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Peer-reviewedCC BY-NC-NDZhongguo kangfu lilun yu shijian

Non-invasive brain stimulation techniques for balance function after stroke: a network meta-analysis

  • Yan Jiazheng1
  • Luo Xiaoqin1
  • Liu Rihua1
  • Yu Ying2
  • Qi Fengxue1
  1. 1Sports, Exercise and Brain Sciences Laboratory, Beijing Sport University, Beijing 100084, China
  2. 2School of Physical Education, Shandong University, Ji'nan, Shandong 250100, China
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Abstract

Objective To systematically compare the efficacy of different non-invasive brain stimulation (NIBS) techniques on balance function in stroke patients via network meta-analysis. Methods PubMed, Embase, Web of Science, Cochrane Library, Scopus and CNKI were systematically searched from database establishment to February, 2026. Randomized controlled trials (RCTs) and randomized crossover designs (RCDs) investigating NIBS for post-stroke balance impairment were enrolled. The Cochrane risk of bias assessment tool was used for risk-of-bias assessment; RevMan 5.4 was used for sensitivity analysis, and Stata 18.0 for subgroup analysis and network meta-analysis. Results A total of 35 eligible studies (31 RCTs, 4 RCDs) involving 1 226 stroke patients were included. No NIBS modalities might significantly improve the outcome of Timed Up and Go Test, while the effect of transcranial direct current stimulation (tDCS) ranked first on Berg Balance Scale score (SUCRA = 85.9%). Subgroup analyses indicated superior balance benefits in interventions targeting primary motor cortex, with stimulation intensity of 80% to 100% RMT and disease courses ≤ 6 months. Conclusion tDCS may be an optimal intervention for comprehensive balance function after stroke.

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Cite

BibTeXRIS
BibTeX
@article{jiazheng2026noninvasive,
  title = {{Non-invasive brain stimulation techniques for balance function after stroke: a network meta-analysis}},
  author = {Yan Jiazheng and Luo Xiaoqin and Liu Rihua and Yu Ying and Qi Fengxue},
  journal = {Zhongguo kangfu lilun yu shijian},
  year = {2026},
  month = aug,
  doi = {10.3969/j.issn.1006-9771.2026.08.004},
  url = {https://doi.org/10.3969/j.issn.1006-9771.2026.08.004},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Non-invasive brain stimulation techniques for balance function after stroke: a network meta-analysis
AU  - Yan Jiazheng
AU  - Luo Xiaoqin
AU  - Liu Rihua
AU  - Yu Ying
AU  - Qi Fengxue
PY  - 2026
DA  - 2026/08/01
JO  - Zhongguo kangfu lilun yu shijian
DO  - 10.3969/j.issn.1006-9771.2026.08.004
UR  - https://doi.org/10.3969/j.issn.1006-9771.2026.08.004
AB  - Objective To systematically compare the efficacy of different non-invasive brain stimulation (NIBS) techniques on balance function in stroke patients via network meta-analysis. Methods PubMed, Embase, Web of Science, Cochrane Library, Scopus and CNKI were systematically searched from database establishment to February, 2026. Randomized controlled trials (RCTs) and randomized crossover designs (RCDs) investigating NIBS for post-stroke balance impairment were enrolled. The Cochrane risk of bias assessment tool was used for risk-of-bias assessment; RevMan 5.4 was used for sensitivity analysis, and Stata 18.0 for subgroup analysis and network meta-analysis. Results A total of 35 eligible studies (31 RCTs, 4 RCDs) involving 1 226 stroke patients were included. No NIBS modalities might significantly improve the outcome of Timed Up and Go Test, while the effect of transcranial direct current stimulation (tDCS) ranked first on Berg Balance Scale score (SUCRA = 85.9%). Subgroup analyses indicated superior balance benefits in interventions targeting primary motor cortex, with stimulation intensity of 80% to 100% RMT and disease courses ≤ 6 months. Conclusion tDCS may be an optimal intervention for comprehensive balance function after stroke.
SN  - 1006-9771
ER  -