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远程监督经颅直流电刺激在中风后恢复中的应用:一项范围综述。

Remotely Supervised Transcranial Direct Current Stimulation in Post-Stroke Recovery: A Scoping Review.

作者信息

Kocahasan Melike, Stockbridge Melissa D, Stilling Joan, Utianski Rene L, Sebastian Rajani, Keser Zafer

机构信息

School of Medicine, Koc University, Istanbul 34450, Turkey.

Department of Neurology, Johns Hopkins University, Baltimore, MD 21287, USA.

出版信息

Medicina (Kaunas). 2025 Mar 29;61(4):627. doi: 10.3390/medicina61040627.


DOI:10.3390/medicina61040627
PMID:40282918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12029044/
Abstract

: Stroke is a leading cause of disability worldwide. Recent studies have suggested the feasibility and potential utility of remotely supervised transcranial direct current stimulation (RS-tDCS) to improve different types of impairments in various neurological conditions. This scoping review provides a critical appraisal of RS-tDCS as an adjunct therapy to enhance recovery after stroke. : A comprehensive literature review was systematically conducted using PubMed through Nested Knowledge software. A supplementary search was conducted in Google Scholar. Two independent authors screened and identified related studies investigating RS-tDCS in patients with stroke from inception to February 2025. : Studies showed that RS-tDCS was safe, with only mild side effects. Additionally, it was feasible, with high adherence rates likely due to ease of use. Regarding efficacy, RS-tDCS preliminarily yielded improvements in upper- and lower-limb motor functions and increased language and cognitive performance. However, the studies were underpowered and heterogeneous, limiting generalization of findings. : RS-tDCS is safe and feasible, affording beneficial effects in the motor, language, and cognitive functions of patients with post-stroke impairments. RS-tDCS has the potential to improve access and reduce disparities for post-stroke experimental treatments. However, adequately powered randomized trials are needed to further investigate the efficacy.

摘要

中风是全球残疾的主要原因。最近的研究表明,远程监督经颅直流电刺激(RS-tDCS)在改善各种神经疾病的不同类型损伤方面具有可行性和潜在效用。本范围综述对RS-tDCS作为中风后促进恢复的辅助疗法进行了批判性评估。:通过嵌套知识软件使用PubMed系统地进行了全面的文献综述。在谷歌学术上进行了补充搜索。两位独立作者筛选并确定了从开始到2025年2月调查中风患者RS-tDCS的相关研究。:研究表明,RS-tDCS是安全的,只有轻微的副作用。此外,它是可行的,由于使用方便,依从率很高。关于疗效,RS-tDCS初步改善了上肢和下肢的运动功能,并提高了语言和认知表现。然而,这些研究的样本量不足且具有异质性,限制了研究结果的推广。:RS-tDCS是安全可行的,对中风后损伤患者的运动、语言和认知功能具有有益影响。RS-tDCS有可能改善中风后实验性治疗的可及性并减少差异。然而,需要有足够样本量的随机试验来进一步研究其疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8025/12029044/1ee2d43b320a/medicina-61-00627-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8025/12029044/43817383b4df/medicina-61-00627-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8025/12029044/1ee2d43b320a/medicina-61-00627-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8025/12029044/43817383b4df/medicina-61-00627-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8025/12029044/1ee2d43b320a/medicina-61-00627-g002.jpg

相似文献

[1]
Remotely Supervised Transcranial Direct Current Stimulation in Post-Stroke Recovery: A Scoping Review.

Medicina (Kaunas). 2025-3-29

[2]
Transcranial direct current stimulation (tDCS) for improving activities of daily living, and physical and cognitive functioning, in people after stroke.

Cochrane Database Syst Rev. 2016-3-21

[3]
Non-pharmacological interventions for improving language and communication in people with primary progressive aphasia.

Cochrane Database Syst Rev. 2024-5-29

[4]
Examining the effectiveness of motor imagery combined with non-invasive brain stimulation for upper limb recovery in stroke patients: a systematic review and meta-analysis of randomized clinical trials.

J Neuroeng Rehabil. 2024-11-30

[5]
Transcranial direct current stimulation (tDCS) for improving function and activities of daily living in patients after stroke.

Cochrane Database Syst Rev. 2013-11-15

[6]
Non-invasive brain stimulation techniques for chronic pain.

Cochrane Database Syst Rev. 2018-3-16

[7]
The effect of transcranial direct current stimulation combined with task-specific training on spatio-temporal gait parameters and functional mobility in individuals with stroke: a systematic review and meta-analysis.

Top Stroke Rehabil. 2025-5

[8]
Effects of transcranial direct current stimulation on lower limb function, balance and quality of life after stroke: a systematic review and meta-analysis.

Neurol Res. 2023-9

[9]
Comparative efficacy of different noninvasive brain stimulation protocols on upper-extremity motor function and activities of daily living after stroke: a systematic review and network meta-analysis.

Neurol Sci. 2024-8

[10]
Nutritional therapy for reducing disability and improving activities of daily living in people after stroke.

Cochrane Database Syst Rev. 2024-8-15

本文引用的文献

[1]
Feasibility of Remotely Supervised Transcranial Direct Current Stimulation (RS-tDCS) for People with Stroke-Induced and Progressive Aphasia.

Aphasiology. 2023

[2]
Transcranial Direct Current Stimulation to Provide Neuroprotection and Enhance Cerebral Blood Flow in Stroke: A Comprehensive Review.

Medicina (Kaunas). 2024-12-14

[3]
Prevalence and Risk Factors of Poststroke Cognitive Impairment: A Systematic Review and Meta-Analysis.

Public Health Nurs. 2025

[4]
Socioeconomic Status and Stroke: A Review of the Latest Evidence on Inequalities and Their Drivers.

Stroke. 2025-3

[5]
Neuromodulation for Post-Stroke Motor Recovery: a Narrative Review of Invasive and Non‑Invasive Tools.

Curr Neurol Neurosci Rep. 2023-12

[6]
Advances in Stroke Neurorehabilitation.

J Clin Med. 2023-10-25

[7]
Prevalence and factors influencing cognitive impairment among the older adult stroke survivors: a cross-sectional study.

Front Public Health. 2023

[8]
Subacute aphasia recovery is associated with resting-state connectivity within and beyond the language network.

Ann Clin Transl Neurol. 2023-9

[9]
High-definition Cathodal Direct Current Stimulation for Treatment of Acute Ischemic Stroke: A Randomized Clinical Trial.

JAMA Netw Open. 2023-6-1

[10]
Cognitive Impairment After Ischemic and Hemorrhagic Stroke: A Scientific Statement From the American Heart Association/American Stroke Association.

Stroke. 2023-6

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