Transcranial direct current stimulation with virtual reality versus virtual reality alone for upper extremity rehabilitation in stroke: A meta-analysis

Meng, Jiahao; Yan, Zeya; Gu, Feng; Tao, Xinyu; Xue, Tao; Liú, Dan; Wang, Zhong

doi:10.1016/j.heliyon.2022.e12695

Cited by 7 publications

(4 citation statements)

References 45 publications

(65 reference statements)

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“…Stroke lead to an abrupt loss of neural function and damage to the central nervous system [31,32]. This creates an imbalance between the cerebral hemispheres, prompting cortical reorganization that provides a foundation for spontaneous recovery [33][34][35]. Cortical reorganization involves the transfer of functions from the affected brain area to the unaffected areas, followed by a shift back to the affected side after one to two weeks, with the perilesional area assuming control [36][37][38].…”

Section: Review Neural Changes and Disabilities After Strokementioning

confidence: 99%

“…Rehabilitation aims to promote neural plasticity by targeting abnormal connectivity within or between brain hemispheres [ 33 , 42 ]. It can be categorized based on clinical features and the degree of injury (Figure 1 ) [ 31 ].…”

Section: Reviewmentioning

confidence: 99%

“…Conventional rehabilitation can become tedious, leading to decreased motivation and treatment adherence over time [ 19 ]. VR/AR offers a more engaging and personalized approach to rehabilitation, which may explain why it leads to significant improvements in motor, mental, and social functions [ 19 , 33 ].…”

Section: Reviewmentioning

confidence: 99%

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Virtual and Augmented Reality in Post-stroke Rehabilitation: A Narrative Review

Khokale¹,

Mathew²,

Ahmed³

et al. 2023

Cureus

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Virtual reality (VR) and augmented reality (AR) are noble adjunctive technologies currently being studied for the neuro-rehabilitation of post-stroke patients, potentially enhancing conventional therapy. We explored the literature to find if VR/AR improves neuroplasticity in stroke rehabilitation for a better quality of life. This modality can lay the foundation for telerehabilitation services in remote areas. We analyzed four databases, namely Cochrane Library, PubMed, Google Scholar, and Science Direct, by searching the following keywords: ("Stroke Rehabilitation" [Majr]) AND ("Augmented Reality" [Majr]), Virtual Augmented Reality in Stroke Rehabilitation. All the available open articles were reviewed and outlined. The studies conclude that VR/AR can help in early rehabilitation and yield better results in post-stroke patients in adjunct to conventional therapy. However, due to the limited research on this subject, we cannot conclude that this information is absolute. Moreover, VR/AR was seldom customized according to the needs of stroke survivors, which would have given us the full extent of its application. Around the world, stroke survivors are being studied to verify the accessibility and practicality of these innovative technologies. Observations conclude that further exploration of the extent of the implementations and efficacy of VR and AR, combined with conventional rehabilitation, is fundamental.

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Section: Review Neural Changes and Disabilities After Strokementioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

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Virtual and Augmented Reality in Post-stroke Rehabilitation: A Narrative Review

Khokale¹,

Mathew²,

Ahmed³

et al. 2023

Cureus

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“…The combination of NIBS and motor or behavioral intervention has gained substantial interest over the last years due to the promising potentiality that the combined approach offers [ 3 ]. Several studies on post-stroke patients combined NIBS and rehabilitative approaches such as intensive physiotherapy or occupational therapy [ 7 , 8 ], robot-assisted training [ 9 , 10 , 11 ], virtual reality rehabilitation [ 12 , 13 , 14 , 15 ], and task-oriented training [ 16 ] for promoting motor recovery. Between the available NIBS techniques, transcranial magnetic stimulation (TMS) has been used to investigate and induce plasticity in the human brain [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Paired Associative Stimulation on Motor Recovery after Stroke: A Scoping Review

Baroni,

Antonioni,

Fregna

et al. 2024

Neurology International

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Paired associative stimulation (PAS) is a non-invasive brain stimulation technique combining transcranial magnetic stimulation and peripheral nerve stimulation. PAS allows connections between cortical areas and peripheral nerves (C/P PAS) or between cortical regions (C/C PAS) to be strengthened or weakened by spike-timing-dependent neural plasticity mechanisms. Since PAS modulates both neurophysiological features and motor performance, there is growing interest in its application in neurorehabilitation. We aimed to synthesize evidence on the motor rehabilitation role of PAS in stroke patients. We performed a literature search following the PRISMA Extension for Scoping Reviews Framework. Eight studies were included: one investigated C/C PAS between the cerebellum and the affected primary motor area (M1), seven applied C/P PAS over the lesional, contralesional, or both M1. Seven studies evaluated the outcome on upper limb and one on lower limb motor recovery. Although several studies omit crucial methodological details, PAS highlighted effects mainly on corticospinal excitability, and, more rarely, an improvement in motor performance. However, most studies failed to prove a correlation between neurophysiological changes and motor improvement. Although current studies seem to suggest a role of PAS in post-stroke rehabilitation, their heterogeneity and limited number do not yet allow definitive conclusions to be drawn.

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Combined noninvasive brain stimulation virtual reality for upper limb rehabilitation poststroke: A systematic review of randomized controlled trials

Alashram

2024

Neurol Sci

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Transcranial direct current stimulation with virtual reality versus virtual reality alone for upper extremity rehabilitation in stroke: A meta-analysis

Cited by 7 publications

References 45 publications

Virtual and Augmented Reality in Post-stroke Rehabilitation: A Narrative Review

Virtual and Augmented Reality in Post-stroke Rehabilitation: A Narrative Review

The Effectiveness of Paired Associative Stimulation on Motor Recovery after Stroke: A Scoping Review

Combined noninvasive brain stimulation virtual reality for upper limb rehabilitation poststroke: A systematic review of randomized controlled trials

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