| Autor: |
Dumont AJL; Movement Analysis Lab, University of Sorocaba, Rodovia Raposo Tavares km 92.5, Sorocaba 18023-000, Brazil., Cimolin V; Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milan, Italy.; Istituto Auxologico Italiano, IRCCS, S. Giuseppe Hospital, 28824 Piancavallo, Italy., Parreira RB; Health Sciences Program, Santa Casa School of Medical Sciences of São Paulo, St. Jaguaribe 155, São Paulo 01224-001, Brazil., Armbrust D; Health Sciences Program, Santa Casa School of Medical Sciences of São Paulo, St. Jaguaribe 155, São Paulo 01224-001, Brazil., Fonseca DRP; Human Movement and Rehabilitation, Post-Graduate Program Medical School, Evangelic University of Goiás-UniEVANGÉLICA, Anápolis 75083-515, Brazil., Fonseca AL; Human Movement and Rehabilitation, Post-Graduate Program Medical School, Evangelic University of Goiás-UniEVANGÉLICA, Anápolis 75083-515, Brazil., Cordeiro L; Human Movement and Rehabilitation, Post-Graduate Program Medical School, Evangelic University of Goiás-UniEVANGÉLICA, Anápolis 75083-515, Brazil., Franco RC; Departamento de Fisioterapia, University Center of Americas, Campus Consolação, Street Augusta 1508, São Paulo 01304-001, Brazil., Duarte NAC; Human Movement and Rehabilitation, Post-Graduate Program Medical School, Evangelic University of Goiás-UniEVANGÉLICA, Anápolis 75083-515, Brazil., Galli M; Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milan, Italy., Oliveira CS; Human Movement and Rehabilitation, Post-Graduate Program Medical School, Evangelic University of Goiás-UniEVANGÉLICA, Anápolis 75083-515, Brazil. |
| Abstrakt: |
The present study assessed the effects of anodal transcranial direct current stimulation (tDCS) combined with treadmill training on spatiotemporal and kinematic variables in stroke survivors using gait speed as the primary outcome. A randomized, sham-controlled, triple-blind, study was conducted involving 28 patients with hemiparesis allocated to two groups. The experimental group was submitted to treadmill training combined with anodal tDCS over the primary motor cortex (M1) of the damaged hemisphere. The control group was submitted to treadmill training combined with sham tDCS. Stimulation was administered (2 mA, 20 min) five times a week for two weeks during treadmill training. No significant differences (p > 0.05) in spatiotemporal variables were found in the intra-group and inter-group analyses. However, the experimental group demonstrated improvements in kinematic variables of the knee and ankle (p < 0.05) and these results were maintained one month after the end of the intervention. The inter-group analysis revealed significant differences (p < 0.05) with regard to the pelvis, hip and knee. Anodal tDCS over M1 of the damaged hemisphere combined with treadmill training did not affect spatiotemporal variables, but promoted improvements in kinematic variables of the pelvis, hip, knee and ankle and results were maintained one month after treatment. |
