Transcranial direct current stimulation for balance rehabilitation in neurological disorders: A systematic review and meta-analysis

Página do item simplificado
dc.contributor.authorBeretta, Victor Spiandor [UNESP]
dc.contributor.authorSantos, Paulo Cezar Rocha
dc.contributor.authorOrcioli-Silva, Diego [UNESP]
dc.contributor.authorZampier, Vinicius Cavassano [UNESP]
dc.contributor.authorVitório, Rodrigo [UNESP]
dc.contributor.authorGobbi, Lilian Teresa Bucken [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionWeizmann Institute of Science
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionNorthumbria University
dc.date.accessioned2023-07-29T14:12:28Z
dc.date.available2023-07-29T14:12:28Z
dc.date.issued2022-11-01
dc.description.abstractPostural instability is common in neurological diseases. Although transcranial direct current stimulation (tDCS) seems to be a promising complementary therapy, emerging evidence indicates mixed results and protocols’ characteristics. We conducted a systematic review and meta-analysis on PubMed, EMBASE, Scopus, and Web of Science to synthesize key findings of the effectiveness of single and multiple sessions of tDCS alone and combined with other interventions on balance in adults with neurological disorders. Thirty-seven studies were included in the systematic review and 33 in the meta-analysis. The reviewed studies did not personalize the stimulation protocol to individual needs/characteristics. A random-effects meta-analysis indicated that tDCS alone (SMD = −0.44; 95%CI = −0.69/−0.19; p < 0.001) and combined with another intervention (SMD = −0.31; 95%CI = −0.51/−0.11; p = 0.002) improved balance in adults with neurological disorders (small to moderate effect sizes). Balance improvements were evidenced regardless of the number of sessions and targeted area. In summary, tDCS is a promising therapy for balance rehabilitation in adults with neurological disorders. However, further clinical trials should identify factors that influence responsiveness to tDCS for a more tailored approach, which may optimize the clinical use of tDCS.en
dc.description.affiliationSão Paulo State University (Unesp) Institute of Biosciences Graduate Program in Movement Sciences Posture and Gait Studies Laboratory (LEPLO)
dc.description.affiliationDepartment of Computer Science and Applied Mathematics Weizmann Institute of Science
dc.description.affiliationUniversity of Campinas (UNICAMP) School of Applied Sciences (FCA) Laboratory of Applied Sport Physiology (LAFAE)
dc.description.affiliationDepartment of Sport Exercise and Rehabilitation Northumbria University
dc.description.affiliationUnespSão Paulo State University (Unesp) Institute of Biosciences Graduate Program in Movement Sciences Posture and Gait Studies Laboratory (LEPLO)
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipIdFAPESP: #2018/07385-9
dc.description.sponsorshipIdCNPq: #309045/2017-7
dc.description.sponsorshipIdCNPq: #429549/2018-0
dc.description.sponsorshipIdCAPES: 001
dc.identifierhttp://dx.doi.org/10.1016/j.arr.2022.101736
dc.identifier.citationAgeing Research Reviews, v. 81.
dc.identifier.doi10.1016/j.arr.2022.101736
dc.identifier.issn1872-9649
dc.identifier.issn1568-1637
dc.identifier.scopus2-s2.0-85138573841
dc.identifier.urihttp://hdl.handle.net/11449/249181
dc.language.isoeng
dc.relation.ispartofAgeing Research Reviews
dc.sourceScopus
dc.subjectAgeing
dc.subjectBrain stimulation
dc.subjectParkinson's disease
dc.subjectPostural balance
dc.subjectStroke
dc.subjectTDCS
dc.titleTranscranial direct current stimulation for balance rehabilitation in neurological disorders: A systematic review and meta-analysisen
dc.typeResenha

Arquivos

Coleções

Artigos - Educação Física - IBRC