Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review
Background: The effectiveness of transcranial direct current stimulation (tDCS) together with conventional physiotherapy in motor rehabilitation after stroke has been widely studied. Despite this, few studies have focused on its application in gait and balance rehabilitation. This review aimed to de...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/11/4/656 |
| _version_ | 1797538770491277312 |
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| author | Víctor Navarro-López Francisco Molina-Rueda Samuel Jiménez-Jiménez Isabel M Alguacil-Diego María Carratalá-Tejada |
| author_facet | Víctor Navarro-López Francisco Molina-Rueda Samuel Jiménez-Jiménez Isabel M Alguacil-Diego María Carratalá-Tejada |
| author_sort | Víctor Navarro-López |
| collection | DOAJ |
| description | Background: The effectiveness of transcranial direct current stimulation (tDCS) together with conventional physiotherapy in motor rehabilitation after stroke has been widely studied. Despite this, few studies have focused on its application in gait and balance rehabilitation. This review aimed to determine the efficacy of transcranial direct current stimulation combined with conventional physiotherapy on gait, balance, and the functionality of the lower limb after stroke. Methods: This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four electronic databases were systematically searched for relevant articles. Randomized clinical trials in English or Spanish that evaluated the use of the transcranial direct current stimulation, combined with physiotherapy, to improve gait, balance, and lower limb functionality after stroke were included. Main results: 10 articles were included, with a total of 222 subjects. Data about population, assessment tools, protocols, sessions, and results were extracted. The methodological quality of the included studies ranged between 3 and 5. Conclusion: The use of transcranial direct current stimulation combined with physiotherapy improves gait parameters, static and dynamic balance, and lower limb functionality in stroke patients. Long-term effects have not yet been demonstrated. |
| first_indexed | 2024-03-10T12:36:08Z |
| format | Article |
| id | doaj.art-c95e7970e44845d99c613ef1b5129683 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T12:36:08Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-c95e7970e44845d99c613ef1b51296832023-11-21T14:16:33ZengMDPI AGDiagnostics2075-44182021-04-0111465610.3390/diagnostics11040656Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic ReviewVíctor Navarro-López0Francisco Molina-Rueda1Samuel Jiménez-Jiménez2Isabel M Alguacil-Diego3María Carratalá-Tejada4International Doctoral School, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, SpainPhysical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, SpainTexum Rehabilitation Center, 28821 Madrid, SpainPhysical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, SpainPhysical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, SpainBackground: The effectiveness of transcranial direct current stimulation (tDCS) together with conventional physiotherapy in motor rehabilitation after stroke has been widely studied. Despite this, few studies have focused on its application in gait and balance rehabilitation. This review aimed to determine the efficacy of transcranial direct current stimulation combined with conventional physiotherapy on gait, balance, and the functionality of the lower limb after stroke. Methods: This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four electronic databases were systematically searched for relevant articles. Randomized clinical trials in English or Spanish that evaluated the use of the transcranial direct current stimulation, combined with physiotherapy, to improve gait, balance, and lower limb functionality after stroke were included. Main results: 10 articles were included, with a total of 222 subjects. Data about population, assessment tools, protocols, sessions, and results were extracted. The methodological quality of the included studies ranged between 3 and 5. Conclusion: The use of transcranial direct current stimulation combined with physiotherapy improves gait parameters, static and dynamic balance, and lower limb functionality in stroke patients. Long-term effects have not yet been demonstrated.https://www.mdpi.com/2075-4418/11/4/656gait disordersneurologicphysical therapy modalitiespostural balancestroketranscranial direct current stimulation |
| spellingShingle | Víctor Navarro-López Francisco Molina-Rueda Samuel Jiménez-Jiménez Isabel M Alguacil-Diego María Carratalá-Tejada Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review Diagnostics gait disorders neurologic physical therapy modalities postural balance stroke transcranial direct current stimulation |
| title | Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review |
| title_full | Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review |
| title_fullStr | Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review |
| title_full_unstemmed | Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review |
| title_short | Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review |
| title_sort | effects of transcranial direct current stimulation combined with physiotherapy on gait pattern balance and functionality in stroke patients a systematic review |
| topic | gait disorders neurologic physical therapy modalities postural balance stroke transcranial direct current stimulation |
| url | https://www.mdpi.com/2075-4418/11/4/656 |
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