tDCS Combined with CIMT for Post-stroke Upper Extremity Rehabilitation: A Systematic Review and Meta-Analysis.
Background: Transcranial direct current stimulation (tDCS) has been widely used as an adjunctive treatment for motor function after stroke. Objective: To quantify the effect of tDCS combined with constraint-induced movement therapy (CIMT) on the functional recovery of the upper limb after stroke. Me...
| Publicado en: | NeuroRehabilitation Vol. 56; no. 2; pp. 97 - 113 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Mar2025
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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=184672325&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184672325 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Mar2025 vid: 56 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 184672325 183878405 184672325 184672325 10.1177/10538135241301692 184672325 ppf: 97 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: tDCS Combined with CIMT for Post-stroke Upper Extremity Rehabilitation: A Systematic Review and Meta-Analysis. aug: au: Jiang, Tao Yan, Jiamin Li, Xiaohan Yang, Minguang Zhuang, Yueyang Ding, Zhimin Tan, Mengquan Xia, Sijia Li, Rui Wang, Wenju Chen, Feng Xie, Xi Liu, Weilin affil: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350122, China sug: subj: Transcranial Direct Current Stimulation Constraint-Induced Therapy Upper Extremity Rehabilitation Functional Status Recovery Stroke Treatment Outcomes Human Male Female Adult Middle Age Aged Systematic Review Meta Analysis PubMed Embase Cochrane Library Combined Modality Therapy Motor Activity Neurotransmitters Physical Therapy Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Transcranial direct current stimulation (tDCS) has been widely used as an adjunctive treatment for motor function after stroke. Objective: To quantify the effect of tDCS combined with constraint-induced movement therapy (CIMT) on the functional recovery of the upper limb after stroke. Methods: By May 2024, two independent authors screened relevant randomized controlled trials (RCTs) published in English from PubMed, Embase, Web of Science and the Cochrane Library. Publication bias was assessed using the Egger's test. Results: Of the 221 retrieved records, seven publications met the criteria for systematic review and quantitative analysis. According to estimates of Hedges'g, significant effects were revealed from Fugl-Meyer Assessment for Upper Limbs (UL-FMA) for upper limb impairment (g = 0.587, 95% CI = 0.256 to 0.919, p < 0.05) and Motor Activity Log-Amount of Movement (MAL-AoM) for perceived amount of motor (g = 0.386, 95% CI = 0.030 to 0.743, p < 0.05). Significant results favoring combined therapy were not found in Motor Activity Log-Quality of Movement (MAL-QoM) (g = 0.181, 95% CI = −0.169 to 0.531, p > 0.05), grip strength (g = 0.135, 95% CI = -0.214 to 0.485, p > 0.05) or Wolf Motor Function Test (WMFT) (g = 0.210, 95% CI = −0.117 to 0.537, p > 0.05). Conclusions: Our findings confirmed that tDCS enhanced the effect of CIMT in improving upper limb impairment and perceived amount of motor in daily life 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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