Transcranial Direct Current Stimulation for Improving Balance in Healthy Older Adults and Older Adults with Stroke: A Scoping Review.

IF 2.7 3区医学 Q3 NEUROSCIENCES

Brain Sciences Pub Date : 2024-10-15 DOI:10.3390/brainsci14101021

Shih-Chiao Tseng, Sharon Dunnivan-Mitchell, Dana Cherry, Shuo-Hsiu Chang

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引用次数: 0

Abstract

Background/Objectives: Age-related decline in balance and postural control is common in healthy elders and is escalated in aging adults with stroke. Transcranial direct current stimulation (tDCS) has emerged as one of the promising brain stimulations adjoining therapeutic exercise to enhance the recovery of balance and motor functions in persons with and without neurological disorders. This review aims to summarize and compare the available evidence of the tDCS on improving balance in the older adults without neurological disorders and the older adults with stroke. Methods: The Ovid (Medline) database was searched from its inception through to 06/15/2024 for randomized controlled trials investigating tDCS for improving balance in older adults with and without stroke. Results: Overall, 20 appropriate studies (including 271 stroke subjects and 259 healthy older adults) were found. The data indicate mixed results of tDCS for improving balance in older adults with and without stroke. Conclusions: Based on current research evidence, we have not found a specific tDCS protocol that is more effective than other tDCS protocols for improving balance and postural control in healthy older adults and older adults with stroke. Further research should explore the ideal tDCS approach, possibly in conjunction with standard interventions, to optimize postural control and balance in healthy older adults and older adults with stroke.

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经颅直流电刺激用于改善健康老年人和中风老年人的平衡能力：范围综述》。

背景/目的：与年龄有关的平衡和姿势控制能力下降在健康老人中很常见，而在中风的老年人中则会加剧。经颅直流电刺激（transcranial direct current stimulation，tDCS）已成为一种很有前景的脑刺激方法，可与治疗性运动相结合，促进有神经系统疾病和无神经系统疾病患者的平衡和运动功能恢复。本综述旨在总结和比较 tDCS 改善无神经系统疾病的老年人和中风老年人平衡能力的现有证据。研究方法在 Ovid（Medline）数据库中搜索了从开始到 2024 年 6 月 15 日期间调查 tDCS 改善中风和非中风老年人平衡能力的随机对照试验。结果：共找到 20 项相关研究（包括 271 名中风受试者和 259 名健康老年人）。数据显示，tDCS 用于改善中风和非中风老年人平衡能力的效果不一。结论：根据目前的研究证据，我们还没有发现一种特定的 tDCS 方案比其他 tDCS 方案对改善健康老年人和中风老年人的平衡和姿势控制更有效。进一步的研究应该探索理想的 tDCS 方法，并可能与标准干预措施相结合，以优化健康老年人和中风老年人的姿势控制和平衡能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain Sciences Neuroscience-General Neuroscience

CiteScore

4.80

自引率

9.10%

发文量

1472

审稿时长

18.71 days

期刊介绍： Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.