Randomized trial of transcranial direct current stimulation for poststroke dysphagia

Published on Feb 1, 2018in Annals of Neurology9.496
· DOI :10.1002/ana.25151
Sonja Suntrup-Krueger7
Estimated H-index: 7
Corinna Ringmaier1
Estimated H-index: 1
+ 8 AuthorsRainer Dziewas34
Estimated H-index: 34
  • References (49)
  • Citations (10)
📖 Papers frequently viewed together
61 Citations
3 Authors (Y. Lin, ..., Y. Wang)
78% of Scinapse members use related papers. After signing in, all features are FREE.
#1Andrea Antal (GAU: University of Göttingen)H-Index: 55
#2Ivan Alekseichuk (GAU: University of Göttingen)H-Index: 6
Last. Walter Paulus (GAU: University of Göttingen)H-Index: 128
view all 40 authors...
Abstract Low intensity transcranial electrical stimulation (TES) in humans, encompassing transcranial direct current (tDCS), transcutaneous spinal Direct Current Stimulation (tsDCS), transcranial alternating current (tACS), and transcranial random noise (tRNS) stimulation or their combinations, appears to be safe. No serious adverse events (SAEs) have been reported so far in over 18,000 sessions administered to healthy subjects, neurological and psychiatric patients, as summarized here. Moderate...
140 CitationsSource
#1Bernhard Sehm (MPG: Max Planck Society)H-Index: 16
2 CitationsSource
#1Sonja Suntrup-Krueger (WWU: University of Münster)H-Index: 7
#2André KemmlingH-Index: 21
Last. Rainer Dziewas (WWU: University of Münster)H-Index: 34
view all 9 authors...
Background and purpose Dysphagia is a well-known complication of acute stroke. Given the complexity of cerebral swallowing control it is still difficult to predict which patients are likely to develop swallowing dysfunction based on their neuroimaging. In Part 2 of a comprehensive voxel-based imaging study, whether the location of a stroke lesion can be correlated with further dysfunctional swallowing patterns, pulmonary protective reflexes and pneumonia was evaluated. Methods In all, 200 acute ...
12 CitationsSource
Summary Transcranial direct current stimulation (tDCS) is a technique of noninvasive cortical stimulation allowing significant modification of brain functions. Clinical application of this technique was reported for the first time in March 2005. This paper presents a detailed list of the 340 articles (excluding single case reports) which have assessed the clinical effect of tDCS in patients, at least when delivered to cortical targets. The reviewed conditions were: pain syndromes, Parkinson's di...
42 CitationsSource
#1Marom Bikson (CCNY: City College of New York)H-Index: 57
#2Pnina Grossman (CCNY: City College of New York)H-Index: 3
Last. Adam J. Woods (UF: University of Florida)H-Index: 21
view all 29 authors...
Abstract This review updates and consolidates evidence on the safety of transcranial Direct Current Stimulation (tDCS). Safety is here operationally defined by, and limited to, the absence of evidence for a Serious Adverse Effect, the criteria for which are rigorously defined. This review adopts an evidence-based approach, based on an aggregation of experience from human trials, taking care not to confuse speculation on potential hazards or lack of data to refute such speculation with evidence f...
278 CitationsSource
#1Marcel ArnoldH-Index: 53
#2Kai Timo LiesirovaH-Index: 3
Last. Hakan SarikayaH-Index: 20
view all 10 authors...
BACKGROUND Reported frequency of post-stroke dysphagia in the literature is highly variable. In view of progress in stroke management, we aimed to assess the current burden of dysphagia in acute ischemic stroke. METHODS We studied 570 consecutive patients treated in a tertiary stroke center. Dysphagia was evaluated by using the Gugging Swallowing Screen (GUSS). We investigated the relationship of dysphagia with pneumonia, length of hospital stay and discharge destination and compared rates of fa...
62 CitationsSource
#1Jessica M. Pisegna (BU: Boston University)H-Index: 7
#2Asako Kaneoka (BU: Boston University)H-Index: 6
Last. Susan E. Langmore S E (BU: Boston University)H-Index: 33
view all 5 authors...
Abstract Objective The primary aim of this review is to evaluate the effects of non-invasive brain stimulation on post-stroke dysphagia. Methods Thirteen databases were systematically searched through July 2014. Studies had to meet pre-specified inclusion and exclusion criteria. Each study's methodological quality was examined. Effect sizes were calculated from extracted data and combined for an overall summary statistic. Results Eight randomized controlled trials were included. These trials rev...
39 CitationsSource
#1Jeffery J. Summers (LJMU: Liverpool John Moores University)H-Index: 45
#2Nyeonju Kang (UF: University of Florida)H-Index: 8
Last. James H. Cauraugh (UF: University of Florida)H-Index: 42
view all 3 authors...
The use of transcranial direct current stimulation (tDCS) to enhance cognitive and motor functions has enjoyed a massive increase in popularity. Modifying neuroplasticity via non-invasive cortical stimulation has enormous potential to slow or even reverse declines in functions associated with ageing. The current meta-analysis evaluated the effects of tDCS on cognitive and motor performance in healthy older adults. Of the 81 studies identified, 25 qualified for inclusion. A random effects model m...
65 CitationsSource
#1Polly ScuttH-Index: 11
#2Han S. LeeH-Index: 2
Last. Philip M.W. Bath (University of Nottingham)H-Index: 67
view all 4 authors...
Background. Dysphagia after stroke is common, associated independently with poor outcome, and has limited treatment options. Pharyngeal electrical stimulation (PES) is a novel treatment being evaluated for treatment of poststroke dysphagia. Methods. We searched electronically for randomised controlled trials of PES in dysphagic patients within 3 months of stroke. Individual patient data were analysed using regression, adjusted for trial, age, severity, and baseline score. The coprimary outcomes ...
