Effectiveness of transcranial direct current stimulation on hand dexterity in stroke patients: a protocol for a systematic review and meta-analysis.
neurology
rehabilitation medicine
stroke
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
16 Feb 2022
16 Feb 2022
Historique:
entrez:
17
2
2022
pubmed:
18
2
2022
medline:
21
4
2022
Statut:
epublish
Résumé
Hand dexterity is the ability to execute the skilful movements using the hand and fingers. It is commonly impaired poststroke resulting in a profound deterioration in the quality of life for patients with stroke. Transcranial direct current stimulation (tDCS) is a form of non-invasive brain stimulation, which has gained a popularity as an adjunct therapy in recovering motor dysfunction poststroke. Promising results have been gained from applying tDCS in combination with motor rehabilitation, however, the outcome of tDCS on the upper limb motor function poststroke has been varied. Different results are potentially related to the discrepancy of the area of brain stimulation. Therefore, we aim to enhance the application of tDCS to improve its effectiveness in recovering hand dexterity through testing our hypothesis that stimulating the primary motor cortex could improve fine dexterity more than gross dexterity. This protocol has been reported according to Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols guidelines. CENTRAL, MEDLINE, EMBASE, SCOPUS, Web of Science and CINAHL databases will be searched with no restriction in language and publication date. The selected studies will be randomised controlled trial investigating the effect of tDCS alone or in combination with motor rehabilitation in improving hand dexterity of patients with stroke with upper limb hemiparesis. The outcomes of interest are fine and gross hand dexterity measures. Two independent reviewers will assess the eligibility of the study, extract data and appraise the methodological quality. The data will be pooled in a meta-analysis if applicable or interpreted narratively. Grading of Recommendations, Assessment, Development and Evaluation approach will be used to assess the overall quality of evidence for the fine and gross dexterity measures. Ethical approval is not required for this study. The dissemination plan is to publish the results in a peer-review journal and presenting results in a conference. CRD42021262186.
Identifiants
pubmed: 35173006
pii: bmjopen-2021-056064
doi: 10.1136/bmjopen-2021-056064
pmc: PMC8852708
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e056064Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Stroke. 2009 Apr;40(4):1386-91
pubmed: 19228851
Stat Med. 2002 Jun 15;21(11):1539-58
pubmed: 12111919
Int J Stroke. 2015 Apr;10(3):306-16
pubmed: 24148111
Neurorehabil Neural Repair. 2011 Nov-Dec;25(9):819-29
pubmed: 21803933
Lancet Neurol. 2020 Apr;19(4):348-360
pubmed: 32004440
Aust J Physiother. 2009;55(2):129-33
pubmed: 19463084
Brain. 2005 Mar;128(Pt 3):490-9
pubmed: 15634731
BMJ. 2003 Sep 6;327(7414):557-60
pubmed: 12958120
Disabil Rehabil. 2016;38(7):653-60
pubmed: 26061222
Brain Stimul. 2016 Sep-Oct;9(5):641-661
pubmed: 27372845
Neurotherapeutics. 2008 Apr;5(2):345-61
pubmed: 18394576
Stroke. 2003 Sep;34(9):2181-6
pubmed: 12907818
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Clin Neurophysiol. 2016 Jan;127(1):946-955
pubmed: 25998205
J Stroke Cerebrovasc Dis. 2021 Jun;30(6):105774
pubmed: 33848906
Clin Rehabil. 2005 Jun;19(4):404-11
pubmed: 15929509
BMJ. 2015 Jan 02;350:g7647
pubmed: 25555855
Restor Neurol Neurosci. 2015;33(6):911-26
pubmed: 26484700
Neurobiol Aging. 2010 Dec;31(12):2160-8
pubmed: 19201066
Stroke. 2001 Jul;32(7):1635-9
pubmed: 11441212
Top Stroke Rehabil. 2003 Spring;10(1):1-7
pubmed: 12970828
Clin Neurophysiol. 2003 Apr;114(4):600-4
pubmed: 12686268
Neurorehabil Neural Repair. 2006 Dec;20(4):444-54
pubmed: 17082499
Aust J Physiother. 2005;51(2):119-22
pubmed: 15924514
JAMA. 1990 Mar 9;263(10):1385-9
pubmed: 2406472
Disabil Rehabil. 2022 Jan;44(1):13-23
pubmed: 32394750
J Physiol. 2003 Nov 15;553(Pt 1):293-301
pubmed: 12949224
Int J Epidemiol. 2002 Feb;31(1):140-9
pubmed: 11914310
Neuroimage. 2011 Apr 1;55(3):1147-58
pubmed: 21238594
BMJ. 1997 Sep 13;315(7109):629-34
pubmed: 9310563
Brain Stimul. 2020 May - Jun;13(3):707-716
pubmed: 32289702
J Physiol. 2000 Sep 15;527 Pt 3:633-9
pubmed: 10990547
Arch Phys Med Rehabil. 2017 Mar;98(3):456-462
pubmed: 27519928
Brain Res. 1998 Aug 24;803(1-2):1-8
pubmed: 9729235
Exp Brain Res. 2005 Sep;166(1):126-36
pubmed: 16021431
J Neurol Sci. 2000 May 1;176(1):45-56
pubmed: 10865092
Phys Ther. 2003 Aug;83(8):713-21
pubmed: 12882612
Stroke. 2005 Jul;36(7):1480-4
pubmed: 15947263
Curr Opin Neurol. 2005 Dec;18(6):667-74
pubmed: 16280678
J Stroke Cerebrovasc Dis. 2004 Jul-Aug;13(4):171-7
pubmed: 17903971
Clin Neurophysiol. 2017 Jan;128(1):56-92
pubmed: 27866120
Neural Plast. 2019 Nov 16;2019:1372138
pubmed: 31827495
Sci Rep. 2021 Feb 24;11(1):4464
pubmed: 33627717
Ann Neurol. 2004 Mar;55(3):400-9
pubmed: 14991818
Arch Phys Med Rehabil. 2001 Jan;82(1):14-9
pubmed: 11239280
Brain. 2019 Aug 1;142(8):2182-2197
pubmed: 31257411
Aust Fam Physician. 2006 Aug;35(8):635-8
pubmed: 16894442
Exp Brain Res. 1999 Dec;129(4):559-72
pubmed: 10638430
J Hand Ther. 2013 Apr-Jun;26(2):162-70; quiz 171
pubmed: 22964028
J Neurol Neurosurg Psychiatry. 2016 Apr;87(4):345-55
pubmed: 26319437
J Clin Epidemiol. 2011 Apr;64(4):383-94
pubmed: 21195583