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Non-invasive neuromodulation in reducing the risk of falls and fear of falling in community-dwelling older adults: systematic review

2024-03-05Journal article Open access
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dc.contributor.authorBueno, Guilherme Augusto Santos
dc.contributor.authorBomfim, Arthur Dutra
dc.contributor.authorCampos, Lorrane Freitas
dc.contributor.authorMartins, Anabela Correia
dc.contributor.authorBrito Elmescany, Raquel
dc.contributor.authorMorato Stival, Marina
dc.contributor.authorFunghetto, Silvana Schwerz
dc.contributor.authorLosada De Menezes, Ruth
dc.date.accessioned2024-03-06T15:57:33Z
dc.date.available2024-03-06T15:57:33Z
dc.date.issued2024-03-05
dc.description.abstractIntroduction: Neuromodulation is a non-invasive technique that allows for the modulation of cortical excitability and can produce changes in neuronal plasticity. Its application has recently been associated with the improvement of the motor pattern in older adults individuals with sequelae from neurological conditions. Objective: To highlight the effects of non-invasive neuromodulation on the risk of falls and fear of falling in community-dwelling older adults. Methods: Systematic review conducted in accordance with the items of the Cochrane Handbook for Systematic Reviews of Interventions. Searches were carried out in electronic databases: CENTRAL, Clinical Trials, LILACS, PEDro, PubMed, Web of Science, between 13/06/2020 and 20/09/2023, including all indexed texts without language and publication date restrictions, randomized controlled clinical trials, which presented as their main outcome non-invasive neuromodulation for reducing the fear of falling and risk of falls in the older adults, regardless of gender Results: An extensive search identified 9 eligible studies for qualitative synthesis from 8,168 potential articles. Rigorous filtering through automated tools, title/ abstract screening, and full-text evaluation ensured a focused and relevant selection for further analysis. Most studies (80%) used transcranial direct current electrical stimulation as an intervention, over the motor cortex or cerebellum area, with anodal current and monopolar electrode placement. The intensity ranged from 1.2 mA to 2 mA, with a duration of 20 min (80%). The profile of the research participants was predominantly individuals over 65 years old (80%), with a high risk of falls (60%) and a minority reporting a fear of falling (40%). The outcomes were favorable for the use of neuromodulation for the risk of falls in the older adults, through improvements in static and dynamic balance. Conclusion: The results may have limited applicability to direct outcomes related to the risk of falls, in addition to evidence regarding the difference or lack thereof in applicability between genders, fallers and non-fallers, as well as older adults individuals with low and high fear of falling.Systematic review registration: The protocol for this review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) to obtain the identification of ongoing research (ID: 222429).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doihttps://doi.org/10.3389/fnagi.2023.1301790pt_PT
dc.identifier.issn1663-4365
dc.identifier.urihttp://hdl.handle.net/10400.26/50172
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontiers Mediapt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectTranscranial magnetic stimulationpt_PT
dc.subjectTranscranial direct current stimulationpt_PT
dc.subjectAgingpt_PT
dc.subjectFear of fallingpt_PT
dc.subjectFall accidentpt_PT
dc.subjectEstimulação magnética transcranianapt_PT
dc.subjectEstimulação transcraniana por corrente contínuapt_PT
dc.subjectEnvelhecimentopt_PT
dc.subjectMedo de cairpt_PT
dc.subjectAcidente de quedapt_PT
dc.titleNon-invasive neuromodulation in reducing the risk of falls and fear of falling in community-dwelling older adults: systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleFrontiers in aging neurosciencept_PT
oaire.citation.volume15pt_PT
person.familyNameMartins
person.familyNameBrito Elmescany
person.familyNameMorato Stival
person.familyNameLosada de Menezes
person.givenNameAnabela Correia
person.givenNameRaquel
person.givenNameMarina
person.givenNameRuth
person.identifier.ciencia-idD717-A545-8414
person.identifier.orcid0000-0002-2696-2086
person.identifier.orcid0000-0001-7245-4747
person.identifier.orcid0000-0001-6830-4914
person.identifier.orcid0000-0001-7964-8536
person.identifier.ridB-4515-2015
person.identifier.ridAGX-2705-2022
person.identifier.scopus-author-id55600462100
person.identifier.scopus-author-id24503067700
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication14e13022-1910-4536-84fe-14281287a065
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relation.isAuthorOfPublication3308de0f-57e4-477b-9f81-e9bd6c5b9862
relation.isAuthorOfPublication.latestForDiscovery14e13022-1910-4536-84fe-14281287a065

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