THE INFLUENCE OF TRANSCRANIAL DIRECT CURRENT STIMULATION ON FUNCTIONAL RECOVERY AFTER STROKE: A SYSTEMATIC REVIEW
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Palavras-chave

Transcranial Direct Current Stimulation; Stroke; Motor Activity; Efficacy

Como Citar

Fonsêca dos Santos, R., Farias Maia, L. F., Mendes Costa, I. G., Dias Grandez, C., da Silva Brito, L., & Nascimento Pereira, E. (2024). THE INFLUENCE OF TRANSCRANIAL DIRECT CURRENT STIMULATION ON FUNCTIONAL RECOVERY AFTER STROKE: A SYSTEMATIC REVIEW. Brazilian Journal of Implantology and Health Sciences, 6(2), 2279–2284. https://doi.org/10.36557/2674-8169.2024v6n2p2279-2284

Resumo

INTRODUCTION: Stroke is the third leading cause of death in the world and second in Brazil, whose main characteristics are global or focal disorders of brain functions, involving cognitive and mainly physical limitations, including motor, sensory changes, ataxias, apraxias and aphasias. Transcranial Direct Current Stimulation (ETCC) is a non-pharmacological treatment that has demonstrated relevant benefits in the rehabilitation of patients. OBJECTIVE: to verify the effects of ETCC on the functional capacity of post-stroke patients, focusing on efficacy and results in the face of individuals' motor disorders. METHOD: The searches were performed in the databases PeDRO, Cochrane, PubMed and MEDLINE. Eligible studies included at least one of the population outcomes ≥ 18 years, resulting from the intervention, therapeutic efficacy and Motor activity. RESULTS:Seven were selected according to the inclusion and exclusion criteria, published between 2015 and 2020. CONCLUSION: ETCC, applied in isolation, can be an effective technique to improve motor deficits after stroke, including injured upper limb function, lower limb strength, unilateral neglect, mobility and Daily Living Activities. It is suggested to carry out further studies for the standardization of a treatment protocol, as well as to verify the best moment of its application in the post-stroke patient.

https://doi.org/10.36557/2674-8169.2024v6n2p2279-2284
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Referências

Nóbrega MF, Nascimento KP, Pinheiro AB, Ribeiro TL da S, Gomes RKG, Freitas CHA, Melo TP, Maniva SJC de F. Assistência de enfermagem ao paciente com acidente cerebrovascular: revisão integrativa da literatura brasileira. Brazilian Journal of Development. 2019;5(11):27462–27478.

Goulart BNG de, , Carlos Podalirio Borges de Almeida2, Mariana Wolf da Silva3 , Nágila Soares Xavier Oenning4 VBL. Characterization of stroke with a focus on oral communication disorders in inpatients of a regional hospital. Audiol Commun Res. 2016;21:1603–1604.

Reis C, Faro A. PSYCHOLOGICAL REPERCUSSIONS AFTER STROKE: A LITERATURE REVIEW. Psic, Saúde & Doenças [Internet]. 2019 Mar 31 [cited 2020 Oct 13];20(1):16–32. Available from: https://www.sp-ps.pt/downloads/download_jornal/614

Andrade SM, de Oliveira EA. Estimulação transcraniana por corrente contínua no tratamento do acidente vascular cerebral: Revisão de literatura. Revista Neurociencias. 2015;23(2):281–290.

Alves CF, Figueredo NR, Oliveira DM, Costa PA, Moura SRG, Oliveira PC, Moreira RC. Atuação da fisioterapia em sequelas de AVC hemorrágico oriundo de malformação arteriovenosa. Brazilian Journal of Health Review. 2019;2(5):4033–4051.

da Silva LVDC, Porto F, Fregni F, Gurgel JL. Transcranial direct-current stimulation in combination with exercise: A systematic review. Revista Brasileira de Medicina do Esporte. 2019;25(6):520–526.

