A systematic review: enhancing stroke recovery through complementary interventions—Clinical outcomes and neural activity insights
The growing interest in complementary interventions for stroke recovery necessitates the need for neural insights to aid in making evidence-based clinical decisions. This systematic review examined the brain activation effects of complementary therapies, including acupuncture (n = 5), motor imagery...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-11-01
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| Series: | Frontiers in Neuroscience |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnins.2024.1437130/full |
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| author | Umi Nabilah Ismail Noorazrul Yahya Wan Asyraf Wan Zaidi Zhe Kang Law Hanani Abdul Manan Hanani Abdul Manan |
| author_facet | Umi Nabilah Ismail Noorazrul Yahya Wan Asyraf Wan Zaidi Zhe Kang Law Hanani Abdul Manan Hanani Abdul Manan |
| author_sort | Umi Nabilah Ismail |
| collection | DOAJ |
| description | The growing interest in complementary interventions for stroke recovery necessitates the need for neural insights to aid in making evidence-based clinical decisions. This systematic review examined the brain activation effects of complementary therapies, including acupuncture (n = 5), motor imagery therapy (MIT) (n = 5), music (n = 3), and virtual reality (VR) interventions (n = 3), on clinical outcomes and neural activity in stroke patients. All therapies engaged motor and sensory networks, frontal regions, parietal regions, and temporal regions, suggesting their potential to improve motor control, attention, memory, and cognitive function. Acupuncture activated motor areas in both hemispheres, while MIT stimulated frontoparietal regions in both sides of the brain, supporting whole-body integration in recovery. In contrast, VR therapy exhibited ipsilesional lateralization, while music therapy showed left-lateralization. The review also found that increased interhemispheric connectivity between motor regions, along with intrahemispheric ipsilesional connectivity between motor, cognitive, and sensory areas, is key to achieving better clinical outcomes.Systematic Review Registrationhttp://www.crd.york.ac.uk/PROSPERO, identifier (ID: CRD42023455192). |
| format | Article |
| id | doaj-art-fab84eda0a364fe0a0b85a1d695b61a9 |
| institution | OA Journals |
| issn | 1662-453X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neuroscience |
| spelling | doaj-art-fab84eda0a364fe0a0b85a1d695b61a92025-08-20T02:14:56ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2024-11-011810.3389/fnins.2024.14371301437130A systematic review: enhancing stroke recovery through complementary interventions—Clinical outcomes and neural activity insightsUmi Nabilah Ismail0Noorazrul Yahya1Wan Asyraf Wan Zaidi2Zhe Kang Law3Hanani Abdul Manan4Hanani Abdul Manan5Makmal Pemprosesan Imej Kefungsian (Functional Image Processing Laboratory), Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaDiagnostic Imaging & Radiotherapy Program, Centre of Diagnostic, Therapeutic and Investigative Sciences (CODTIS), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaNeurology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaNeurology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaMakmal Pemprosesan Imej Kefungsian (Functional Image Processing Laboratory), Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaDepartment of Radiology and Intervention, Hospital Pakar Kanak-Kanak (Children Specialist Hospital), Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaThe growing interest in complementary interventions for stroke recovery necessitates the need for neural insights to aid in making evidence-based clinical decisions. This systematic review examined the brain activation effects of complementary therapies, including acupuncture (n = 5), motor imagery therapy (MIT) (n = 5), music (n = 3), and virtual reality (VR) interventions (n = 3), on clinical outcomes and neural activity in stroke patients. All therapies engaged motor and sensory networks, frontal regions, parietal regions, and temporal regions, suggesting their potential to improve motor control, attention, memory, and cognitive function. Acupuncture activated motor areas in both hemispheres, while MIT stimulated frontoparietal regions in both sides of the brain, supporting whole-body integration in recovery. In contrast, VR therapy exhibited ipsilesional lateralization, while music therapy showed left-lateralization. The review also found that increased interhemispheric connectivity between motor regions, along with intrahemispheric ipsilesional connectivity between motor, cognitive, and sensory areas, is key to achieving better clinical outcomes.Systematic Review Registrationhttp://www.crd.york.ac.uk/PROSPERO, identifier (ID: CRD42023455192).https://www.frontiersin.org/articles/10.3389/fnins.2024.1437130/fullstrokecomplementary therapyacupuncturemotor imagerymusicvirtual reality |
| spellingShingle | Umi Nabilah Ismail Noorazrul Yahya Wan Asyraf Wan Zaidi Zhe Kang Law Hanani Abdul Manan Hanani Abdul Manan A systematic review: enhancing stroke recovery through complementary interventions—Clinical outcomes and neural activity insights Frontiers in Neuroscience stroke complementary therapy acupuncture motor imagery music virtual reality |
| title | A systematic review: enhancing stroke recovery through complementary interventions—Clinical outcomes and neural activity insights |
| title_full | A systematic review: enhancing stroke recovery through complementary interventions—Clinical outcomes and neural activity insights |
| title_fullStr | A systematic review: enhancing stroke recovery through complementary interventions—Clinical outcomes and neural activity insights |
| title_full_unstemmed | A systematic review: enhancing stroke recovery through complementary interventions—Clinical outcomes and neural activity insights |
| title_short | A systematic review: enhancing stroke recovery through complementary interventions—Clinical outcomes and neural activity insights |
| title_sort | systematic review enhancing stroke recovery through complementary interventions clinical outcomes and neural activity insights |
| topic | stroke complementary therapy acupuncture motor imagery music virtual reality |
| url | https://www.frontiersin.org/articles/10.3389/fnins.2024.1437130/full |
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