We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Effect of Transcranial Direct Current Stimulation Combined with Rehabilitation on Arm and Hand Function in Stroke Patients: A Systematic Review and Meta-Analysis.
- Authors
Lee, Joo-Hyun; Jeun, Yu-Jin; Park, Hae Yean; Jung, Young-Jin
- Abstract
Transcranial direct current stimulation (tDCS) is a noninvasive brain stimulation technique that may enhance motor recovery after stroke. We performed a systematic review and meta-analysis to assess the efficacy of tDCS combined with rehabilitation on arm and hand function after stroke. Electronic databases were searched from their inception to September 2021. We performed a systematic review of selected randomized controlled trials, and methodological qualities were measured using the PEDro (Physiotherapy Evidence Database) scale. We calculated the standardized mean difference for effect size using the Comprehensive Meta-Analysis 3.0 software. We selected 28 studies for the systematic review and 20 studies for the meta-analysis. The overall effect size was 0.480 (95% CI [0.307; 0.653], p < 0.05), indicating a moderate effect size of tDCS combined with rehabilitation for upper extremity function in stroke survivors. The tDCS with occupational therapy/physical therapy (0.696; 95% CI [0.390; 1.003], p < 0.05) or virtual reality therapy (0.510; 95% CI [0.111; 0.909], p < 0.05) was also significantly more effective than other treatments. This meta-analysis of 20 randomized controlled trials provides further evidence that tDCS combined with rehabilitation, especially occupational therapy/physical therapy and virtual reality therapy, may benefit upper extremity function of the paretic upper limb in stroke patients.
- Subjects
TRANSCRANIAL direct current stimulation; ARM; VIRTUAL reality therapy; REHABILITATION; STROKE patients; REALITY therapy; BRAIN stimulation
- Publication
Healthcare (2227-9032), 2021, Vol 9, Issue 12, p1705
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare9121705