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Titre : | Effects of Transcranial Direct Current Stimulation on Poststroke Dysphagia: A Systematic Review and Meta-analysis of Randomized Controlled Trials (2022) |
Auteurs : | Na Zhao ; Weiming Sun ; Zebu Xiao ; Chunyun Fan ; Bowen Zeng ; Kaiying Xu ; Meng Liao ; Wei Lu |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 7, 2022) |
Article en page(s) : | p. 1436-1447 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.03.004 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Essai contrôlé randomisé ; Méta-analyse ; Réadaptation ; Stimulation transcrânienne par courant continu ; Troubles de la déglutition |
Résumé : |
Objective
This review aimed to systematically evaluate the effect of transcranial direct current stimulation (tDCS) on poststroke dysphagia. Data Sources PubMed, Cochrane Library (CENTRAL), Web of Science, VIP, CNKI, and Wanfang databases were systematically searched up to June 2021. Study Selection Randomized controlled trials (RCTs) on the effects of tDCS on poststroke dysphagia. Data Extraction The extracted data included the author, country of publication, time of publication, key elements of bias risk assessment (such as RCTs and blind methods), sample size and basic information (age, course of disease, stroke location), intervention measures, treatment methods of tDCS (stimulation location, intensity, duration), relevant outcome indicators, and relevant data (SDs).The Cochrane Risk of Bias Assessment Tool and Physiotherapy Evidence Database Scale were used to assess the risk of bias. Data Synthesis Sixteen RCTs were included in this meta-analysis. Overall, the results revealed a large and statistically significant pooled effect size (0.80; confidence interval [CI], 0.45-1.14; P<.001 the subgroup that explored course of disease yielded a large and significant effect size for chronic phase group ci p stimulation intensity ma showed moderate sizes vs in analyses affected unaffected hemisphere result had more obvious effect. analysis stroke location tdcs was effective dysphagia after unilateral hemispheric bulbar paralysis brainstem but not ataxic basal ganglia stroke. however revealed> Conclusions This meta-analysis demonstrated the height and significant beneficial effect of tDCS on improving poststroke dysphagia. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322002878#! |