Systematic Review and Network Meta-Analysis of Noninvasive Brain Stimulation on Dysphagia after Stroke

Background. Dysphagia is a common sequelae after stroke. Noninvasive brain stimulation (NIBS) is a tool that has been used in the rehabilitation process to modify cortical excitability and improve dysphagia. Objective. To systematically evaluate the effect of NIBS on dysphagia after stroke and compa...

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Bibliographic Details
Published in:Journal of neural transplantation & plasticity 2021, Vol.2021, p.3831472-13
Main Authors: Li, Lingling, Huang, Hailiang, Jia, Yuqi, Yu, Ying, Liu, Zhiyao, Shi, Xin, Wang, Fangqi
Format: Article
Language:English
Subjects:
Analysis
Bias
Brain research
Clinical trials
Deglutition disorders
Deglutition Disorders - etiology
Deglutition Disorders - physiopathology
Deglutition Disorders - therapy
Dysphagia
Humans
Intervention
Medical research
Medicine, Experimental
Meta-analysis
Nervous system
Network Meta-Analysis
Randomized Controlled Trials as Topic - methods
Rehabilitation
Research methodology
Review
Software
Statistical analysis
Stroke
Stroke (Disease)
Stroke - complications
Stroke - physiopathology
Stroke - therapy
Systematic review
Transcranial Direct Current Stimulation - methods
Transcranial magnetic stimulation
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Summary:Background. Dysphagia is a common sequelae after stroke. Noninvasive brain stimulation (NIBS) is a tool that has been used in the rehabilitation process to modify cortical excitability and improve dysphagia. Objective. To systematically evaluate the effect of NIBS on dysphagia after stroke and compare the effects of two different NIBS. Methods. Randomized controlled trials about the effect of NIBS on dysphagia after stroke were retrieved from databases of PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang Data, VIP, and CBM, from inception to June 2021. The quality of the trials was assessed, and the data were extracted according to the Cochrane Handbook for Systematic Reviews of Interventions. A statistical analysis was carried out using RevMan 5.3 and ADDIS 1.16.8. The effect size was evaluated by using the standardized mean difference (SMD) and a 95% confidence interval (CI). Results. Ultimately, 18 studies involving 738 patients were included. Meta-analysis showed that NIBS could improve the dysphagia outcome and severity scale (DOSS) score (standard mean difference SMD=1.44, 95% CI 0.80 to 2.08, P
ISSN:2090-5904
0792-8483
1687-5443
DOI:10.1155/2021/3831472