The Effect of Transcranial Direct Current Stimulation and Functional Electrical Stimulation on the Lower Limb Function of Stroke Patients.

Autor:	Zhang XH; Department of Rehabilitation, Shenzhen Dapeng New District Nanao People's Hospital, Shenzhen, China., Gu T; Department of Rehabilitation, Shenzhen Dapeng New District Nanao People's Hospital, Shenzhen, China., Liu XW; Department of Rehabilitation, Shenzhen Dapeng New District Nanao People's Hospital, Shenzhen, China., Han P; Department of Rehabilitation, Shenzhen Dapeng New District Nanao People's Hospital, Shenzhen, China., Lv HL; Department of Rehabilitation, Shenzhen Dapeng New District Nanao People's Hospital, Shenzhen, China., Wang YL; Department of Rehabilitation, The First Affiliated Hospital, Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China., Xiao P; Department of Rehabilitation, Shenzhen Dapeng New District Nanao People's Hospital, Shenzhen, China.
Jazyk:	angličtina
Zdroj:	Frontiers in neuroscience [Front Neurosci] 2021 Sep 21; Vol. 15, pp. 685931. Date of Electronic Publication: 2021 Sep 21 (Print Publication: 2021).
DOI:	10.3389/fnins.2021.685931
Abstrakt:	Objective: This study aimed to research the effect of transcranial direct current stimulation (tDCS) and functional electrical stimulation (FES) on the lower limb function of post-convalescent stroke patients. Methods: A total of 122 patients in the stroke recovery stage who suffered from leg dysfunction were randomly divided into two groups: a tDCS group ( n = 61) and a FES group ( n = 61). All patients received same routine rehabilitation and equal treatment quality, the tDCS group was treated with tDCS, while the FES group received FES. The lower limb Fugl-Meyer assessment (FMA), modified Barthel index (MBI), functional ambulatory category (FAC), and somatosensory evoked potential (SEP) were used to assess the patients at three different stages: prior to treatment, 4 weeks after treatment, and 8 weeks after treatment. Results: The assessment scores for FMA, MBI, and FAC for the lower extremities after treatment ( P > 0.05) were compared with those before treatment. The FMA, MBI, and FAC scores of the tDCS group were significantly higher than those of the FES group in all three stages ( P < 0.05). The FMA, MBI, and FAC assessment scores of both groups were significantly higher after 4 weeks of treatment than that before treatment, and the scores after 8 weeks of treatment were significantly higher than those after 4 weeks after treatment ( P < 0.05). The P40, N45 latencies decreased and the P40, N45 amplitudes increased, but there was no significant difference before treatment and after treatment ( P >0.05), and there was no significant difference of the tDCS and FES groups before treatment and after treatment. Conclusion: In conclusion, FMA, MBI, and FAC indicate that both tDCS and FES can significantly promote the recovery of a patient's leg motor function and tDCS is more effective than FES in the stroke recovery stage. The application value of SEP in stroke patients remains to be further studied. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Zhang, Gu, Liu, Han, Lv, Wang and Xiao.)
Databáze:	MEDLINE
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