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Table 2 Main characteristics and outcomes of the reviewed articles

From: Combining transcranial direct-current stimulation with gait training in patients with neurological disorders: a systematic review

Article

Pathology; N for the intervention group

Area of application and tDCS parameters (current density; duration)

Number of sessions; intervals

Design

Order of application; control group

Variables

Gait rehabilitation treatment; duration

Effect versus placebo (% difference, p)

Geroin et al., 2011 [23]

Stroke;

N = 10.

A = PMI- affected LL, C = SO

to-CL;

DC: 0,04 mA/cm2; 7 min.

10 s;

2 weeks.

EV.1 = Pre

EV.2 = Post

EV.3 = 2 weeks post

ONLINE; Off since the beginning.

6MWT, 10MWT, BPG, FAC, RMI, MILS, MAS.

Exoskeleton robot; 20 min.

SNS

Manji et al., 2018 [24]

Stroke;

N = 30.

(crossover design)

A = 3.5 cm anterior to Cz (SMA),

C = EOC; DC: 0.04 mA/cm2; 20 min.

7 s;

1 week

(3-day washout period)

EV.1 = Pre

EV.2 = Post

ONLINE;

UNK.

10MWT, TUG, FMA, POMA, TIS.

Exoskeleton-robot; 20 min.

↓10MWT (9.09%, p = 0.046) and ↓TUG (5.29%, p = 0.026)

Yotnuengnit et al., 2017 [26]

PD;

N = 17.

A = Cz (PMA-LL), C = SOA;

DC: 0.06 mA/cm2; 30 min.

6 s;

2 weeks.

EV.1 = Pre

EV.2 = Post

EV.3 = 2 weeks post

EV.4 = 6 weeks post

OFFLINE; Gradually off after 1 min.

BPG, UPDRS.

Conventional physiotherapy; 30 min.

SNS

Chang, Kim, & Park., 2015 [18]

Stroke;

N = 12

A = APC of TA (PMA-affected LL), C = SOA-CL;

A = 0.28 mA/cm2, C = 0.07 mA/cm2; 10 min.

10 s; 2 weeks.

EV.1 = pre

EV.2 = 1 day post

ONLINE; Off after 15 s.

MEP of TA, BPG, FMA, MILS, FAC, BBS

Conventional physiotherapy; 30 min.

MEPs: ↓Latency (8.61%, p = 0.000) and ↑Width (50.4%, p = 0.048);

↑FMA (6.27%, p = 0.023) and ↑MILS (6.9%, p = 0.031)

Raithatha et al., 2016 [17]

SCI;

N = 9

A = PMA-LL,

C = SOA;

A = 0.08 mA/cm2, C = 0.06 mA/cm2; 20 min.

36 s; 12 weeks.

EV.1 = pre

EV.2 = post

EV.3 = 4 weeks post

OFFLINE; Off after 30 s.

MMT, 6MWT, 10MWT, TUG, BBS, SCIM-III.

Exoskeleton robot; 1 h.

↑ MMT right at EV.2

(70.54%, p = 0.03) and EV.3 (91.5%, p = 0.01). MMT left: SNS

↑TUG in control group

↑6MWT in control group

Seo et al., 2017 [27]

Stroke;

N = 9

A = lateral to CZ (PMI- affected LL), C = SOA-CL;

DC: 0.06 mA/cm2; 20 min.

10 s; 2 weeks.

EV.1 = pre

EV.2 = post

EV.3 = 4 weeks post

OFFLINE; Off after 1 min.

FAC, 10MWT, 6MWT, BBS, FMA, MRCS, MEP (not in EV3).

Exoskeleton robot; 45 min.

↑FAC (44.5%, p = 0.031) at EV. 2 and ↑6MWT (60.35%, p = 0.038) at EV.3.

Costa-Ribeiro et al., 2017 [19]

PD;

N = 11.

A = 2 cm anterior to CZ (PMA-LL),

C = SOA-CL;

CD: 0.06 mA/cm2; 13 min.

10 s; 4 weeks.

EV.1 = pre EV.2 = post

EV.3 = 4 weeks post

OFFLINE; Off after 30 s.

10MWT, TUG, BPG, UPDRS part III (for motor deterioration), and UPDRS-Brad (bradykinesia), PDQ-39, BBS.

Visual cueing; 30 min.

SNS

Kumru et al., 2016 [16]

SCI;

N = 12.

A = PMA-LL (vertex), C = SOA non-dominant;

CD: 0.06 mA/cm2; 20 min.

20 s; 4 weeks.

EV.1 = pre EV.2 = post EV.3 = 4 weeks post

ONLINE; Off after 30 s.

LEMS (not at EV3), 10MWT, WISCI.

Exoskeleton robot; 30 min.

SNS

  1. 10MWT 10-m walk test, 6MWT 6-min walking test, A anode, APC affected pre-central convolution, BBS Berg Balance scale, BPG biomechanical parameters of gait, C cathode, CD Current density, PD Parkinson’s disease, CL contra-lateral, CZ Cz area in accordance with the “International 10–20 System (EEC)”, EOC exterior occipital crest, EV evaluation, FAC functional ambulation categories, FMA Fugl-Meyer assessment, LEMS lower extremity motor score, LL lower limb, MAS modified Ashworth scale, MEP motor-evoked potential, MILS Motricity Index leg subscore, MMT manual muscle testing, MRCS Medical Research Council scale, OFFLINE tDCS applied before the intervention, PDQ-39 Parkinson’s Disease Questionnaire-39, PMA primary motor area, POMA performance-oriented mobility assessment, RMI rivermead mobility index, SCI spinal cord injury, SCIM-III Spinal Cord Injury Measure, SMA supplementary motor area, SNS Statistically non-significant, SOA supra-orbital area, TA tibial anterior, TIS trunk impairment scale, TUG Timed Up and Go test, UL-MT upper limb motor task, UNK unknown, UPDRS unified Parkinson’s disease rating scale, WISCI walking index for spinal cord independence