tDCS Combined with CIMT for Post-stroke Upper Extremity Rehabilitation: A Systematic Review and Meta-Analysis.

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

NeuroRehabilitation Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI:10.1177/10538135241301692

Tao Jiang, Jiamin Yan, Xiaohan Li, Minguang Yang, Yueyang Zhuang, Zhimin Ding, Mengquan Tan, Sijia Xia, Rui Li, Wenju Wang, Feng Chen, Xi Xie, Weilin Liu

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引用次数: 0

Abstract

BackgroundTranscranial direct current stimulation (tDCS) has been widely used as an adjunctive treatment for motor function after stroke.ObjectiveTo quantify the effect of tDCS combined with constraint-induced movement therapy (CIMT) on the functional recovery of the upper limb after stroke.MethodsBy May 2024, two independent authors screened relevant randomized controlled trials (RCTs) published in English from PubMed, Embase, Web of Science and the Cochrane Library. Publication bias was assessed using the Egger's test.ResultsOf the 221 retrieved records, seven publications met the criteria for systematic review and quantitative analysis. According to estimates of Hedges'g, significant effects were revealed from Fugl-Meyer Assessment for Upper Limbs (UL-FMA) for upper limb impairment (g = 0.587, 95% CI = 0.256 to 0.919, p < 0.05) and Motor Activity Log-Amount of Movement (MAL-AoM) for perceived amount of motor (g = 0.386, 95% CI = 0.030 to 0.743, p < 0.05). Significant results favoring combined therapy were not found in Motor Activity Log-Quality of Movement (MAL-QoM) (g = 0.181, 95% CI = -0.169 to 0.531, p > 0.05), grip strength (g = 0.135, 95% CI = -0.214 to 0.485, p > 0.05) or Wolf Motor Function Test (WMFT) (g = 0.210, 95% CI = -0.117 to 0.537, p > 0.05).ConclusionsOur findings confirmed that tDCS enhanced the effect of CIMT in improving upper limb impairment and perceived amount of motor in daily life after stroke.

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tDCS联合CIMT治疗脑卒中后上肢康复：系统回顾和荟萃分析。

经颅直流电刺激（tDCS）作为脑卒中后运动功能的辅助治疗已被广泛应用。目的评价tDCS联合约束诱导运动疗法（CIMT）对脑卒中后上肢功能恢复的影响。方法截至2024年5月，两位独立作者从PubMed、Embase、Web of Science和Cochrane Library中筛选相关的英文随机对照试验（RCTs）。采用Egger’s检验评估发表偏倚。结果221篇文献中，有7篇文献符合系统评价和定量分析标准。估计石头的套期保值,显著影响了从Fugl-Meyer评估上肢(UL-FMA)上肢损伤(g = 0.587, 95% CI = 0.256 ~ 0.919, p)和运动活动Log-Amount运动(MAL-AoM)感知的电动机(g = 0.386, 95% CI = 0.030 ~ 0.743, p = 0.181, 95% CI = -0.169 ~ 0.531, p > 0.05),握力(g = 0.135, 95% CI = -0.214 ~ 0.485, p > 0.05)或沃尔夫运动功能测试(WMFT) (g = 0.210, 95% CI = -0.117至0.537,p > 0.05)。结论tDCS增强了CIMT对脑卒中后上肢功能障碍和日常生活运动感知量的改善作用。

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

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.