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Table 1 Main characteristics and outcomes of the reviewed articles

From: Effectiveness of transcranial direct current stimulation on balance and gait in patients with multiple sclerosis: systematic review and meta-analysis of randomized clinical trials

Article

N (analysed)

N° sessions and tDCS parameters (duration, intensity, electrode area)

tDCS electrode placement

Variables

Design

Other therapy

MS type

Baroni et al., 2022

16 (16)

10 sessions

15 min

2 mA

Electrodes of 35 cm2

+: cerebellum right hemisphere

-: ipsilateral buccinator

TUG

8-feet test

DGI

MSWS-12

Pre

Post

After 2 weeks

Task-oriented training

RR

PP

SP

Ehsani et al., 2022

37 (30)

10 sessions

20 min

1.5 mA

Electrodes of 35 cm2

+: cerebellum right hemisphere

-: right buccinator

Biodex balance system

Berg Scale

FES-1

Pre

Post

After 1 month

Postural training

 

Iodice et al., 2015

20 (20)

5 sessions

20 min

2 mA

Electrodes of 35 cm2

+: M1 contralateral to the most affected side

-: supraorbital area contralateral to the anode

MSWS-12

Pre

Post

After 1 week

 

RR

Marotta et al., 2022

17 (17)

10 sessions

20 min

2.5 mA

Electrodes of 25 cm2

+: M1 (C3)

-: supraorbital area

TUG

6MWT

Berg Scale

FRI

Pre

Post

After 4 weeks

After 6 weeks

Conventional physical therapy

RR

Mohammadkhabeigi et al., 2022

29 (29)

5 sessions

20 min

2 mA

Electrodes of 25cm2

+: M1 (CZ)

-: supraorbital area

Berg Scale

TUG

6MWT

Pre

Post

Core stability training

RR

Nguemeni et al., 2022

22 (22)

6 sessions for 2 weeks

15 min

2 mA

Electrodes of 35 cm2

+: cerebellum ipsilateral to the most affected

-: ipsilateral buccinator

FGA

TUG

2-min walking test

50-meters walking test

Pre

Post

After 6 weeks

Split Belt Treadmill

 

Oveisgharan et al., 2019

17 (13)

7 sessions

30 min

2.5 mA/cm2

Electrodes of 16 cm2

+: M1 (CZ)

-: inion

T25FW

MSWS-12

Pre

Post

 

RR

Pilloni et al., 2020 (1)

17 (17)

1 session

20 min

2.5 mA/cm2

Electrodes of 25 cm2

+: M1 (C3)

-: contralateral supraorbital area

10MWT

TUG

Pre

Post

Aerobic exercise

RR

PP

Pilloni et al., 2020 (2)

18 (15)

10 sessions

20 min

2.5 mA/cm2

Electrodes of 25 cm2

+: M1 (C3)

-: FP2

10MWT

2-min walking test

MSWS-12

Pre

Post

Aerobic exercise

RR

PP

Rahimibarghani et al., 2022

50 (39)

12 sessions

25 min

1.5 mA

Electrodes of 16 cm2

+: M1 dominant hemisphere (C3)

-: contralateral shoulder

TUG

2-min walking test

5-min walking test

Pre

Post

After 1 month

Exercise on a stationary bike

RR

PP

SP

Workman et al., 2019

12 (12)

1 session

13 min

2 mA/cm2

Electrodes of 25 cm2

+: contralateral M1 to the most leg affected (C3-C4)

-: contralateral supraorbital area

6MWT

Pre

Post

 

RR

  1. 6MWT: 6-minute Walking Test; 10MWT: 10-minute Walking Test; DGI: Dynamic Gait Index; FGA: Functional Gait Assessment; FP: Frontal Polar; M1: Primary Motor Cortex; MSWS-12: Multiple Sclerosis Walking Scale 12-items; PP: Primary Progressive; RR: Remittent Recurrent; SP: Secondary Progressive; T25FW: 25-feet Walking Test; TUG: Timed Up and Go.