THE ROLE OF NON-INVASIVE BRAIN STIMULATION ON PHYSICAL FUNCTION AND QUALITY OF LIFE PATIENTS AFTER STROKE.
DOI:
https://doi.org/10.61919/jhrr.v2i2.20Keywords:
Systematic Review, Transcranial Magnetic Stimulation, Meta-Analysis, Motor Function, Non-Invasive Brain Stimulation, Quality of Life, Stroke, Transcranial Direct Current StimulationAbstract
Background
Non-invasive brain stimulation, which has emerged as a successful additional treatment for the physical rehabilitation of stroke patients, includes a number of different types of stimulation, two of which are transcranial direct current and magnetic stimulation. Regrettably, research on the effect of NIBS on the quality of life and physical function among stroke survivors has shown conflicting results.
Objective
Aim of the current systematic review was to evaluate the impact of NIB stimulation on quality of life and physical functioning among the stroke survivors.
Materials & Methods
A comprehensive search of research databases was carried out in order to locate clinical trials that investigated the impact of NIBS on the physical function of stroke survivors as well as the quality of their life. Cochrane risk-of-bias (RoB 2) tool was used for quality assessment and to detect level of bias while ROBINS-I which was discover in non-randomised studies of interventions tool was used for studies which were not fully clinical trials. a matter analysis was also performed to detect standard mean difference far motor function and quality of life.
Results
there were identified total of 23 studies to include in this review. It was saying that NIBS showed significantly positive affect on physical function Vida standard mean difference of 0.46 and quality of life having standard mean defence of 0.39. Subgroup analysis conducted between acute subacute or chronic patients showed no significant difference.
Conclusion
According to the findings of the study, tDCS and TMS both modalities have a positive effective influence on the rehabilitation process after a stroke in terms of the improvement of a patient's physical function and their overall quality of life. However, Further research is required to define parameters such as dosage, type of modality, and follow up effect of NIBS on post stroke survivors.
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