Noninvasive neuromodulation for unilateral neglect after stroke: a systematic review and network meta-analysis.
Network meta-analysis
Noninvasive neuromodulation
Stroke
Systematic review
Unilateral neglect
Journal
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
15
03
2022
accepted:
31
05
2022
pubmed:
7
6
2022
medline:
17
9
2022
entrez:
6
6
2022
Statut:
ppublish
Résumé
To systematically evaluate the effect of noninvasive neuromodulation (NINM) on unilateral neglect (UN) after stroke and compare the effects of different NINMs. Randomized controlled trials (RCTs) on the effect of NINM on UN after stroke were retrieved from the PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang Data, VIP, and CBM databases from inception to January 2022. The risk of bias and quality of the trials were assessed following the Cochrane Handbook of Systematic Reviews and the physiotherapy evidence database PEDro Scale. Statistical analysis was conducted with Stata 16.0 and R 4.0.2. This study was registered on PROSPERO (No. CRD42021295336). A total of 12 RCTs involving 291 patients were included. Meta-analysis showed that NINM could reduce the line bisection test (LBT) score (SMD = - 1.56, 95% CI - 2.10 ~ - 1.03, P < 0.05), the line cancellation test score (SMD = - 1.83, 95% CI - 2.39 ~ - 1.27, P < 0.05), and the star cancellation test score (SMD = - 2.85, 95% CI - 4.93 ~ - 0.76, P < 0.05). Network meta-analysis showed that the best probabilistic ranking of the effects of different NINMs on the LBT score was theta-burst stimulation (TBS) (P = 0.915) > repetitive transcranial magnetic stimulation (P = 0.068) > transcranial direct current stimulation (P = 0.018). Existing evidence showed that NINM could improve UN after stroke and that TBS was best. Due to the number of included studies and sample size, more large-sample, multicenter, double-blinded, high-quality clinical RCTs are still needed in the future to further confirm the results of this research.
Identifiants
pubmed: 35660991
doi: 10.1007/s10072-022-06187-5
pii: 10.1007/s10072-022-06187-5
doi:
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
5861-5874Subventions
Organisme : Shandong Traditional Chinese Medicine Science and Technology Development Planning
ID : No. 2017-018
Organisme : Shandong University of Traditional Chinese Medicine Research and Innovation Outstanding Team
ID : No. 220316
Organisme : Shandong Provincial Universities Scientific Research Development Planning
ID : No. J18KB130
Informations de copyright
© 2022. Fondazione Società Italiana di Neurologia.
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