Intervention Effect of Non-Invasive Brain Stimulation on Cognitive Functions among People with Traumatic Brain Injury: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis aggregated and examined the treatment effect of non-invasive brain stimulation (NIBS) (transcranial direct current stimulation and transcranial magnetic stimulation) on cognitive functions in people with traumatic brain injury (TBI). A systematic search was c...

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Main Authors: Daniel Kwasi Ahorsu, Emma Sethina Adjaottor, Bess Yin Hung Lam
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/7/840
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author Daniel Kwasi Ahorsu
Emma Sethina Adjaottor
Bess Yin Hung Lam
author_facet Daniel Kwasi Ahorsu
Emma Sethina Adjaottor
Bess Yin Hung Lam
author_sort Daniel Kwasi Ahorsu
collection DOAJ
description This systematic review and meta-analysis aggregated and examined the treatment effect of non-invasive brain stimulation (NIBS) (transcranial direct current stimulation and transcranial magnetic stimulation) on cognitive functions in people with traumatic brain injury (TBI). A systematic search was conducted using databases (PubMed, Web of Science, Scopus, PsycINFO, EMBASE) for studies with keywords related to non-randomized and randomized control trials of NIBS among people with TBI. Nine out of 1790 NIBS studies with 197 TBI participants (103 active vs. 94 sham) that met the inclusion and exclusion criteria of the present study were finally selected for meta-analysis using Comprehensive Meta-Analysis software (version 3). Results showed that the overall effect of NIBS on cognition in people with TBI was moderately significant (g = 0.304, 95% CI = 0.055 to 0.553) with very low heterogeneity across studies (<i>I</i><sup>2</sup> = 0.000, Tau = 0.000). Specifically, significant and marginally significant moderate effect sizes were found for cognitive sub-domains including attention, memory, and executive function. The present findings suggest that NIBS is moderately effective in improving cognitive functions among people with TBI. In particular, NIBS may be used as an alternative and/or an adjunct treatment to the traditional approach in rehabilitating cognitive functions in people with TBI.
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spelling doaj.art-d96104d19569496eb962d96315ff6e572023-12-03T13:05:27ZengMDPI AGBrain Sciences2076-34252021-06-0111784010.3390/brainsci11070840Intervention Effect of Non-Invasive Brain Stimulation on Cognitive Functions among People with Traumatic Brain Injury: A Systematic Review and Meta-AnalysisDaniel Kwasi Ahorsu0Emma Sethina Adjaottor1Bess Yin Hung Lam2Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Behavioural Sciences, Kwame Nkrumah University of Science and Technology, Ashanti, GhanaDepartment of Psychiatry, The University of Hong Kong, Hong Kong, ChinaThis systematic review and meta-analysis aggregated and examined the treatment effect of non-invasive brain stimulation (NIBS) (transcranial direct current stimulation and transcranial magnetic stimulation) on cognitive functions in people with traumatic brain injury (TBI). A systematic search was conducted using databases (PubMed, Web of Science, Scopus, PsycINFO, EMBASE) for studies with keywords related to non-randomized and randomized control trials of NIBS among people with TBI. Nine out of 1790 NIBS studies with 197 TBI participants (103 active vs. 94 sham) that met the inclusion and exclusion criteria of the present study were finally selected for meta-analysis using Comprehensive Meta-Analysis software (version 3). Results showed that the overall effect of NIBS on cognition in people with TBI was moderately significant (g = 0.304, 95% CI = 0.055 to 0.553) with very low heterogeneity across studies (<i>I</i><sup>2</sup> = 0.000, Tau = 0.000). Specifically, significant and marginally significant moderate effect sizes were found for cognitive sub-domains including attention, memory, and executive function. The present findings suggest that NIBS is moderately effective in improving cognitive functions among people with TBI. In particular, NIBS may be used as an alternative and/or an adjunct treatment to the traditional approach in rehabilitating cognitive functions in people with TBI.https://www.mdpi.com/2076-3425/11/7/840traumatic brain injurycognitive functionstranscranial direct current stimulationtranscranial magnetic stimulationnon-invasive brain stimulation
spellingShingle Daniel Kwasi Ahorsu
Emma Sethina Adjaottor
Bess Yin Hung Lam
Intervention Effect of Non-Invasive Brain Stimulation on Cognitive Functions among People with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
Brain Sciences
traumatic brain injury
cognitive functions
transcranial direct current stimulation
transcranial magnetic stimulation
non-invasive brain stimulation
title Intervention Effect of Non-Invasive Brain Stimulation on Cognitive Functions among People with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_full Intervention Effect of Non-Invasive Brain Stimulation on Cognitive Functions among People with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_fullStr Intervention Effect of Non-Invasive Brain Stimulation on Cognitive Functions among People with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_full_unstemmed Intervention Effect of Non-Invasive Brain Stimulation on Cognitive Functions among People with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_short Intervention Effect of Non-Invasive Brain Stimulation on Cognitive Functions among People with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_sort intervention effect of non invasive brain stimulation on cognitive functions among people with traumatic brain injury a systematic review and meta analysis
topic traumatic brain injury
cognitive functions
transcranial direct current stimulation
transcranial magnetic stimulation
non-invasive brain stimulation
url https://www.mdpi.com/2076-3425/11/7/840
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