The effect of transcranial direct current stimulation on upper limb motor performance in Parkinson's disease: a systematic review.

Abstract:

BACKGROUND AND PURPOSE: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. METHODS: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. RESULTS: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. CONCLUSIONS: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.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Simpson MW,Mak M

doi

10.1007/s00415-019-09385-y

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

3479-3488

issue

12

eissn

0340-5354

issn

1432-1459

pii

10.1007/s00415-019-09385-y

journal_volume

267

pub_type

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