20 CitationsSource
#1Michelle N. McDonnell (UniSA: University of South Australia)H-Index: 20
#2Simon A. Koblar (University of Adelaide)H-Index: 28
Last. Michael C. Ridding (University of Adelaide)H-Index: 48
view all 6 authors...
Background Evidence in animal stroke models suggests that neuroplasticity takes place maximally in a specific time window after an ischaemic lesion, which may coincide with the optimal time to intervene with rehabilitation. The aim of this study is to investigate neurophysiological evidence for a “critical window” of enhanced neuroplasticity in patients following ischaemic stroke, and establish its duration. We will also investigate changes in cortical inhibition following stroke, and the influe...
10 CitationsSource
Cited By10
#1Robert W. Regenhardt (Harvard University)H-Index: 11
#2Hajime Takase (Harvard University)H-Index: 11
Last. David Lin (Harvard University)H-Index: 12
view all 4 authors...
Stroke is among the most common causes of adult disability worldwide, and its disease burden is shifting towards that of a long-term condition. Therefore, the development of approaches to enhance recovery and augment neural repair after stroke will be critical. Recovery after stroke involves complex interrelated systems of neural repair. There are changes in both structure (at the molecular, cellular, and tissue levels) and function (in terms of excitability, cortical maps, and networks) that oc...
#1Hanna Lu (CUHK: The Chinese University of Hong Kong)H-Index: 4
#2Sandra S. M. Chan (CUHK: The Chinese University of Hong Kong)H-Index: 22
Last. Lam Linda Chiu Wa (CUHK: The Chinese University of Hong Kong)H-Index: 1
view all 6 authors...
Objective To examine the efficacy and safety of combined transcranial direct current stimulation (tDCS) and working memory training (WMT) in enhancing the cognitive functions for individuals with mild neurocognitive disorder due to AD (NCD‐AD).
1 CitationsSource
#1Patricia Hägglund (Umeå University)H-Index: 2
#2Mary Hägg (Uppsala University)H-Index: 6
Last. Eva Levring Jäghagen (Umeå University)H-Index: 11
view all 4 authors...
Effects of oral neuromuscular training on swallowing dysfunction among older people in intermediate care - a cluster randomized, controlled trial
#1Domenico A. RestivoH-Index: 20
#2Enrico AlfonsiH-Index: 22
Last. Mario Stampanoni BassiH-Index: 10
view all 11 authors...
Abstract Objective: we investigated the effect of anodal transcranial direct current stimulation (tDCS) applied over the pharyngeal motor area in dysphagia associated with multiple sclerosis (MS). Methods: Eighteen MS patients with dysphagia associated with brainstem involvement were randomized to receive either “real” or “sham” tDCS. Primary outcome: The Penetration/Aspiration Scale (PAS). Secondary outcomes: changes in electromyographic (EMG) parameters and pharyngeal cortical motor evoked pot...
In diesem Kapitel werden alle neurologischen Funktionsstorungen, deren Behandlung zu den logopadischen Aufgaben gehort, systematisch dargestellt: Sensibilitatsstorungen des Gesichts und/oder Mundes, Funktionsstorungen der mimischen Muskulatur, Funktionsstorungen der Kaumuskulatur und Zungenmuskulatur, Storungen des Schluckens, Sprechens und der Sprache sowie abschliesend das apallische Syndrom und das Locked-in-Syndrom. Die Darstellung beginnt bei den funktionellen und anatomischen Grundlagen ub...
#1David Lin (Harvard University)H-Index: 12
#2Seth P. Finklestein (Harvard University)H-Index: 53
Last. Steven C. Cramer (UCI: University of California, Irvine)H-Index: 65
view all 3 authors...
1 CitationsSource
Purpose of Review This review gives an outline of the current state of knowledge on swallowing-related neurophysiology, neuroplasticity mechanisms following dysphagic stroke and neuromodulatory treatment approaches to enhance recovery processes for faster and better rehabilitation of post-stroke dysphagia.
#1Philip M.W. Bath (Nottingham City Hospital)H-Index: 67
#2Han S. Lee (Nottingham City Hospital)H-Index: 2
Last. Lisa F. Everton (Nottingham City Hospital)H-Index: 2
view all 3 authors...
5 CitationsSource
#1Ching-Fang Chiang (NTU: National Taiwan University)H-Index: 3
#2Meng-Ting Lin (NTU: National Taiwan University)H-Index: 3
Last. Tyng-Guey Wang (NTU: National Taiwan University)H-Index: 26
view all 6 authors...
Abstract Objective To investigate the effectiveness of noninvasive neurostimulation therapies in patients with poststroke dysphagia. Data Sources Electronic databases, including Embase, PubMed, Scopus, and the Cochrane Library, were searched up to May 31, 2018. Study Selection All published randomized controlled trials (RCTs) comparing neurostimulation therapies, including repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), surface neuromuscular e...
3 CitationsSource
#1Shinsuke FujiokaH-Index: 17
#2Yoshio TsuboiH-Index: 36
Last. Joseph H. FriedmanH-Index: 65
view all 3 authors...
Neurodegenerative ataxic disorders in humans can be devastating conditions due to the lack of disease-modifying therapies or effective symptomatic treatments, although several therapeutic modalities have proved effective in animal models.1 Neurodegenerative ataxic disorders include sporadic conditions such as multiple system atrophy and inherited diseases such as autosomal dominant cerebellar ataxias, autosomal recessive cerebellar ataxias, hereditary spinocerebellar ataxias (SCAs), and mitochon...
1 CitationsSource