Transcranial direct current stimulation plus concurrent activity may influence task prioritization during walking in people with Parkinson&amp;rsquo;s disease &amp;ndash; initial findings

Criminger, Christina; Swank, Chad; Almutairi, Sattam; Mehta, Jyutika

doi:10.2147/jprls.s161740

Cited by 12 publications

(27 citation statements)

References 26 publications

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“…Seven studies had cross-over design [25,28,34,37,[39][40][41] and ten were controlled trials with parallel arms. Three studies did not mention information regarding how or if experiments were blinded [37,40,42], three studies consisted of single-blind experiments [28,34,36] and eleven studies consisted of double-blind experiments. It is worth mentioning that all the included studies randomly assigned participants into groups/conditions.…”

Section: Methodsmentioning

confidence: 99%

“…Fifteen studies included anodal tDCS protocols targeting a single brain region [28,29,31,[33][34][35][36][37][38][39][40][42][43][44][45] whereas two studies stimulated both hemispheres [25,41]. Thirteen studies used 2 mA [25, 29, 31, 33, 35-39, 41, 43-45], one study used 1.5 mA [42] and three studies used 1 mA [28,34,40].…”

Section: Tdcs Protocolmentioning

confidence: 99%

“…Thirteen studies used 2 mA [25, 29, 31, 33, 35-39, 41, 43-45], one study used 1.5 mA [42] and three studies used 1 mA [28,34,40]. Seven studies used a single session of tDCS protocols [25,28,34,36,37,39,41] and ten studies applied multiple sessions of tDCS protocols, varying between 2 and 16 sessions.…”

Section: Tdcs Protocolmentioning

confidence: 99%

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Transcranial direct current stimulation combined with physical or cognitive training in people with Parkinson’s disease: a systematic review

Beretta

Conceição

Nóbrega‐Sousa

et al. 2020

J NeuroEngineering Rehabil

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Background: Pharmacologic therapy is the primary treatment used to manage Parkinson's disease (PD) symptoms. However, it becomes less effective with time and some symptoms do not respond to medication. Complementary interventions are therefore required for PD. Recent studies have implemented transcranial direct current stimulation (tDCS) in combination with other modalities of interventions, such as physical and cognitive training. Although the combination of tDCS with physical and cognitive training seems promising, the existing studies present mixed results. Therefore, a systematic review of the literature is necessary. Aims: This systematic review aims to (i) assess the clinical effects of tDCS when applied in combination with physical or cognitive therapies in people with PD and; (ii) analyze how specific details of the intervention protocols may relate to findings. Methods: The search strategy detailed the technique of stimulation, population and combined interventions (i.e. cognitive and/or physical training). Only controlled studies were included. Results: Seventeen of an initial yield of 408 studies satisfied the criteria. Studies involved small sample sizes. tDCS protocols and characteristics of combined interventions varied. The reviewed studies suggest that synergistic effects may be obtained for cognition, upper limb function, gait/mobility and posture when tDCS is combined with cognitive and/or motor interventions in PD. Conclusion: The reported results encourage further research to better understand the therapeutic utility of tDCS and to inform optimal clinical use in PD. Future studies in this field should focus on determining optimal stimulation parameters and intervention characteristics for maximal benefits in people with PD.

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Section: Methodsmentioning

confidence: 99%

Section: Tdcs Protocolmentioning

confidence: 99%

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Transcranial direct current stimulation combined with physical or cognitive training in people with Parkinson’s disease: a systematic review

Beretta

Conceição

Nóbrega‐Sousa

et al. 2020

J NeuroEngineering Rehabil

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“…Multitarget tDCS may reduce decoupling between the motor network and the cognitive network, improve connectivity between the prefrontal cortex, the motor cortex, and the subcortical structures and may also increase extra-striatal dopamine release (Dagan et al, 2018). Studies with multitargeting have been done with tDCS to the bilateral premotor cortex (PMC) and M1 (1 mA, 20 min) (Alizad et al, 2019), the bilateral PMC and M1 or the prefrontal cortex (PFC) separately (2 mA, 20 min) (Benninger et al, 2010), the bilateral DLPFC (2 mA, 20 min) (Swank et al, 2016;Criminger et al, 2018), the bilateral PFC separately (2 mA, 20 min) (Capecci et al, 2014), and M1 and the left DLPFC (20 min) (Dagan et al, 2018).…”

