The Effect of Cerebellar Transcranial Direct Current Stimulation on Motor Learning: A Systematic Review of Randomized Controlled Trials

aut.relation.articlenumber328en_NZ
aut.relation.journalFrontiers in Human Neuroscienceen_NZ
aut.relation.volume13en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorKumari, Nen_NZ
dc.contributor.authorTaylor, Den_NZ
dc.contributor.authorSignal, Nen_NZ
dc.date.accessioned2019-11-21T00:47:32Z
dc.date.available2019-11-21T00:47:32Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractBackground: Cerebellar transcranial direct current stimulation (ctDCS) appears to modulate motor performance in both adaptation and motor skill tasks; however, whether the gains are long-lasting is unclear. Objectives: This systematic review aims to evaluate the effect of ctDCS with respect to different time scales of motor learning. Methods: Ten electronic databases (CINAHL, MEDLINE, SPORT Discus, Scopus, Web of Science, Cochrane via OVID, Evidence-Based Reviews (EBM) via OVID, AMED: Allied and Complementary Medicine, PsycINFO, and PEDro) were systematically searched. Studies evaluating the effect of ctDCS compared to sham ctDCS on motor learning in healthy individuals were selected and reviewed. Two authors independently reviewed the quality of the included studies using the revised Cochrane's risk-of-bias tool. The results were extracted with respect to the time scale in which changes in motor performance were evaluated. Results: Seventeen randomized controlled trials met the eligibility criteria of which 65% of the studies had a "high" risk-of-bias, and 35% had "some concerns." These studies included data from 629 healthy participants. Of the studies that evaluated the effect of anodal ctDCS during and immediately after the stimulation, four found enhanced, three found impaired, and ten found no effect on gains in motor performance. Of the studies that evaluated the effect of anodal ctDCS after a break of 24 h or more, seven found enhanced, two found impaired, and one found no effect on gains in motor performance. Of the studies that evaluated the effect of cathodal ctDCS across a range of time scales, five found impaired, one found enhanced, and five found no effect on gains in motor performance. Conclusions: In healthy individuals, anodal ctDCS appears to improve short to longer-term motor skill learning, whereas it appears to have no effect on gains in motor performance during and immediate after the stimulation. ctDCS may have potential to improve motor performance beyond the training period. The challenge of the motor task and its characteristics, and the stimulation parameters are likely to influence the effect of ctDCS on motor learning.en_NZ
dc.identifier.citationFrontiers in Human Neuroscience. 13:328. doi: 10.3389/fnhum.2019.00328
dc.identifier.doi10.3389/fnhum.2019.00328en_NZ
dc.identifier.issn1662-5161en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13024
dc.languageengen_NZ
dc.publisherFrontiers Mediaen_NZ
dc.relation.urihttps://www.frontiersin.org/articles/10.3389/fnhum.2019.00328/full#h1
dc.rights© 2019 Kumari, Taylor and Signal. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectCerebellumen_NZ
dc.subjectMotor adaptationen_NZ
dc.subjectMotor learningen_NZ
dc.subjectSkill learningen_NZ
dc.subjecttDCSen_NZ
dc.subjectTranscranial direct current stimulationen_NZ
dc.titleThe Effect of Cerebellar Transcranial Direct Current Stimulation on Motor Learning: A Systematic Review of Randomized Controlled Trialsen_NZ
dc.typeJournal Article
pubs.elements-id365252
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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