Articles producció científica> Psicologia

Transcranial direct current stimulation for gait recovery following stroke: A systematic review of current literature and beyond

  • Identification data

    Identifier: imarina:9282216
  • Authors:

    Corominas-Teruel X
    Mozo RMSS
    Simó MF
    Colomina Fosch MT
    Valero-Cabré A
    Frontiers In Neurology
    10.3389/fneur.2022.953939
    Frontiers In Neurology. 13
  • Others:

    Author, as appears in the article.: Corominas-Teruel X; Mozo RMSS; Simó MF; Colomina Fosch MT; Valero-Cabré A
    Department: Psicologia
    URV's Author/s: Colomina Fosch, Maria Teresa / Corominas Teruel, Xavier
    Keywords: Transcranial direct cortical stimulation (tdcs) Stroke Non-invasive brain stimulation (nibs) Neurorehabilitation Neuromodulation Motor recovery Gait rehabilitation Biophysical modeling transcranial direct cortical stimulation (tdcs) stroke rehabilitation pilot output neurorehabilitation neuromodulation ischemic-stroke inhibition gait rehabilitation double-blind cortical excitability cognitive impairment clinical-trials biophysical modeling
    Abstract: Background: Over the last decade, transcranial direct current stimulation (tDCS) has set promise contributing to post-stroke gait rehabilitation. Even so, results are still inconsistent due to low sample size, heterogeneity of samples, and tDCS design differences preventing comparability. Nonetheless, updated knowledge in post-stroke neurophysiology and stimulation technologies opens up opportunities to massively improve treatments. Objective: The current systematic review aims to summarize the current state-of-the-art on the effects of tDCS applied to stroke subjects for gait rehabilitation, discuss tDCS strategies factoring individual subject profiles, and highlight new promising strategies. Methods: MEDLINE, SCOPUS, CENTRAL, and CINAHL were searched for stroke randomized clinical trials using tDCS for the recovery of gait before 7 February 2022. In order to provide statistical support to the current review, we analyzed the achieved effect sizes and performed statistical comparisons. Results: A total of 24 records were finally included in our review, totaling n = 651 subjects. Detailed analyses revealed n = 4 (17%) studies with large effect sizes (≥0.8), n = 6 (25%) studies with medium ones (≥0.5), and n = 6 (25%) studies yielding low effects sizes (≤ 0.2). Statistically significant negative correlations (rho = −0.65, p = 0.04) and differences (p = 0.03) argued in favor of tDCS interventions in the sub-acute phase. Finally, significant differences (p = 0.03) were argued in favor of a bifocal stimulation montage (anodal M1 ipsilesional and cathodal M1 contralesional) with respect to anodal ipsilesional M1. Conclusion: Our systematic review highlights the potential of tDCS to contribute to gait recovery following stroke, although also the urgent need to improve current stimulation strategies and subject-customized interventions considering stroke severity, type or time-course, and the use of network-based multifocal stimulation approaches guided by computational biophysical modeling. Systematic review registration: PROSPERO: CRD42021256347.
    Thematic Areas: Psicología Odontología Neurosciences Neurology (clinical) Neurology Medicina iii Medicina ii Medicina i Interdisciplinar Enfermagem Clinical neurology Ciências biológicas ii Ciências biológicas i Astronomia / física
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: xavier.corominas@estudiants.urv.cat mariateresa.colomina@urv.cat
    Author identifier: 0000-0003-2469-2753 0000-0002-5619-4874
    Record's date: 2024-07-20
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.frontiersin.org/articles/10.3389/fneur.2022.953939/full
    Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Frontiers In Neurology. 13
    APA: Corominas-Teruel X; Mozo RMSS; Simó MF; Colomina Fosch MT; Valero-Cabré A (2022). Transcranial direct current stimulation for gait recovery following stroke: A systematic review of current literature and beyond. Frontiers In Neurology, 13(), -. DOI: 10.3389/fneur.2022.953939
    Article's DOI: 10.3389/fneur.2022.953939
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Clinical Neurology,Neurology,Neurology (Clinical),Neurosciences
    Transcranial direct cortical stimulation (tdcs)
    Stroke
    Non-invasive brain stimulation (nibs)
    Neurorehabilitation
    Neuromodulation
    Motor recovery
    Gait rehabilitation
    Biophysical modeling
    transcranial direct cortical stimulation (tdcs)
    stroke
    rehabilitation
    pilot
    output
    neurorehabilitation
    neuromodulation
    ischemic-stroke
    inhibition
    gait rehabilitation
    double-blind
    cortical excitability
    cognitive impairment
    clinical-trials
    biophysical modeling
    Psicología
    Odontología
    Neurosciences
    Neurology (clinical)
    Neurology
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Enfermagem
    Clinical neurology
    Ciências biológicas ii
    Ciências biológicas i
    Astronomia / física
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