Section: Transcranial Direct Current Stimulation Idiopathic Parkinsonmentioning

confidence: 99%

“…• Gait and balance (Benninger et al, 2010;Verheyden et al, 2013;Capecci et al, 2014;Kaski et al, 2014a;Mak and Yu, 2014;Manenti et al, 2014;Valentino et al, 2014;Costa-Ribeiro et al, 2016Schabrun et al, 2016;Swank et al, 2016;Fernandez-Lago et al, 2017;Lattari et al, 2017;Criminger et al, 2018;da Silva et al, 2018;Dagan et al, 2018;Harris et al, 2018;Yotnuengnit et al, 2018;Alizad et al, 2019;Putzolu et al, 2019) • Upper limb function (Fregni et al, 2006;Benninger et al, 2010;Doruk et al, 2014;Salimpour et al, 2015;Costa-Ribeiro et al, 2016;Ferrucci et al, 2016;Schabrun et al, 2016;Cosentino et al, 2017;Ishikuro et al, 2018;Broeder et al, 2019) • Cognition (Nitsche et al, 2005;Boggio et al, 2006;Biundo et al, 2015;Manenti et al, 2016;Elder et al, 2017;Lawrence et al, 2018;Adenzato et al, 2019) • Impulsive pathological gambling behavior (Benussi et al, 2017a) • Speech (Pereira et al, 2013) • Sleep (Hadoush et al, 2018) • Fatigue …”

Section: Mode Of Tesmentioning

confidence: 99%

Non-invasive Transcranial Electrical Stimulation in Movement Disorders

et al. 2020

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Dysfunction within large-scale brain networks as the basis for movement disorders is an accepted hypothesis. The treatment options for restoring network function are limited. Non-invasive brain stimulation techniques such as repetitive transcranial magnetic stimulation are now being studied to modify the network. Transcranial electrical stimulation (tES) is also a portable, cost-effective, and non-invasive way of network modulation. Transcranial direct current stimulation and transcranial alternating current stimulation have been studied in Parkinson's disease, dystonia, tremor, and ataxia. Transcranial pulsed current stimulation and transcranial random noise stimulation are not yet studied enough. The literature in the use of these techniques is intriguing, yet many unanswered questions remain. In this review, we highlight the studies using these four potential tES techniques and their electrophysiological basis and consider the therapeutic implication in the field of movement disorders. The objectives are to consolidate the current literature, demonstrate that these methods are feasible, and encourage the application of such techniques in the near future. Keywords: non-invasive brain stimulation (NIBS), transcranial electrical stimulation (tES), transcranial direct current stimulation (tDCS), transcranial alternating current stimulation (tACS), transcranial pulsed current stimulation (tPCS), transcranial random noise stimulation (tRNS)

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Effects of transcranial direct current stimulation combined with concurrent dual-task walking on mobility, gait, and cognitive outcomes: A systematic review

Usman,

Wong,

2025

Brain Research

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Transcranial direct current stimulation plus concurrent activity may influence task prioritization during walking in people with Parkinson’s disease – initial findings

Cited by 12 publications

References 26 publications

Transcranial direct current stimulation combined with physical or cognitive training in people with Parkinson’s disease: a systematic review

Transcranial direct current stimulation combined with physical or cognitive training in people with Parkinson’s disease: a systematic review

Non-invasive Transcranial Electrical Stimulation in Movement Disorders

Effects of transcranial direct current stimulation combined with concurrent dual-task walking on mobility, gait, and cognitive outcomes: A systematic review

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