Effects of Anodal Transcranial Direct Current Stimulation on Somatosensory Recovery After Stroke
Autor: | Chung Reen Kim, Baek Hee Jang, Woo Ram Koo |
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Rok vydání: | 2018 |
Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Sensory system Stimulation Transcranial Direct Current Stimulation Somatosensory system law.invention Lesion Disability Evaluation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Double-Blind Method Randomized controlled trial law Activities of Daily Living medicine Humans Prospective Studies Prospective cohort study Stroke Aged Transcranial direct-current stimulation business.industry Rehabilitation Stroke Rehabilitation Recovery of Function Middle Aged medicine.disease Treatment Outcome Female medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
Zdroj: | American Journal of Physical Medicine & Rehabilitation. 97:507-513 |
ISSN: | 1537-7385 0894-9115 |
DOI: | 10.1097/phm.0000000000000910 |
Popis: | Objective The aim of this study was to evaluate the effect of anodal transcranial direct current stimulation over the primary somatosensory cortex on the recovery of somatosensation, motor function, and the activities of daily living in patients with subacute stroke. Design This study was a prospective, randomized sham controlled, double-blinded study. Patients with subacute stroke having somatosensory deficits (N = 24) were enrolled and assigned randomly to the anodal and sham stimulation groups. Patients received 10 consecutive anodal or sham transcranial direct current stimulations over the primary somatosensory cortex on the side of the stroke lesion. Before and after each stimulation session, Nottingham sensory assessments, Semmes Weinstein monofilaments examination, and manual function tests were performed, and modified Brunnstrom classification, modified Barthel index, and functional ambulation categories were assessed. Results Although there was no clear significant difference between the two groups, when the changes from baseline to posttreatment evaluation were compared between the groups, a partially significant improvement was observed in the anodal stimulation group compared with the sham stimulation group. Interestingly, the tactile sensation of the unaffected side also improved. Moreover, the greater improvement in activities of daily living function was observed in the anodal stimulation group too. Conclusion Anodal transcranial direct current stimulation over the primary somatosensory cortex may be a useful adjuvant therapy for the recovery of somatosensation and activities of daily living function in patients with sensory deficits after stroke. |
Databáze: | OpenAIRE |
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