中国康复理论与实践2026，Vol.32Issue(8)：903-915,13.DOI:10.3969/j.issn.1006-9771.2026.08.004
非侵入性脑刺激技术改善脑卒中后平衡功能的网状Meta分析
Non-invasive brain stimulation techniques for balance function after stroke:a network meta-analysis
摘要
Abstract
Objective To systematically compare the efficacy of different non-invasive brain stimulation(NIBS)techniques on bal-ance function in stroke patients via network meta-analysis. Methods PubMed,Embase,Web of Science,Cochrane Library,Scopus and CNKI were systematically searched from da-tabase 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 assess-ment 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 modal-ities might significantly improve the outcome of Timed Up and Go Test,while the effect of transcranial direct cur-rent stimulation(tDCS)ranked first on Berg Balance Scale score(SUCRA=85.9%).Subgroup analyses indicat-ed 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.关键词
脑卒中/非侵入性脑刺激/平衡功能/网状Meta分析Key words
stroke/non-invasive brain stimulation/balance/network meta-analysis分类
医药卫生引用本文复制引用
闫嘉铮,罗小琴,刘日华,于瀛,亓丰学..非侵入性脑刺激技术改善脑卒中后平衡功能的网状Meta分析[J].中国康复理论与实践,2026,32(8):903-915,13.基金项目
1.中央高校基本科研业务费专项资金资助课题/运动康复教育部重点实验室(No.2025KYPT12) （No.2025KYPT12）
2.北京体育大学高层次人才科研启动项目(No.3101037) Supported by Fundamental Research Funds for the Central Universities/the Laboratory of Exercise Rehabilitation Science(No.2025KYPT12)and Research Foundation for Advanced Talents of Beijing Sport University(No.3101037) （No.3101037）
