Optimizing non-invasive vagus nerve stimulation for treatment in stroke

Stroke remains a leading cause of long-term disability worldwide. There is an unmet need for neuromodulatory therapies that can mitigate against neurovascular injury and potentially promote neurological recovery. Transcutaneous vagus nerve stimulation has been demonstrated to show potential therapeu...

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Main Authors: Sheharyar S. Baig, Samantha Dorney, Mudasar Aziz, Simon M. Bell, Ali N. Ali, Li Su, Jessica N. Redgrave, Arshad Majid
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-12-01
Series:Neural Regeneration Research
Subjects:
Online Access:https://journals.lww.com/10.4103/NRR.NRR-D-24-00945
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author Sheharyar S. Baig
Samantha Dorney
Mudasar Aziz
Simon M. Bell
Ali N. Ali
Li Su
Jessica N. Redgrave
Arshad Majid
author_facet Sheharyar S. Baig
Samantha Dorney
Mudasar Aziz
Simon M. Bell
Ali N. Ali
Li Su
Jessica N. Redgrave
Arshad Majid
author_sort Sheharyar S. Baig
collection DOAJ
description Stroke remains a leading cause of long-term disability worldwide. There is an unmet need for neuromodulatory therapies that can mitigate against neurovascular injury and potentially promote neurological recovery. Transcutaneous vagus nerve stimulation has been demonstrated to show potential therapeutic effects in both acute and chronic stroke. However, previously published research has only investigated a narrow range of stimulation settings and indications. In this review, we detail the ongoing studies of transcutaneous vagus nerve stimulation in stroke through systematic searches of registered clinical trials. We summarize the upcoming clinical trials of transcutaneous vagus nerve stimulation in stroke, highlighting their indications, parameter settings, scope, and limitations. We further explore the challenges and barriers associated with the implementation of transcutaneous vagus nerve stimulation in acute stroke and stroke rehabilitation, focusing on critical aspects such as stimulation settings, target groups, biomarkers, and integration with rehabilitation interventions.
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institution Kabale University
issn 1673-5374
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language English
publishDate 2025-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Neural Regeneration Research
spelling doaj-art-8375a12f82924c20a8f05b97e626f17a2025-02-06T09:58:38ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53741876-79582025-12-0120123388339910.4103/NRR.NRR-D-24-00945Optimizing non-invasive vagus nerve stimulation for treatment in strokeSheharyar S. BaigSamantha DorneyMudasar AzizSimon M. BellAli N. AliLi SuJessica N. RedgraveArshad MajidStroke remains a leading cause of long-term disability worldwide. There is an unmet need for neuromodulatory therapies that can mitigate against neurovascular injury and potentially promote neurological recovery. Transcutaneous vagus nerve stimulation has been demonstrated to show potential therapeutic effects in both acute and chronic stroke. However, previously published research has only investigated a narrow range of stimulation settings and indications. In this review, we detail the ongoing studies of transcutaneous vagus nerve stimulation in stroke through systematic searches of registered clinical trials. We summarize the upcoming clinical trials of transcutaneous vagus nerve stimulation in stroke, highlighting their indications, parameter settings, scope, and limitations. We further explore the challenges and barriers associated with the implementation of transcutaneous vagus nerve stimulation in acute stroke and stroke rehabilitation, focusing on critical aspects such as stimulation settings, target groups, biomarkers, and integration with rehabilitation interventions.https://journals.lww.com/10.4103/NRR.NRR-D-24-00945neuromodulationneuroplasticityrehabilitationstrokevagal nerve stimulationvagus nerve stimulation
spellingShingle Sheharyar S. Baig
Samantha Dorney
Mudasar Aziz
Simon M. Bell
Ali N. Ali
Li Su
Jessica N. Redgrave
Arshad Majid
Optimizing non-invasive vagus nerve stimulation for treatment in stroke
Neural Regeneration Research
neuromodulation
neuroplasticity
rehabilitation
stroke
vagal nerve stimulation
vagus nerve stimulation
title Optimizing non-invasive vagus nerve stimulation for treatment in stroke
title_full Optimizing non-invasive vagus nerve stimulation for treatment in stroke
title_fullStr Optimizing non-invasive vagus nerve stimulation for treatment in stroke
title_full_unstemmed Optimizing non-invasive vagus nerve stimulation for treatment in stroke
title_short Optimizing non-invasive vagus nerve stimulation for treatment in stroke
title_sort optimizing non invasive vagus nerve stimulation for treatment in stroke
topic neuromodulation
neuroplasticity
rehabilitation
stroke
vagal nerve stimulation
vagus nerve stimulation
url https://journals.lww.com/10.4103/NRR.NRR-D-24-00945
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