Fregni F, El-Hagrassy MM, Pacheco-Barrios K, Carvalho S, Leite J, Simis M, Brunelin J, Nakamura-Palacios EM, Marangolo P, Venkatasubramanian G, San-Juan D, Caumo W, Bikson M, Brunoni AR, Neuromodulation Center Working Group. Evidence-based guidelines and secondary meta-analysis for the use of transcranial direct current stimulation (tDCS) in neurological and psychiatric disorders. International Journal of Neuropsychopharmacology [Internet]. 2020 Jul 26 [cited 2020 Oct 5];pyaa051. Available from: https://academic.oup.com/ijnp/advance-article/doi/10.1093/ijnp/pyaa051/5876418

García-Rudolph A, Sánchez-Pinsach D, Salleras EO, Tormos JM. Subacute stroke physical rehabilitation evidence in activities of daily living outcomes: A systematic review of meta-analyses of randomized controlled trials. Medicine. 2019 Feb;98(8):e14501. PMID: 30813152

Denissen S, Staring W, Kunkel D, Pickering RM, Lennon S, Geurts AC, Weerdesteyn V, Verheyden GS. Interventions for preventing falls in people after stroke. Cochrane Stroke Group, editor. Cochrane Database of Systematic Reviews [Internet]. 2019 Oct 1 [cited 2020 Oct 5]; Available from: http://doi.wiley.com/10.1002/14651858.CD008728.pub3

Fan J, Li Y, Yang Y, Qu Y, Li S. Efficacy of Noninvasive Brain Stimulation on Unilateral Neglect after Stroke: A Systematic Review and Meta-Analysis. American Journal of Physical Medicine and Rehabilitation. 2018;97(4):261–269. PMID: 28953034

Li Y, Fan J, Yang J, He C, Li S. Effects of transcranial direct current stimulation on walking ability after stroke: A systematic review and meta-analysis. Restorative Neurology and Neuroscience. 2018;36(1):59–71. PMID: 29439362

Elsner B, Kwakkel G, Kugler J, Mehrholz J. Transcranial direct current stimulation (tDCS) for improving capacity in activities and arm function after stroke: A network meta-analysis of randomised controlled trials. Journal of NeuroEngineering and Rehabilitation. Journal of NeuroEngineering and Rehabilitation; 2017;14(1):1–12. PMID: 28903772

Chhatbar PY, Ramakrishnan V, Kautz S, George MS, Adams RJ, Feng W. Transcranial Direct Current Stimulation Post-Stroke Upper Extremity Motor Recovery Studies Exhibit a Dose-Response Relationship. Brain Stimulation. Elsevier Inc.; 2016;9(1):16–26. PMID: 26433609

Lefaucheur J-P, Antal A, Ayache SS, Benninger DH, Brunelin J, Cogiamanian F, Cotelli M, De Ridder D, Ferrucci R, Langguth B, Marangolo P, Mylius V, Nitsche MA, Padberg F, Palm U, Poulet E, Priori A, Rossi S, Schecklmann M, Vanneste S, Ziemann U, Garcia-Larrea L, Paulus W. Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS). Clinical Neurophysiology [Internet]. 2017 Jan [cited 2020 Oct 12];128(1):56–92. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1388245716306344

Di Pino G, Pellegrino G, Assenza G, Capone F, Ferreri F, Formica D, Ranieri F, Tombini M, Ziemann U, Rothwell JC, Di Lazzaro V. Modulation of brain plasticity in stroke: a novel model for neurorehabilitation. Nat Rev Neurol [Internet]. 2014 Oct [cited 2020 Oct 12];10(10):597–608. Available from: http://www.nature.com/articles/nrneurol.2014.162

Buma F, Kwakkel G, Ramsey N. Understanding upper limb recovery after stroke. Restorative Neurology and Neuroscience [Internet]. 2013 [cited 2020 Oct 12];31(6):707–722. Available from: https://www.medra.org/servlet/aliasResolver?alias=iospress&doi=10.3233/RNN-130332

Andrade S, Oliveira E. Treatment of Stroke by Transcranial Direct Current Stimulation: Literature Review. RNC [Internet]. 2015 Jun 30 [cited 2020 Oct 12];23(02):281–290. Available from: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8032

Oliveira TP de, Araújo R de CT, Soares E. Negligência unilateral pós-acidente vascular encefálico: atuação da Terapia Ocupacional. Cadernos de Terapia Ocupacional da UFSCar. 2014;22(2):419–428.

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Copyright (c) 2024 Raynara Fonsêca dos Santos, Luiz Felipe Farias Maia, Igor Gabriel Mendes Costa, Cecília Dias Grandez, Luciana da Silva Brito, Elder Nascimento Pereira