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Motor stroke recovery after tDCS: a systematic review
Reviews in the Neurosciences ( IF 4.1 ) Pub Date : 2019-09-02 , DOI: 10.1515/revneuro-2019-0047
Graziella Orrù 1 , Ciro Conversano 1 , Paul Kenneth Hitchcott 1 , Angelo Gemignani 1
Affiliation  

The purpose of the present study was to investigate the effects of transcranial direct current stimulation (tDCS) on motor recovery in adult patients with stroke, taking into account the parameters that could influence the motor recovery responses. The second aim was to identify the best tDCS parameters and recommendations available based on the enhanced motor recovery demonstrated by the analyzed studies. Our systematic review was performed by searching full-text articles published before February 18, 2019 in the PubMed database. Different methods of applying tDCS in association with several complementary therapies were identified. Studies investigating the motor recovery effects of tDCS in adult patients with stroke were considered. Studies investigating different neurologic conditions and psychiatric disorders or those not meeting our methodologic criteria were excluded. The main parameters and outcomes of tDCS treatments are reported. There is not a robust concordance among the study outcomes with regard to the enhancement of motor recovery associated with the clinical application of tDCS. This is mainly due to the heterogeneity of clinical data, tDCS approaches, combined interventions, and outcome measurements. tDCS could be an effective approach to promote adaptive plasticity in the stroke population with significant positive premotor and postmotor rehabilitation effects. Future studies with larger sample sizes and high-quality studies with a better standardization of stimulation protocols are needed to improve the study quality, further corroborate our results, and identify the optimal tDCS protocols.

中文翻译:

tDCS 后运动中风恢复:系统评价

本研究的目的是研究经颅直流电刺激 (tDCS) 对成年卒中患者运动恢复的影响,同时考虑可能影响运动恢复反应的参数。第二个目标是根据分析研究证明的增强运动恢复确定最佳 tDCS 参数和可用建议。我们的系统评价是通过在 PubMed 数据库中搜索 2019 年 2 月 18 日之前发表的全文文章进行的。确定了将 tDCS 与几种补充疗法结合使用的不同方法。研究调查了 tDCS 对成年卒中患者运动恢复的影响。调查不同神经系统疾病和精神疾病或不符合我们方法标准的研究被排除在外。报告了 tDCS 治疗的主要参数和结果。在与 tDCS 的临床应用相关的运动恢复增强方面,研究结果之间没有强烈的一致性。这主要是由于临床数据、tDCS 方法、联合干预和结果测量的异质性。tDCS 可能是促进中风人群适应性可塑性的有效方法,具有显着的运动前和运动后康复效果。未来需要更大样本量的研究和具有更好标准化刺激方案的高质量研究来提高研究质量,进一步证实我们的结果,
更新日期:2019-09-02
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