Effects of transcranial direct current stimulation (tDCS) on motor function among people with stroke: evidence mapping

被引：0
作者：
Qin, Yu [1 ]
Xu, Jianguo [2 ,3 ]
Ng, Shamay Sheung Mei [1 ]
机构：
[1] Hong Kong Polytech Univ, Dept Rehabil Sci, Hung Hom, 11 Yuk Choi Rd, Hong Kong, Peoples R China
[2] Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, Lanzhou, Gansu, Peoples R China
[3] Populat Hlth Res Inst, Hamilton, ON, Canada
来源：
SYSTEMATIC REVIEWS | 2025年 / 14卷 / 01期
关键词：
Transcranial direct current stimulation; Stroke; Evidence mapping; Methodology quality; Rehabilitation; Motor function; PEDRO SCALE; RECOVERY; POSTSTROKE; QUALITY;
D O I：
10.1186/s13643-025-02795-2
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
ObjectiveTo present, organize, and assess the methodological quality of the current research related to tDCS on motor function after a stroke and to identify gaps and clinical implications using an evidence mapping approach.MethodsSix electronic databases (PubMed, Embase, Cochrane Library, Web of Science, CINAHL, PEDro), gray literature, and reference lists of articles were searched from inception until October 2023. The Assessment of Multiple Systematic Reviews 2 (AMSTAR-2) checklist and PEDro scale were used to assess the methodology quality of systematic reviews (SRs) and randomized controlled trials (RCTs).ResultsA total of 172 articles met the inclusion criteria from 5759 records, including 46 SRs and 126 RCTs. Related studies came from 29 countries around the world, and China has performed the most, with 12 SRs and 21 RCTs. More than half of SRs (65.22%) were evaluated with low or critically low quality, while 78.58% of RCTs have shown excellent or good quality. A total of 26 SRs and 93 RCTs have reported outcomes on upper limb motor function with kinds of tDCS, and 15 SRs and 44 RCTs have focused on lower extremity function. Studies with safety concerns have reported no or mild adverse events.ConclusionsThis study systematically identified gaps and indicated that tDCS is a kind of potential and safe intervention. Given potential concerns on the clinical application, more high-quality research with large sample size and kinds of objectives is needed in the future.
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页数：13
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  • [11] Mitsutake T., Et al., The effects of combining transcranial direct current stimulation and gait training with functional electrical stimulation on trunk acceleration during walking in patients with subacute stroke, J Stroke Cerebrovasc Dis, 30, 4, (2021)
  • [12] Mitsutake T., Et al., Effects of combining online anodal transcranial direct current stimulation and gait training in stroke patients: a systematic review and meta-analysis, Front Hum Neurosci, 15, (2021)
  • [13] Shamseer L., Et al., Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) 2015: elaboration and explanation, BMJ, 350, (2015)
  • [14] Shea B.J., Et al., AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both, BMJ, 358, (2017)
  • [15] Maher C.G., Et al., Reliability of the PEDro scale for rating quality of randomized controlled trials, Phys Ther, 83, 8, pp. 713-721, (2003)
  • [16] Bragge P., Et al., The Global Evidence Mapping Initiative: scoping research in broad topic areas, BMC Med Res Methodol, 11, (2011)
  • [17] White H., Et al., Guidance for producing a Campbell evidence and gap map, Campbell Syst Rev, 16, 4, (2020)
  • [18] Geroin C., Et al., Combined transcranial direct current stimulation and robot-assisted gait training in patients with chronic stroke: a preliminary comparison, Clinical rehabilitation, 25, 6, pp. 537-548, (2011)
  • [19] Park S.D., Kim J.Y., Song H.S., Effect of application of transcranial direct current stimulation during task-related training on gait ability of patients with stroke, J Phys Ther Sci, 27, 3, pp. 623-625, (2015)
  • [20] Zhang X.H., Et al., The effect of transcranial direct current stimulation and functional electrical stimulation on the lower limb function of stroke patients, Front Neurosci, 15, (2021)
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