阳极经颅直流电刺激对缺血性中风后上肢功能的疗效：平行随机临床试验的系统回顾》。

IF 2 4区医学 Q3 NEUROSCIENCES

Journal of Stroke & Cerebrovascular Diseases Pub Date : 2024-11-04 DOI:10.1016/j.jstrokecerebrovasdis.2024.108112

Liqiang Yu RN, MS (Nurse) , Han Chen MD, PhD (Associate Chief Physician) , Chaiying Chen RN, BS (Charge Nurse) , Yang Lin RN, BS (Associate Chief Nurse) , Zhuofan Huang RN, BS (Charge Nurse) , Jianhong Wang RN, MS (Associate Chief Nurse) , Qiaoling Chen RN, MS (Chief Nurse)

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引用次数: 0

摘要

背景：尽管现有研究显示经颅直流电刺激（tDCS）对中风后上肢功能障碍有治疗作用，但之前的系统性综述大多对tDCS的极性和中风类型进行了一般性分析，结果并不一致。我们旨在确定阳极经颅直流电刺激对缺血性中风后增强上肢功能的疗效：我们在各种数据库中进行了全面搜索，搜索时间跨度从数据库建立之初到 2024 年 3 月 15 日，重点是已发表的探讨阳极经颅直流电刺激对缺血性中风患者上肢功能影响的平行随机临床试验。数据提取和质量评估由两名审稿人独立完成。利用 Cochrane 偏倚风险工具评估纳入研究的偏倚风险：共有 19 项研究纳入分析，涉及 1032 名参与者。这些研究的汇总结果表明，阳极经颅直流电刺激对有上肢功能障碍的缺血性中风患者的 Fugl-Meyer 上肢评估、Wolf 运动功能测试、静息运动阈值和 Barthel 指数评分有积极影响。随访数据表明，阳极经颅直流电刺激对缺血性中风具有潜在的长期疗效。报告的不良反应表明，阳极经颅直流电刺激对中风患者相对安全：结论：阳极经颅直流电刺激是改善缺血性中风患者上肢功能的有效干预措施，而且相对安全有效。

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Efficacy of anodal transcranial direct current stimulation for upper extremity function after ischemic stroke: A systematic review of parallel randomized clinical trials

Background

Although existing studies had shown therapeutic effects of transcranial direct current stimulation (tDCS) on upper limb dysfunction after stroke, previous systematic reviews had mostly provided general analyses on the polarity of tDCS and the type of stroke, with inconsistent results. We aimed to determine the efficacy of anodal transcranial direct current stimulation in enhancing upper extremity function following ischemic stroke.

Methods

A comprehensive search was conducted across a variety of databases, spanning from their inception to March 15th, 2024.The focus was on parallel randomized clinical trials published that explored the impact of anodal transcranial direct current stimulation on upper extremity function in ischemic stroke patients. Data extraction and quality assessment were conducted independently by two reviewers. The Cochrane Risk of Bias Tool was utilized to assess the risk of bias in the included studies.

Results

A total of 19 studies involving 1032 participants were included in the analysis. The pooled results of these studies indicated that anodal transcranial direct current stimulation had a positive impact on the Fugl-Meyer Assessment Upper Extremity, Wolf Motor Function Test, Resting Motion Threshold, and Barthel Index Score in ischemic stroke patients with upper extremity dysfunction. Follow-up data suggested the potential long-term efficacy of anodal transcranial direct current stimulation in ischemic stroke. Reported adverse reactions indicated that anodal transcranial direct current stimulation was relatively safe for stroke patients.

Conclusions

Anodal transcranial direct current stimulation is an effective intervention and relatively safe and effective intervention for improving upper extremity function in ischemic stroke patients.

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来源期刊

Journal of Stroke & Cerebrovascular Diseases Medicine-Surgery

CiteScore

5.00

自引率

4.00%

发文量

583

审稿时长

62 days

期刊介绍： The Journal of Stroke & Cerebrovascular Diseases publishes original papers on basic and clinical science related to the fields of stroke and cerebrovascular diseases. The Journal also features review articles, controversies, methods and technical notes, selected case reports and other original articles of special nature. Its editorial mission is to focus on prevention and repair of cerebrovascular disease. Clinical papers emphasize medical and surgical aspects of stroke, clinical trials and design, epidemiology, stroke care delivery systems and outcomes, imaging sciences and rehabilitation of stroke. The Journal will be of special interest to specialists involved in caring for patients with cerebrovascular disease, including neurologists, neurosurgeons and cardiologists.