Non-invasive brain stimulation for improving gait, balance, and lower limbs motor function in stroke

This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients. The PubMed database was searched from its inception through to 31/03/2021 for r...

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Published inJournal of neuroengineering and rehabilitation Vol. 19; no. 1; pp. 84 - 24
Main Authors Veldema, Jitka, Gharabaghi, Alireza
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 03.08.2022
BioMed Central
BMC
Subjects
Achievement tests
Alternating current
Asymmetry
Balance
Brain
Brain - physiology
Care and treatment
Clinical trials
Diagnosis
Direct current
Disability
Gait
Human motion
Humans
Intervention
Lower Extremity
Magnetic brain stimulation
Magnetic fields
Medical imaging
Meta-analysis
Methods
Motor ability
Neuroimaging
Recovery
Rehabilitation
Review
Risk factors
rTMS
Spinal cord
Stroke
Stroke (Disease)
Stroke - therapy
Stroke Rehabilitation
tACS
tDCS
Tomography
Transcranial Direct Current Stimulation
Transcranial magnetic stimulation
Transcranial Magnetic Stimulation - methods
tsDCS
Walking
Germany
Lower limb function
Stroke
tsDCS
Gait
tDCS
tACS
Balance
rTMS
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Abstract This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients. The PubMed database was searched from its inception through to 31/03/2021 for randomized controlled trials investigating repetitive transcranial magnetic stimulation or transcranial/trans-spinal direct current/alternating current stimulation for improving gait, balance and/or lower limb motor function in stroke patients. Overall, 25 appropriate studies (including 657 stroke subjects) were found. The data indicates that non-invasive brain stimulation/spinal cord stimulation is effective in supporting recovery. However, the effects are inhomogeneous across studies: (1) transcranial/trans-spinal direct current/alternating current stimulation induce greater effects than repetitive transcranial magnetic stimulation, and (2) bilateral application of non-invasive brain stimulation is superior to unilateral stimulation. The current evidence encourages further research and suggests that more individualized approaches are necessary for increasing effect sizes in stroke patients.
AbstractList Objectives This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients. Methods The PubMed database was searched from its inception through to 31/03/2021 for randomized controlled trials investigating repetitive transcranial magnetic stimulation or transcranial/trans-spinal direct current/alternating current stimulation for improving gait, balance and/or lower limb motor function in stroke patients. Results Overall, 25 appropriate studies (including 657 stroke subjects) were found. The data indicates that non-invasive brain stimulation/spinal cord stimulation is effective in supporting recovery. However, the effects are inhomogeneous across studies: (1) transcranial/trans-spinal direct current/alternating current stimulation induce greater effects than repetitive transcranial magnetic stimulation, and (2) bilateral application of non-invasive brain stimulation is superior to unilateral stimulation. Conclusions The current evidence encourages further research and suggests that more individualized approaches are necessary for increasing effect sizes in stroke patients. Keywords: rTMS, tDCS, tACS, tsDCS, Stroke, Gait, Balance, Lower limb function
Objectives This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients. Methods The PubMed database was searched from its inception through to 31/03/2021 for randomized controlled trials investigating repetitive transcranial magnetic stimulation or transcranial/trans-spinal direct current/alternating current stimulation for improving gait, balance and/or lower limb motor function in stroke patients. Results Overall, 25 appropriate studies (including 657 stroke subjects) were found. The data indicates that non-invasive brain stimulation/spinal cord stimulation is effective in supporting recovery. However, the effects are inhomogeneous across studies: (1) transcranial/trans-spinal direct current/alternating current stimulation induce greater effects than repetitive transcranial magnetic stimulation, and (2) bilateral application of non-invasive brain stimulation is superior to unilateral stimulation. Conclusions The current evidence encourages further research and suggests that more individualized approaches are necessary for increasing effect sizes in stroke patients.
This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients.OBJECTIVESThis systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients.The PubMed database was searched from its inception through to 31/03/2021 for randomized controlled trials investigating repetitive transcranial magnetic stimulation or transcranial/trans-spinal direct current/alternating current stimulation for improving gait, balance and/or lower limb motor function in stroke patients.METHODSThe PubMed database was searched from its inception through to 31/03/2021 for randomized controlled trials investigating repetitive transcranial magnetic stimulation or transcranial/trans-spinal direct current/alternating current stimulation for improving gait, balance and/or lower limb motor function in stroke patients.Overall, 25 appropriate studies (including 657 stroke subjects) were found. The data indicates that non-invasive brain stimulation/spinal cord stimulation is effective in supporting recovery. However, the effects are inhomogeneous across studies: (1) transcranial/trans-spinal direct current/alternating current stimulation induce greater effects than repetitive transcranial magnetic stimulation, and (2) bilateral application of non-invasive brain stimulation is superior to unilateral stimulation.RESULTSOverall, 25 appropriate studies (including 657 stroke subjects) were found. The data indicates that non-invasive brain stimulation/spinal cord stimulation is effective in supporting recovery. However, the effects are inhomogeneous across studies: (1) transcranial/trans-spinal direct current/alternating current stimulation induce greater effects than repetitive transcranial magnetic stimulation, and (2) bilateral application of non-invasive brain stimulation is superior to unilateral stimulation.The current evidence encourages further research and suggests that more individualized approaches are necessary for increasing effect sizes in stroke patients.CONCLUSIONSThe current evidence encourages further research and suggests that more individualized approaches are necessary for increasing effect sizes in stroke patients.
