Does non-invasive brain stimulation modify hand dexterity? Protocol for a systematic review and meta-analysis.
Anthony Terrence O'Brien1, Gabriel Torrealba Acosta1, Rodrigo Huerta2
1Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, Massachusetts, USA.
BMJ Open
|June 25, 2017
Summary
This systematic review protocol investigates non-invasive brain stimulation (NIBS) to improve hand dexterity. It aims to clarify NIBS effectiveness for motor recovery after brain damage, guiding future research and clinical practice.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Dexterity, crucial for daily tasks, relies on intact brain motor networks.
- Damage to these networks impairs fine hand movements, with current interventions showing limited efficacy or side effects.
- Non-invasive brain stimulation (NIBS) shows potential for targeted motor area enhancement and improved hand function recovery.
Purpose of the Study:
- To systematically review and meta-analyze the effects of various NIBS technologies on hand dexterity.
- To evaluate NIBS efficacy in diverse patient populations with impaired dexterity.
- To provide evidence-based guidance for using NIBS in hand function recovery.
Main Methods:
- Protocol for a systematic review and meta-analysis.
- Inclusion of randomized clinical trials in adults assessing NIBS effects on continuous dexterity data.
- Comparison of active versus sham NIBS, with risk of bias assessment and narrative/quantitative synthesis.
Main Results:
- This section is not applicable as the abstract describes a study protocol, not results.
- The study protocol is registered with PROSPERO (CRD42016043809).
- Ethical approval is not required as the study is not interventional and does not involve private health information.
Conclusions:
- The findings will inform future research and clinical guidelines on NIBS for hand dexterity recovery.
- This systematic review aims to resolve inconsistencies in current literature regarding NIBS efficacy.
- The study protocol is designed to yield robust evidence on the therapeutic potential of NIBS for motor function.
Keywords:
DexterityHandMotor recoveryNon-invasive brain stimulationTranscranial direct current stimulationTranscranial magnetic stimulation

