Table 2.
Electrode montage | Intensity | Electrode area | Control | No. sessions | Stimulation duration | Participants | N | Motor training | Summary of findings | |
---|---|---|---|---|---|---|---|---|---|---|
Moura et al., 2017 [18] | Anode ipsilesional M1, Cathode contralateral supraorbital ridge | 1 mA | 25 cm2 | Sham group | 1 | 20 min | Spastic hemiplegia, 6–12 years | 10 per group | 20 min reaching training with constraint | ↓ total movement duration during reaching. No other changes |
Auvichayapat et al., 2017 [13] | Anode left M1, Cathode contralateral shoulder | 1 mA | 35 cm2 | None | 5 | 20 min | Hemiparetic/ diparetic with spasticity of right UL, 8–12 years | 10 | Not mentioned | ↓ Tardieu score ↑ one aspect of QUEST |
Aree-Uea et al., 2014 [19] | Anode left M1, Cathode right shoulder | 1 mA | 35 cm2 | Sham group | 5 | 20 min | Spastic hemiplegia of right UL, 8–18 years | 23 per group | Physical therapy, including stretches | ↓ MAS ↑ passive shoulder abduction ROM |
Gillick et al., 2018 [20] | Cathode contralesional M1, Anode contralateral supraorbital ridge | 0.7 mA | Not specified | Sham group | 10 | 20 min | Hemiparetic, 7–21 years | 10 per group | 120 min CIMT | ↑ AHA, no difference between groups. No change COPM |
Kirton et al., 2017 [21] | Cathode contralesional, Anode contralateral supraorbital ridge | 1 mA | 35 cm2 | Sham group | 10 | 20 min | Hemiparetic, 6–18 years | 12 active, 11 sham | 120 min CIMT | ↑ COPM |
UL Upper limb, CIMT Constraint induced movement therapy, QUEST Quality of upper extremity skills test, MAS Modified Ashworth scale, ROM Range of movement, AHA Assisting hands assessment, COPM Canadian occupational performance measure