Effects of noninvasive brain stimulation on dual-task performance in different populations: A systematic review

BackgroundIncreasing research has investigated the use of noninvasive brain stimulation (NIBS) on augmenting dual-task (DT) performance.ObjectiveTo investigate the effects of NIBS on DT performance in different populations.MethodsExtensive electronic database search (from inception to November 20, 2...

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Main Authors: Xiaoying Lin, Yanming Zhang, Xi Chen, Lifen Wen, Lian Duan, Lei Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1157920/full
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author Xiaoying Lin
Xiaoying Lin
Xiaoying Lin
Yanming Zhang
Yanming Zhang
Xi Chen
Lifen Wen
Lian Duan
Lei Yang
author_facet Xiaoying Lin
Xiaoying Lin
Xiaoying Lin
Yanming Zhang
Yanming Zhang
Xi Chen
Lifen Wen
Lian Duan
Lei Yang
author_sort Xiaoying Lin
collection DOAJ
description BackgroundIncreasing research has investigated the use of noninvasive brain stimulation (NIBS) on augmenting dual-task (DT) performance.ObjectiveTo investigate the effects of NIBS on DT performance in different populations.MethodsExtensive electronic database search (from inception to November 20, 2022) was conducted in PubMed, Medline, Cochrane Library, Web of Science and CINAHL to identify randomized controlled trials (RCTs) that investigated the effects of NIBS on DT performance. Main outcomes were balance/mobility and cognitive function under both single-task (ST) and DT conditions.ResultsFifteen RCTs were included, involving two types of intervention techniques: transcranial direct current stimulation (tDCS) (twelve RCTs) and repetitive transcranial magnetic stimulation (rTMS) (three RCTs); and four different population groups: healthy young adults, older adults, Parkinson’s disease (PD), and stroke. For tDCS, under DT condition, significant improvement in speed was only observed in one PD and one stroke RCT, and stride time variability in one older adults RCT. Reduction in DTC in some gait parameters was demonstrated in one RCT. Only one RCT showed significant reduction in postural sway speed and area during standing under DT condition in young adults. For rTMS, significant improvements in fastest walking speed and time taken to Timed-up-and-go test under both ST and DT conditions were observed at follow-up in one PD RCT only. No significant effect on cognitive function in any RCT was observed.ConclusionBoth tDCS and rTMS showed promising effects in improving DT walking and balance performance in different populations, however, due to the large heterogeneity of included studies and insufficient data, any firm conclusion cannot be drawn at present.
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spelling doaj.art-1ff5a6b5a1f042e69e62ff3cf60e86722023-04-11T05:16:33ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-04-011710.3389/fnins.2023.11579201157920Effects of noninvasive brain stimulation on dual-task performance in different populations: A systematic reviewXiaoying Lin0Xiaoying Lin1Xiaoying Lin2Yanming Zhang3Yanming Zhang4Xi Chen5Lifen Wen6Lian Duan7Lei Yang8Department of Rehabilitation Medicine, The Second People’s Hospital of Kunming, Yunnan Province, ChinaDepartment of Rehabilitation Medicine, The Second People’s Hospital of Kunming, Yunnan Province, ChinaDepartment of Rehabilitation Medicine, The Second People’s Hospital of Kunming, Yunnan Province, ChinaDepartment of Rehabilitation Medicine, The Second People’s Hospital of Kunming, Yunnan Province, ChinaDepartment of Rehabilitation Medicine, The Second People’s Hospital of Kunming, Yunnan Province, ChinaDepartment of Rehabilitation Medicine, The Second People’s Hospital of Kunming, Yunnan Province, ChinaDepartment of Rehabilitation Medicine, The Second People’s Hospital of Kunming, Yunnan Province, ChinaSchool of Rehabilitation, Kunming Medical University, Yunnan Province, ChinaDepartment of Rehabilitation Medicine, The Second People’s Hospital of Kunming, Yunnan Province, ChinaBackgroundIncreasing research has investigated the use of noninvasive brain stimulation (NIBS) on augmenting dual-task (DT) performance.ObjectiveTo investigate the effects of NIBS on DT performance in different populations.MethodsExtensive electronic database search (from inception to November 20, 2022) was conducted in PubMed, Medline, Cochrane Library, Web of Science and CINAHL to identify randomized controlled trials (RCTs) that investigated the effects of NIBS on DT performance. Main outcomes were balance/mobility and cognitive function under both single-task (ST) and DT conditions.ResultsFifteen RCTs were included, involving two types of intervention techniques: transcranial direct current stimulation (tDCS) (twelve RCTs) and repetitive transcranial magnetic stimulation (rTMS) (three RCTs); and four different population groups: healthy young adults, older adults, Parkinson’s disease (PD), and stroke. For tDCS, under DT condition, significant improvement in speed was only observed in one PD and one stroke RCT, and stride time variability in one older adults RCT. Reduction in DTC in some gait parameters was demonstrated in one RCT. Only one RCT showed significant reduction in postural sway speed and area during standing under DT condition in young adults. For rTMS, significant improvements in fastest walking speed and time taken to Timed-up-and-go test under both ST and DT conditions were observed at follow-up in one PD RCT only. No significant effect on cognitive function in any RCT was observed.ConclusionBoth tDCS and rTMS showed promising effects in improving DT walking and balance performance in different populations, however, due to the large heterogeneity of included studies and insufficient data, any firm conclusion cannot be drawn at present.https://www.frontiersin.org/articles/10.3389/fnins.2023.1157920/fullnoninvasive brain stimulationtranscranial direct current stimulationtranscranial magnetic stimulationdual-tasksystematic review
spellingShingle Xiaoying Lin
Xiaoying Lin
Xiaoying Lin
Yanming Zhang
Yanming Zhang
Xi Chen
Lifen Wen
Lian Duan
Lei Yang
Effects of noninvasive brain stimulation on dual-task performance in different populations: A systematic review
Frontiers in Neuroscience
noninvasive brain stimulation
transcranial direct current stimulation
transcranial magnetic stimulation
dual-task
systematic review
title Effects of noninvasive brain stimulation on dual-task performance in different populations: A systematic review
title_full Effects of noninvasive brain stimulation on dual-task performance in different populations: A systematic review
title_fullStr Effects of noninvasive brain stimulation on dual-task performance in different populations: A systematic review
title_full_unstemmed Effects of noninvasive brain stimulation on dual-task performance in different populations: A systematic review
title_short Effects of noninvasive brain stimulation on dual-task performance in different populations: A systematic review
title_sort effects of noninvasive brain stimulation on dual task performance in different populations a systematic review
topic noninvasive brain stimulation
transcranial direct current stimulation
transcranial magnetic stimulation
dual-task
systematic review
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1157920/full
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