Comparative efficacy of different noninvasive brain stimulation protocols on upper-extremity motor function and activities of daily living after stroke: a systematic review and network meta-analysis

Li, Ling-Ling; Wu, Jia-Jia; Li, Kun-Peng; Jin, Jing; Xiang, Yun-Ting; Hua, Xu-Yun; Zheng, Mou-Xiong; Xu, Jian-Guang

doi:10.1007/s10072-024-07437-4

Cited by 1 publication

(2 citation statements)

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“…[ 7 , 8 , 9 ]. Several meta-analyses have indicated the positive effects of NIBS on functional recovery in stroke patients [ 10 , 11 , 12 , 13 , 14 , 15 , 16 ]. Orrù et al and Li et al found NIBS to be effective in improving upper extremity motor function and activities of daily life after stroke, with the most significant intervention effect observed with anodal-tDCS [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Several meta-analyses have indicated the positive effects of NIBS on functional recovery in stroke patients [ 10 , 11 , 12 , 13 , 14 , 15 , 16 ]. Orrù et al and Li et al found NIBS to be effective in improving upper extremity motor function and activities of daily life after stroke, with the most significant intervention effect observed with anodal-tDCS [ 10 , 11 ]. O’Brien et al further demonstrated that NIBS is linked to improvements in fine motor performance in chronic stroke patients, supporting its role in enhancing motor learning [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Cerebellar Non-Invasive Stimulation on Neurorehabilitation in Stroke Patients: An Updated Systematic Review

Liu,

Zhang

2024

Biomedicines

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The cerebellum is emerging as a promising target for noninvasive brain stimulation (NIBS). A systematic review was conducted to evaluate the effects of cerebellar NIBS on both motor and other symptoms in stroke rehabilitation, its impact on functional ability, and potential side effects (PROSPERO number: CRD42022365697). A systematic electronic database search was performed by using PubMed Central (PMC), EMBASE, and Web of Science, with a cutoff date of November 2023. Data extracted included study details, NIBS methodology, outcome measures, and results. The risk of bias in eligible studies was also assessed. Twenty-two clinical studies involving 1016 participants were finally included, with a focus on outcomes related to post-stroke motor recovery (gait and balance, muscle spasticity, and upper limb dexterity) and other functions (dysphagia and aphasia). Positive effects were observed, especially on motor functions like gait and balance. Some efficiency was also observed in dysphagia rehabilitation. However, findings on language recovery were preliminary and inconsistent. A slight improvement in functional ability was noted, with no serious adverse effects reported. Further studies are needed to explore the effects of cerebellar NIBS on post-stroke non-motor deficits and to understand how cerebellar engagement can facilitate more precise treatment strategies for stroke rehabilitation.

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