskeletal injury rehabilitation.
To highlight the potential benefits of tDCS for recovery and motor performance.

Main Methods:

Review of existing literature on musculoskeletal injuries and CNS function.
Analysis of studies investigating tDCS as an adjuvant therapy in rehabilitation.
Examination of tDCS effects on motor control, sensory processing, and pain.

Main Results:

Preliminary evidence suggests tDCS benefits brain function and motor performance post-musculoskeletal injury.
Observed benefits include enhanced motor function, altered CNS excitability, and reduced pain.
Study limitations include a paucity of research and heterogeneity in injuries and stimulation parameters.

Conclusions:

tDCS may offer significant benefits for musculoskeletal injury rehabilitation.
Further well-powered trials with standardized protocols are essential.
Clear clinical guidelines are needed to establish tDCS use in sports injury recovery.