The effect of transcranial direct current stimulation combined with task-specific training on spatio-temporal gait parameters and functional mobility in individuals with stroke: a systematic review and meta-analysis.
Introduction: Transcranial direct current stimulation (tDCS) has a priming effect on post- stroke motor rehabilitation. Objective: We verified whether tDCS combined with task-specific training was superior to nonintervention, task-specific training, or simulated intervention in improving spatio-temp...
| Publicado en: | Topics in Stroke Rehabilitation Vol. 32; no. 4; pp. 438 - 458 |
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| Autores principales: | , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
May2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184518995&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184518995 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10749357 0OG jtl: Topics in Stroke Rehabilitation issn: 10749357 maglogo: N pubinfo: dt: May2025 vid: 32 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 184518995 180543661 184518995 184518995 10.1080/10749357.2024.2411878 184518995 ppf: 438 ppct: 20 formats: tig: atl: The effect of transcranial direct current stimulation combined with task-specific training on spatio-temporal gait parameters and functional mobility in individuals with stroke: a systematic review and meta-analysis. aug: au: Miranda de Aquino Miranda, Jéssica Sousa de Andrade, Pedro Henrique Henrique, Maria Eduarda Salum Aveiro Henrique de Souza Fonseca, Bruno Bazan, Rodrigo Sande de Souza, Luciane Aparecida Pascucci José Luvizutto, Gustavo affil: Department of Applied Physical Therapy, Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil sug: subj: Stroke Physiopathology Stroke Complications Stroke Rehabilitation Gait Disorders, Neurologic Rehabilitation Therapeutic Exercise Methods Functional Training Methods Transcranial Direct Current Stimulation Methods Task Performance and Analysis Functional Status Physical Mobility Evaluation Treatment Outcomes Human Systematic Review Meta Analysis Medline Embase CINAHL Database Cochrane Library Walking Speed Confidence Intervals Data Analysis Software Descriptive Statistics Scales ab: Introduction: Transcranial direct current stimulation (tDCS) has a priming effect on post- stroke motor rehabilitation. Objective: We verified whether tDCS combined with task-specific training was superior to nonintervention, task-specific training, or simulated intervention in improving spatio-temporal gait parameters and functional mobility in stroke patients. Methods: We searched MEDLINE, EMBASE, CINAHL, Scopus, Cochrane Central, Web of Science, and LILACS for articles published until May 2024, using terms related to stroke, tDCS, and task-specific training. The risk of bias was assessed using the PEDro scale. The Grading of Recommendations, Assessment, Development, and Evaluation methodology was used to classify the certainty of the evidence for each outcome. Meta-analysis was performed using a random-effects model. Results: A total of 1,685 studies were identified, of which 18 were included in the qualitative analysis. Seven studies were included in the meta-analysis; all outcomes were classified as "very low quality." Improvements in walking speed only were associated with tDCS combined with task-specific training (mean difference [MD], 0.06; 95% confidence interval [CI]: 0.04, 0.07; p < 0.001; I = 0%). There were no differences in other spatio-temporal gait parameters or functional mobility. Conclusion: This systematic review provides low-quality evidence that tDCS, in combination with task-specific training, increases speed in individuals after stroke. Both interventions, tDCS and task-specific training, are inexpensive and easy to implement; therefore, the mean estimate may be considered clinically worthwhile, although the CIs spans both clinically trivial and worthwhile effects. Registration: International Prospective Register of Systematic Reviews (PROSPERO; number CRD42023396021). HIGHLIGHTS: The use of tDCS combined with task-specific training resulted in an improved walking speed among stroke patients. The effects of tDCS combined with task-specific training on others spatiotemporal outcomes and functional mobility remain unclear. As tDCS is inexpensive and easy to implement, it may be considered as an adjunct to task-specific training to improve walking speed in people after stroke. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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