tDCS in the Context of Rehabilitation

Simis, Marcel; Morales, Leon; Marduy, Anna; Fregni, Felipe

doi:10.1007/978-3-030-76136-3_34

Cited by 1 publication

(1 citation statement)

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“…tDCS is being studied in the context of rehabilitation and has been associated with exponential growth ( Barboza et al, 2023 ). It is currently understood that tDCS can alter and strengthen synaptic activity and promote neuroplasticity, making it a valuable tool in the framework of rehabilitation ( Simis et al, 2021 ). Studies have shown that tDCS can improve true recognition and reduce false memories in healthy older people, suggesting that it can enhance cognitive functioning ( Meléndez et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Non-invasive neuromodulation in reducing the risk of falls and fear of falling in community-dwelling older adults: systematic review

Bueno,

do Bomfim,

Campos

et al. 2024

Front. Aging Neurosci.

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IntroductionNeuromodulation is a non-invasive technique that allows for the modulation of cortical excitability and can produce changes in neuronal plasticity. Its application has recently been associated with the improvement of the motor pattern in older adults individuals with sequelae from neurological conditions.ObjectiveTo highlight the effects of non-invasive neuromodulation on the risk of falls and fear of falling in community-dwelling older adults.MethodsSystematic review conducted in accordance with the items of the Cochrane Handbook for Systematic Reviews of Interventions. Searches were carried out in electronic databases: CENTRAL, Clinical Trials, LILACS, PEDro, PubMed, Web of Science, between 13/06/2020 and 20/09/2023, including all indexed texts without language and publication date restrictions, randomized controlled clinical trials, which presented as their main outcome non-invasive neuromodulation for reducing the fear of falling and risk of falls in the older adults, regardless of gender.ResultsAn extensive search identified 9 eligible studies for qualitative synthesis from 8,168 potential articles. Rigorous filtering through automated tools, title/abstract screening, and full-text evaluation ensured a focused and relevant selection for further analysis. Most studies (80%) used transcranial direct current electrical stimulation as an intervention, over the motor cortex or cerebellum area, with anodal current and monopolar electrode placement. The intensity ranged from 1.2 mA to 2 mA, with a duration of 20 min (80%). The profile of the research participants was predominantly individuals over 65 years old (80%), with a high risk of falls (60%) and a minority reporting a fear of falling (40%). The outcomes were favorable for the use of neuromodulation for the risk of falls in the older adults, through improvements in static and dynamic balance.ConclusionThe results may have limited applicability to direct outcomes related to the risk of falls, in addition to evidence regarding the difference or lack thereof in applicability between genders, fallers and non-fallers, as well as older adults individuals with low and high fear of falling.Systematic review registrationThe protocol for this review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) to obtain the identification of ongoing research (ID: 222429).

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Section: Introductionmentioning

confidence: 99%