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۱Transcranial direct current stimulation in post–stroke dysphagia: a systematic review of randomized controlled trials
اطلاعات انتشار: Reviews in Clinical Medicine، سوم،شماره۳، ۲۰۱۶، سال
تعداد صفحات: ۵
Introduction: The aim of this research was to systematically review all the randomized controlled trials that have evaluated the effect of transcranial direct current stimulation (tDCS) on post–stroke dysphagia. Methods: Three electronic databases were searched for relevant articles that were uploaded from their inception to March 2015: PubMed, Cochrane Library (Cochrane Central Register of Controlled Trials), and Scopus. All data was that was related to the location of the cerebrovascular accident (CVA), the parameters of tDCS, post–stroke time to commencement of tDCS, the stimulated hemisphere, stimulation dose, any outcome measurements, and follow–up duration were extracted and assessed. Finally, a number of observations were generated through a qualitative synthesis of the extracted data.Result: Three eligible randomized controlled trials were included in the systematic review. All three trials reported that, in comparison to a placebo, tDCS had a statistically significant effect on post–stroke dysphagia.Discussion: The results of our systematic review suggest that tDCS may represent a promising novel treatment for post–stroke dysphagia. However, to date, little is known about the optimal parameters of tDCS for relieving post–stroke dysphagia. Further studies are warranted to refine this promising intervention by exploring the optimal parameters of tDCS.Conclusion: Since brainstem swallowing centers have bilateral cortical innervations, measures that enhance cortical input and sensorimotor control of brainstem swallowing may facilitate recovery from dysphagia.
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