| Titre : | Systematic Review and Meta-Analysis of Noninvasive Cranial Nerve Neuromodulation for Nervous System Disorders (2014) |
| Auteurs : | Linda Papa ; Alexander LaMee ; Ciara N. Tan |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2014/12, 2014) |
| Article en page(s) : | p. 2435-2443 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Ataxie ; Imagerie par résonance magnétique ; Plasticité neuronale ; Rééducation et réadaptation ; Système nerveux ; Vertige |
| Mots-clés: | Ataxia ; Brain injuries ; Lésions encéphaliques ; Gait ; Démarche ; Magnetic resonance imaging ; Nervous system ; Neuronal plasticity ; Postural balance ; Équilibre postural ; Vertigo |
| Résumé : |
Objective To systematically review the medical literature and comprehensively summarize clinical research done on rehabilitation with a novel portable and noninvasive electrical stimulation device called the cranial nerve noninvasive neuromodulator in patients suffering from nervous system disorders. Data Sources PubMed, MEDLINE, and Cochrane Database of Systematic Reviews from 1966 to March 2013. Study Selection Studies were included if they recruited adult patients with peripheral and central nervous system disorders, were treated with the cranial nerve noninvasive neuromodulator device, and were assessed with objective measures of function. Data Extraction After title and abstract screening of potential articles, full texts were independently reviewed to identify articles that met inclusion criteria. Data Synthesis The search identified 12 publications: 5 were critically reviewed, and of these 5, 2 were combined in a meta-analysis. There were no randomized controlled studies identified, and the meta-analysis was based on pre-post studies. Most of the patients were individuals with a chronic balance dysfunction. The pooled results demonstrated significant improvements in the dynamic gait index postintervention with a mean difference of 3.45 (95% confidence interval, 1.75–5.15; P<.001 activities-specific balance confidence scale with a mean difference of interval p and dizziness handicap inventory improvements to included studies suffered from small sample sizes lack randomization absence blinding use referral populations variability in treatment schedules follow-up rates.> Conclusions Given these limitations, the results of the meta-analysis must be interpreted cautiously. Further investigation using rigorous randomized controlled trials is needed to evaluate this promising rehabilitation tool for nervous system disorders. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314003359 |
Bibliothèques HE Vinci
