Revisiting Transcranial Light Stimulation as a Stroke Therapeutic-Hurdles and Opportunities.
Near-infrared laser therapy, a special form of transcranial light therapy, has been tested as an acute stroke therapy in three large clinical trials. While the NEST trials failed to show the efficacy of light therapy in human stroke patients, there are many lingering questions and lessons that can be learned. In this review, we summarize the putative mechanism of light stimulation in the setting of stroke, highlight barriers, and challenges during the translational process, and evaluate light stimulation parameters, dosages and safety issues, choice of outcomes, effect size, and patient selection criteria. In the end, we propose potential future opportunities with transcranial light stimulation as a cerebroprotective or restorative tool for future stroke treatment.
Duke Scholars
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Related Subject Headings
- Transcranial Magnetic Stimulation
- Stroke Rehabilitation
- Stroke
- Laser Therapy
- Humans
- Brain Ischemia
- 3209 Neurosciences
- 3202 Clinical sciences
- 1117 Public Health and Health Services
- 1109 Neurosciences
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Transcranial Magnetic Stimulation
- Stroke Rehabilitation
- Stroke
- Laser Therapy
- Humans
- Brain Ischemia
- 3209 Neurosciences
- 3202 Clinical sciences
- 1117 Public Health and Health Services
- 1109 Neurosciences