Transcranial direct current stimulation during treadmill training in children with cerebral palsy: A randomized controlled double-blind clinical trial
Autor: | Claudia Santos Oliveira, Veronica Cimolin, Mariana E. Mendonca, Natália de Almeida Carvalho Duarte, Felipe Fregni, Luanda André Collange Grecco, Manuela Galli |
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Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Population Transcranial Direct Current Stimulation Placebo Cerebral palsy law.invention Double-Blind Method Randomized controlled trial law Developmental and Educational Psychology medicine Spastic Humans Mobility Limitation Child education Gait Disorders Neurologic education.field_of_study Transcranial direct-current stimulation Cerebral Palsy Motor Cortex medicine.disease Combined Modality Therapy Gait Biomechanical Phenomena Exercise Therapy Clinical Psychology Treatment Outcome Child Preschool Physical therapy Female Primary motor cortex Psychology |
Zdroj: | Research in Developmental Disabilities. 35:2840-2848 |
ISSN: | 0891-4222 |
DOI: | 10.1016/j.ridd.2014.07.030 |
Popis: | Impaired gait constitutes an important functional limitation in children with cerebral palsy (CP). Treadmill training has achieved encouraging results regarding improvements in the gait pattern of this population. Moreover, transcranial direct current stimulation (tDCS) is believed to potentiate the results achieved during the motor rehabilitation process. The aim of the present study was to determine the effect of the administration of tDCS during treadmill training on the gait pattern of children with spastic diparetic CP. A double-blind randomized controlled trial was carried out involving 24 children with CP allocated to either an experimental group (active anodal tDCS [1mA] over the primary motor cortex of the dominant hemisphere) or control group (placebo tDCS) during ten 20-min sessions of treadmill training. The experimental group exhibited improvements in temporal functional mobility, gait variables (spatiotemporal and kinematics variables). The results were maintained one month after the end of the intervention. There was a significant change in corticospinal excitability as compared to control group. In the present study, the administration of tDCS during treadmill training potentiated the effects of motor training in children with spastic diparetic CP. |
Databáze: | OpenAIRE |
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