Transcranial Direct Current Stimulation in the Treatment of Gait Disturbance in Post-Stroke Patients: An Overview of Systematic Reviews

Article Clinical Neurology

Weak DCS causes a relatively strong cumulative boost of synaptic plasticity with spaced learning

Mahima Sharma et al.

Summary: The study shows that applying DCS during repeated theta burst stimulation enhances LTP. Strong TBS protocols and electric fields saturate quickly, while weaker TBS and electric fields result in stronger relative efficacies.

BRAIN STIMULATION (2022)

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Review Clinical Neurology

Combining Robot-Assisted Gait Training and Non-Invasive Brain Stimulation in Chronic Stroke Patients: A Systematic Review

Federica Bressi et al.

Summary: Gait impairment is a common disorder in patients with chronic stroke, affecting their daily activities and quality of life. Recent studies have explored the combination of traditional rehabilitation techniques with non-invasive brain stimulation (NIBS) to promote recovery. Robotic devices have also shown effectiveness in motor recovery for chronic stroke patients. This systematic review aims to clarify the effectiveness of combining NIBS and robot-assisted gait training in improving walking function. The qualitative analysis of the included studies suggests a positive effect on walking recovery. Further research is needed to identify optimal therapeutic protocols.

FRONTIERS IN NEUROLOGY (2022)

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Review Neurosciences

Non-invasive brain stimulation and neuroenhancement

Andrea Antal et al.

Summary: Attempts to enhance human memory and learning ability through brain stimulation methods have gained attention. The effectiveness of these methods, such as transcranial magnetic and electric stimulation, varies and depends on factors like equipment, operator skill, and parameters. Safety is ensured when following established protocols, but devices and protocols outside of these parameters cannot claim to be safe. Marketing of brain stimulation devices should adhere to ethical standards and not mislead users.

CLINICAL NEUROPHYSIOLOGY PRACTICE (2022)

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Review Neurosciences

The effects of robot-assisted gait training combined with non-invasive brain stimulation on lower limb function in patients with stroke and spinal cord injury: A systematic review and meta-analysis

Wataru Kuwahara et al.

Summary: This study found that robot-assisted gait training combined with non-invasive brain stimulation (NIBS) significantly improved lower limb function in patients with stroke and spinal cord injury (SCI). However, there was no significant improvement in lower limb activities. The use of transcranial direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS) did not show superior effectiveness in improving lower limb function compared to sham stimulation.

FRONTIERS IN HUMAN NEUROSCIENCE (2022)

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Review Engineering, Biomedical

Non-invasive brain stimulation for improving gait, balance, and lower limbs motor function in stroke

Jitka Veldema et al.

Summary: This systematic review and meta-analysis examined the effects of non-invasive brain stimulation/spinal cord stimulation on gait, balance, and lower limb motor recovery in stroke patients. The findings indicate that this stimulation is effective in supporting recovery, but the effects vary across studies.

JOURNAL OF NEUROENGINEERING AND REHABILITATION (2022)

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Review Clinical Neurology

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

Xavier Corominas-Teruel et al.

Summary: This systematic review summarizes the current state-of-the-art on the effects of tDCS for gait rehabilitation in stroke subjects. The results highlight the potential of tDCS to contribute to gait recovery following stroke, but also emphasize the urgent need to improve current stimulation strategies and subject-customized interventions.

FRONTIERS IN NEUROLOGY (2022)

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Review Rehabilitation

Non-invasive brain stimulation in rehabilitation

Serdar Kesikburun

Summary: Non-invasive brain stimulation (NIBS), such as transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), is increasingly used in rehabilitation settings for the treatment of various neurological conditions. NIBS can modulate neural activity in targeted cortical regions and has shown potential for motor recovery, language impairment, attention deficits, swallowing difficulties, and other cognitive disorders. The technique is considered safe with proper patient selection and defined treatment parameters.

TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION (2022)

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Review Neurosciences

Effects of Combining Online Anodal Transcranial Direct Current Stimulation and Gait Training in Stroke Patients: A Systematic Review and Meta-Analysis

Tsubasa Mitsutake et al.

Summary: Combining tDCS with repetitive gait training can effectively improve walking ability, but more high-quality studies are needed to draw definitive conclusions due to small sample sizes. Further research should be conducted to explore the effects of online stimulation.

FRONTIERS IN HUMAN NEUROSCIENCE (2021)

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Review Medicine, General & Internal

Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review

Victor Navarro-Lopez et al.

Summary: This review focused on the efficacy of transcranial direct current stimulation combined with conventional physiotherapy on gait, balance, and lower limb functionality after stroke. The results showed improvements in these aspects for stroke patients, but long-term effects still need further study.

DIAGNOSTICS (2021)

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Review Clinical Neurology

The Effects of Transcranial Direct Current Stimulation on Balance and Gait in Stroke Patients: A Systematic Review and Meta-Analysis

Ke Dong et al.

Summary: Transcranial direct current stimulation (tDCS) shows short-term improvements in balance and gait functions in stroke patients, particularly in promoting improvements in the Timed Up and Go Test (TUGT) and Functional Ambulation Category (FAC).

FRONTIERS IN NEUROLOGY (2021)

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Review Engineering, Biomedical