Abstract Objectives This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients. Methods The PubMed database was searched from its inception through to 31/03/2021 for randomized controlled trials investigating repetitive transcranial magnetic stimulation or transcranial/trans-spinal direct current/alternating current stimulation for improving gait, balance and/or lower limb motor function in stroke patients. Results Overall, 25 appropriate studies (including 657 stroke subjects) were found. The data indicates that non-invasive brain stimulation/spinal cord stimulation is effective in supporting recovery. However, the effects are inhomogeneous across studies: (1) transcranial/trans-spinal direct current/alternating current stimulation induce greater effects than repetitive transcranial magnetic stimulation, and (2) bilateral application of non-invasive brain stimulation is superior to unilateral stimulation. Conclusions The current evidence encourages further research and suggests that more individualized approaches are necessary for increasing effect sizes in stroke patients.
This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients. The PubMed database was searched from its inception through to 31/03/2021 for randomized controlled trials investigating repetitive transcranial magnetic stimulation or transcranial/trans-spinal direct current/alternating current stimulation for improving gait, balance and/or lower limb motor function in stroke patients. Overall, 25 appropriate studies (including 657 stroke subjects) were found. The data indicates that non-invasive brain stimulation/spinal cord stimulation is effective in supporting recovery. However, the effects are inhomogeneous across studies: (1) transcranial/trans-spinal direct current/alternating current stimulation induce greater effects than repetitive transcranial magnetic stimulation, and (2) bilateral application of non-invasive brain stimulation is superior to unilateral stimulation. The current evidence encourages further research and suggests that more individualized approaches are necessary for increasing effect sizes in stroke patients.
This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait, balance and/or lower limb motor recovery in stroke patients. The PubMed database was searched from its inception through to 31/03/2021 for randomized controlled trials investigating repetitive transcranial magnetic stimulation or transcranial/trans-spinal direct current/alternating current stimulation for improving gait, balance and/or lower limb motor function in stroke patients. Overall, 25 appropriate studies (including 657 stroke subjects) were found. The data indicates that non-invasive brain stimulation/spinal cord stimulation is effective in supporting recovery. However, the effects are inhomogeneous across studies: (1) transcranial/trans-spinal direct current/alternating current stimulation induce greater effects than repetitive transcranial magnetic stimulation, and (2) bilateral application of non-invasive brain stimulation is superior to unilateral stimulation. The current evidence encourages further research and suggests that more individualized approaches are necessary for increasing effect sizes in stroke patients.
ArticleNumber 84
Audience Academic
Author Gharabaghi, Alireza
Veldema, Jitka
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IsOpenAccess true
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Issue 1
Keywords Lower limb function
Stroke
tsDCS
Gait
tDCS
tACS
Balance
rTMS
Language English
License 2022. The Author(s).
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  publication-title: Brain Stimul
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  publication-title: Cereb Cortex
  doi: 10.1093/cercor/bhz093
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Snippet This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord stimulation on gait,...
Objectives This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord...
Abstract Objectives This systematic review and meta-analysis aim to summarize and analyze the available evidence of non-invasive brain stimulation/spinal cord...
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SubjectTerms Achievement tests
Alternating current
Asymmetry
Balance
Brain
Brain - physiology
Care and treatment
Clinical trials
Diagnosis
Direct current
Disability
Gait
Human motion
Humans
Intervention
Lower Extremity
Magnetic brain stimulation
Magnetic fields
Medical imaging
Meta-analysis
Methods
Motor ability
Neuroimaging
Recovery
Rehabilitation
Review
Risk factors
rTMS
Spinal cord
Stroke
Stroke (Disease)
Stroke - therapy
Stroke Rehabilitation
tACS
tDCS
Tomography
Transcranial Direct Current Stimulation
Transcranial magnetic stimulation
Transcranial Magnetic Stimulation - methods
tsDCS
Walking
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Title Non-invasive brain stimulation for improving gait, balance, and lower limbs motor function in stroke
URI https://www.ncbi.nlm.nih.gov/pubmed/35922846
https://www.proquest.com/docview/2704020077
https://www.proquest.com/docview/2698629737
https://pubmed.ncbi.nlm.nih.gov/PMC9351139
https://doaj.org/article/c902078e44674976b917d81b312c8339
Volume 19
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