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Efficacy of transcranial direct current stimulation in patients with dysphagia after stroke: a systematic review.

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Title: Efficacy of transcranial direct current stimulation in patients with dysphagia after stroke: a systematic review.
Authors: Cenci, Giulia Isadora (AUTHOR), Rocha, Rebeka Bustamante (AUTHOR), Ferreira Bomtempo, Fernanda (AUTHOR), Nager, Gabriela Borges (AUTHOR), Silva, Guilherme Diogo (AUTHOR), Figueiredo, Eberval Gadelha (AUTHOR), Telles, João Paulo Mota (AUTHOR)
Source: Neurological Sciences. May2024, Vol. 45 Issue 5, p2119-2125. 7p.
Subjects: Transcranial direct current stimulation, Stroke, Deglutition disorders, Brain stimulation
Abstract: Background: Swallowing is a complex function that can be disrupted after stroke. Transcranial Direct Current Stimulation (tDCS) is a non-invasive brain stimulation therapy that recently has been tested to treat stroke-related dysphagia. Methods: The authors performed a search in the literature to review the described evidence of the use of tDCS in dysphagia after stroke. Three electronic databases were searched. The risk of bias evaluation was carried out through the RoB-2 tool. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework was also implemented. Results: Of 265 articles, only nine studies were included in this review. The most common location of the tDCS stimulation was the unaffected hemisphere (44%). Regarding the outcome measure, the Dysphagia Outcome and Severity Scale (DOSS) was the most commonly used (55%). However, due to the high heterogeneity of the protocols, and considering the differences between the types of stroke, the authors opted not to perform a metanalysis. Instead, a systematic review with a thorough analysis of each individual study and the impact of the differences to the outcomes was preferred. Conclusions: The final considerations are that even though the majority of studies described benefits from tDCS in post-stroke dysphagia, as they present too many methodological differences, it is not possible to compare them. In addition, many articles included patients with less than 6 months after stroke, which is an important bias as the swallowing function can be recovered spontaneously within this period, turning the certainty of the evidence really low. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Efficacy of transcranial direct current stimulation in patients with dysphagia after stroke: a systematic review.
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  Data: <searchLink fieldCode="AR" term="%22Cenci%2C+Giulia+Isadora%22">Cenci, Giulia Isadora</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rocha%2C+Rebeka+Bustamante%22">Rocha, Rebeka Bustamante</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ferreira+Bomtempo%2C+Fernanda%22">Ferreira Bomtempo, Fernanda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nager%2C+Gabriela+Borges%22">Nager, Gabriela Borges</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silva%2C+Guilherme+Diogo%22">Silva, Guilherme Diogo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Figueiredo%2C+Eberval+Gadelha%22">Figueiredo, Eberval Gadelha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Telles%2C+João+Paulo+Mota%22">Telles, João Paulo Mota</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. May2024, Vol. 45 Issue 5, p2119-2125. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Transcranial+direct+current+stimulation%22">Transcranial direct current stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition+disorders%22">Deglutition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+stimulation%22">Brain stimulation</searchLink>
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  Data: Background: Swallowing is a complex function that can be disrupted after stroke. Transcranial Direct Current Stimulation (tDCS) is a non-invasive brain stimulation therapy that recently has been tested to treat stroke-related dysphagia. Methods: The authors performed a search in the literature to review the described evidence of the use of tDCS in dysphagia after stroke. Three electronic databases were searched. The risk of bias evaluation was carried out through the RoB-2 tool. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework was also implemented. Results: Of 265 articles, only nine studies were included in this review. The most common location of the tDCS stimulation was the unaffected hemisphere (44%). Regarding the outcome measure, the Dysphagia Outcome and Severity Scale (DOSS) was the most commonly used (55%). However, due to the high heterogeneity of the protocols, and considering the differences between the types of stroke, the authors opted not to perform a metanalysis. Instead, a systematic review with a thorough analysis of each individual study and the impact of the differences to the outcomes was preferred. Conclusions: The final considerations are that even though the majority of studies described benefits from tDCS in post-stroke dysphagia, as they present too many methodological differences, it is not possible to compare them. In addition, many articles included patients with less than 6 months after stroke, which is an important bias as the swallowing function can be recovered spontaneously within this period, turning the certainty of the evidence really low. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: May2024
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