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The effect of transcranial direct current stimulation on upper limb motor performance in Parkinson’s disease: a systematic review
- Source :
- Journal of Neurology. 267:3479-3488
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Parkinson’s disease (PD) reduces independence and quality of life through deterioration of upper limb motor function. Transcranial direct current stimulation (tDCS) may offer an alternative, adjunctive therapy for PD. However, the efficacy of tDCS for upper limb motor rehabilitation in PD is unknown. In this systematic review, evidence is compiled regarding the effects of tDCS on upper limb motor function in PD. Studies of tDCS applied to PD patients that assessed upper limb motor function, conducted between January 2000 and November 2018, were screened for inclusion via a systematic search of Medline, Cochrane, PsycINFO, EMBASE, CINAHL, and Web of Science. Ten out of 606 studies were included and their findings synthesized into five categories regarding the effects of tDCS on: (1) Unified Parkinson’s Disease Rating Scale motor section (UPDRS III), (2) upper limb motor tasks, (3) manual dexterity, (4) reaction time, and (5) neurophysiology. When applied to the primary motor cortex, tDCS may improve UPDRS III and the speed and force of movement. Considerable variation was found in tDCS parameters and further study is needed to clarify the long-term effects of tDCS on both simple and complex motor tasks and to compile relevant neurophysiological evidence.
- Subjects :
- medicine.medical_specialty
Parkinson's disease
Neurology
medicine.medical_treatment
Transcranial Direct Current Stimulation
Motor function
Upper Extremity
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Rating scale
medicine
Humans
030212 general & internal medicine
Transcranial direct-current stimulation
business.industry
Motor Cortex
Parkinson Disease
Neurophysiology
medicine.disease
medicine.anatomical_structure
Quality of Life
Upper limb
Neurology (clinical)
Primary motor cortex
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 14321459 and 03405354
- Volume :
- 267
- Database :
- OpenAIRE
- Journal :
- Journal of Neurology
- Accession number :
- edsair.doi.dedup.....89d92bf4ea965477bd82f4d48eec2b3e