Transcranial direct current stimulation combined with physical or cognitive training in people with Parkinson's disease: A systematic review

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dc.contributor.authorBeretta, Victor Spiandor [UNESP]
dc.contributor.authorConceição, Núbia Ribeiro [UNESP]
dc.contributor.authorNóbrega-Sousa, Priscila [UNESP]
dc.contributor.authorOrcioli-Silva, Diego [UNESP]
dc.contributor.authorDantas, Luana Karla Braz Fonseca [UNESP]
dc.contributor.authorGobbi, Lilian Teresa Bucken [UNESP]
dc.contributor.authorVitório, Rodrigo [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionOregon Health and Science University
dc.date.accessioned2020-12-12T02:44:24Z
dc.date.available2020-12-12T02:44:24Z
dc.date.issued2020-06-15
dc.description.abstractBackground: Pharmacologic therapy is the primary treatment used to manage Parkinson's disease (PD) symptoms. However, it becomes less effective with time and some symptoms do not respond to medication. Complementary interventions are therefore required for PD. Recent studies have implemented transcranial direct current stimulation (tDCS) in combination with other modalities of interventions, such as physical and cognitive training. Although the combination of tDCS with physical and cognitive training seems promising, the existing studies present mixed results. Therefore, a systematic review of the literature is necessary. Aims: This systematic review aims to (i) assess the clinical effects of tDCS when applied in combination with physical or cognitive therapies in people with PD and; (ii) analyze how specific details of the intervention protocols may relate to findings. Methods: The search strategy detailed the technique of stimulation, population and combined interventions (i.e. cognitive and/or physical training). Only controlled studies were included. Results: Seventeen of an initial yield of 408 studies satisfied the criteria. Studies involved small sample sizes. tDCS protocols and characteristics of combined interventions varied. The reviewed studies suggest that synergistic effects may be obtained for cognition, upper limb function, gait/mobility and posture when tDCS is combined with cognitive and/or motor interventions in PD. Conclusion: The reported results encourage further research to better understand the therapeutic utility of tDCS and to inform optimal clinical use in PD. Future studies in this field should focus on determining optimal stimulation parameters and intervention characteristics for maximal benefits in people with PD.en
dc.description.affiliationInstitute of Biosciences Posture and Gait Studies Laboratory (LEPLO) São Paulo State University (Unesp), Avenue 24-A, 1515, Bela Vista
dc.description.affiliationGraduate Program in Movement Sciences São Paulo State University - UNESP
dc.description.affiliationDepartment of Neurology Oregon Health and Science University
dc.description.affiliationUnespInstitute of Biosciences Posture and Gait Studies Laboratory (LEPLO) São Paulo State University (Unesp), Avenue 24-A, 1515, Bela Vista
dc.description.affiliationUnespGraduate Program in Movement Sciences São Paulo State University - UNESP
dc.identifierhttp://dx.doi.org/10.1186/s12984-020-00701-6
dc.identifier.citationJournal of NeuroEngineering and Rehabilitation, v. 17, n. 1, 2020.
dc.identifier.doi10.1186/s12984-020-00701-6
dc.identifier.issn1743-0003
dc.identifier.scopus2-s2.0-85086623917
dc.identifier.urihttp://hdl.handle.net/11449/201886
dc.language.isoeng
dc.relation.ispartofJournal of NeuroEngineering and Rehabilitation
dc.sourceScopus
dc.subjectCognition
dc.subjectMovement disorders
dc.subjectNeurodegenerative disease
dc.subjectPhysical therapy
dc.subjectRehabilitation
dc.subjectTranscranial stimulation
dc.titleTranscranial direct current stimulation combined with physical or cognitive training in people with Parkinson's disease: A systematic reviewen
dc.typeResenha
unesp.author.orcid0000-0001-7128-9452 0000-0001-7128-9452 0000-0001-7128-9452[7]

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