Transcranial direct current stimulation for improving ambulation after stroke: a systematic review and meta-analysis.

International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation
Hui-Hsun TienHen-Yu Lien

Abstract

Achieving a sufficient level of functional ambulation remains to be a challenge to most stroke survivors. Different modes of transcranial direct current stimulation (tDCS) have been applied for improving various aspects of walking and mobility following stroke. However, systematic reviews before 2017 provided only general effects of tDCS on limited walking outcomes. Therefore, the aims of this study were to update the evidence of tDCS for improving walking and mobility after stroke with emphasis on individual outcomes and to delineate the effects of different modes of tDCS in subgroup analysis. The systematic search of PubMed, Medline, PEDro, Scopus, and Cochrane databases for studies published up to January 2019 identified 14 eligible reports. The PEDro scale indicated a good methodological quality of the included studies (score 6.8). The meta-analysis of primary outcomes revealed that active tDCS had no better effect than sham on walking speed [n = 7, standardized mean difference (SMD) = 0.189, P = 0.252] and 6-minute walking distance (n = 3, SMD = 0.209, P = 0.453). Among the secondary outcomes, significant positive effects were found on functional ambulation category (FAC) (n = 5, SMD = 0.542, P = 0.008), Rivermead Mobility...Continue Reading

References

Mar 1, 2002·The Australian Journal of Physiotherapy·Anne M MoseleyChristopher G Maher
Mar 27, 2002·International Journal of Epidemiology·Diana R ElbourneAndy Vail
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Jul 26, 2005·Disability and Rehabilitation·K SalterM Bayley
Aug 9, 2005·Archives of Physical Medicine and Rehabilitation·Shamay S Ng, Christina W Hui-Chan
Jan 9, 2007·Archives of Physical Medicine and Rehabilitation·Shawnna L PattersonRichard F Macko
Jul 6, 2007·Nature Clinical Practice. Neurology·Felipe Fregni, Alvaro Pascual-Leone
Oct 18, 2007·Expert Review of Neurotherapeutics·Janice J Eng, Pei-Fang Tang
May 15, 2008·Cerebrovascular Diseases·UNKNOWN European Stroke Organisation (ESO) Executive Committee, UNKNOWN ESO Writing Committee
Jul 9, 2009·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Gowri Jayaram, James W Stinear
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Nov 30, 2010·Disability and Rehabilitation·Hooman MahmoudiFelipe Fregni
Oct 8, 2011·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·A Bastani, S Jaberzadeh
Feb 8, 2013·Journal of Neurologic Physical Therapy : JNPT·Jennifer CanbekJohn Echternach
Apr 8, 2014·Journal of Physical Therapy Science·Hyun-Kyu ChaJong-Sung Chang
Sep 6, 2014·Trends in Neurosciences·Hannah L FilmerJason B Mattingley
Nov 18, 2014·Disability and Rehabilitation·Wim SaeysPaul Van De Heyning
May 23, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·L Tedesco TriccasG Verheyden
Sep 1, 2015·Journal of Neurology, Neurosurgery, and Psychiatry·Nyeonju KangJames H Cauraugh
May 6, 2016·Stroke; a Journal of Cerebral Circulation·Carolee J WinsteinUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and
Apr 8, 2017·Brain Stimulation·Michelle N McDonnell, Cathy M Stinear
Jul 16, 2017·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·A AntalW Paulus
Jun 18, 2018·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·S RajsicUwe Siebert
Oct 1, 2019·Archives of Physical Medicine and Rehabilitation·Nyeonju KangMoon Hyon Hwang

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