Effect of Transcranial Direct Current Stimulation of Function in Patients with Stroke
[Purpose] The purpose of this study was to determine the effect of transcranial direct current stimulation (tDCS) on the upper limb of function of patients with post-stroke hemiplegia. [Subjects] Twenty subjects were randomly allocated to either the upper tDCS group or the functional training group,...
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| Published in | Journal of Physical Therapy Science Vol. 26; no. 3; pp. 363 - 365 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
01.03.2014
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.26.363 |
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| Abstract | [Purpose] The purpose of this study was to determine the effect of transcranial direct current stimulation (tDCS) on the upper limb of function of patients with post-stroke hemiplegia. [Subjects] Twenty subjects were randomly allocated to either the upper tDCS group or the functional training group, with 10 subjects in each group. [Methods] The two groups received functional training for thirty minutes a day, five days a week for four weeks. The tDCS group additionally received tDCS for 20 minutes. The outcome was assessed by the Box and Block test (BBT), grip strength, and the Fugl-Meyer assessment (FMA). [Results] There were significant improvements between pre- and post- intervention in both groups, in the BBT, grip strength, and the upper limb and lower lims sub-items of the FMA. The tDCS group showed significantly greater improvements than the control group in the BBT, and upper limb and lower limb sub-items of the FMA. [Conclusion] These findings suggest that tDCS may be more beneficial than functional training for improving the upper and lower limb functions of chronic stroke patients. |
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| AbstractList | [Purpose] The purpose of this study was to determine the effect of transcranial direct current stimulation (tDCS) on the upper limb of function of patients with post-stroke hemiplegia. [Subjects] Twenty subjects were randomly allocated to either the upper tDCS group or the functional training group, with 10 subjects in each group. [Methods] The two groups received functional training for thirty minutes a day, five days a week for four weeks. The tDCS group additionally received tDCS for 20 minutes. The outcome was assessed by the Box and Block test (BBT), grip strength, and the Fugl-Meyer assessment (FMA). [Results] There were significant improvements between pre- and post- intervention in both groups, in the BBT, grip strength, and the upper limb and lower lims sub-items of the FMA. The tDCS group showed significantly greater improvements than the control group in the BBT, and upper limb and lower limb sub-items of the FMA. [Conclusion] These findings suggest that tDCS may be more beneficial than functional training for improving the upper and lower limb functions of chronic stroke patients. [Purpose] The purpose of this study was to determine the effect of transcranial direct current stimulation (tDCS) on the upper limb of function of patients with post-stroke hemiplegia. [Subjects] Twenty subjects were randomly allocated to either the upper tDCS group or the functional training group, with 10 subjects in each group. [Methods] The two groups received functional training for thirty minutes a day, five days a week for four weeks. The tDCS group additionally received tDCS for 20 minutes. The outcome was assessed by the Box and Block test (BBT), grip strength, and the Fugl-Meyer assessment (FMA). [Results] There were significant improvements between pre- and post- intervention in both groups, in the BBT, grip strength, and the upper limb and lower lims sub-items of the FMA. The tDCS group showed significantly greater improvements than the control group in the BBT, and upper limb and lower limb sub-items of the FMA. [Conclusion] These findings suggest that tDCS may be more beneficial than functional training for improving the upper and lower limb functions of chronic stroke patients. Purpose: The purpose of this study was to determine the effect of transcranial direct current stimulation (tDCS) on the upper limb of function of patients with post-stroke hemiplegia. Subjects: Twenty subjects were randomly allocated to either the upper tDCS group or the functional training group, with 10 subjects in each group. Methods: The two groups received functional training for thirty minutes a day, five days a week for four weeks. The tDCS group additionally received tDCS for 20 minutes, The outcome was assessed by the Box and Block test (BBT), grip strength, and the Fugl-Meyer assessment (FMA). Results: There were significant improvements between pre- and post-intervention in both groups, in the BBT, grip strength, and the upper limb and lower limb sub-items of the FMA. The tDCS group showed significantly greater improvements than the control group in the BBT, and upper limb and lower limb sub-items of the FMA. Conclusion: These findings suggest that tDCS may be more beneficial than functional training for improving the upper and lower limb functions of chronic stroke patients. [Purpose] The purpose of this study was to determine the effect of transcranial direct current stimulation (tDCS) on the upper limb of function of patients with post-stroke hemiplegia. [Subjects] Twenty subjects were randomly allocated to either the upper tDCS group or the functional training group, with 10 subjects in each group. [Methods] The two groups received functional training for thirty minutes a day, five days a week for four weeks. The tDCS group additionally received tDCS for 20 minutes. The outcome was assessed by the Box and Block test (BBT), grip strength, and the Fugl-Meyer assessment (FMA). [Results] There were significant improvements between pre- and post- intervention in both groups, in the BBT, grip strength, and the upper limb and lower lims sub-items of the FMA. The tDCS group showed significantly greater improvements than the control group in the BBT, and upper limb and lower limb sub-items of the FMA. [Conclusion] These findings suggest that tDCS may be more beneficial than functional training for improving the upper and lower limb functions of chronic stroke patients.[Purpose] The purpose of this study was to determine the effect of transcranial direct current stimulation (tDCS) on the upper limb of function of patients with post-stroke hemiplegia. [Subjects] Twenty subjects were randomly allocated to either the upper tDCS group or the functional training group, with 10 subjects in each group. [Methods] The two groups received functional training for thirty minutes a day, five days a week for four weeks. The tDCS group additionally received tDCS for 20 minutes. The outcome was assessed by the Box and Block test (BBT), grip strength, and the Fugl-Meyer assessment (FMA). [Results] There were significant improvements between pre- and post- intervention in both groups, in the BBT, grip strength, and the upper limb and lower lims sub-items of the FMA. The tDCS group showed significantly greater improvements than the control group in the BBT, and upper limb and lower limb sub-items of the FMA. [Conclusion] These findings suggest that tDCS may be more beneficial than functional training for improving the upper and lower limb functions of chronic stroke patients. Purpose: The purpose of this study was to determine the effect of transcranial direct current stimulation (tDCS) on the upper limb of function of patients with post-stroke hemiplegia. |
| Author | Cha, Hyun-Kyu Chang, Jong-Sung Ji, Sang-Goo Kim, Myoung-Kwon |
| Author_xml | – sequence: 1 fullname: Cha, Hyun-Kyu organization: Department of Physical Therapy, College of Natural Science, Daejeon University, Republic of Korea – sequence: 1 fullname: Ji, Sang-Goo organization: Department of Physical Therapy, Eulgi University Hospital, Republic of Korea – sequence: 1 fullname: Chang, Jong-Sung organization: Department of Physical Therapy, Yeungnam College of Science and Technology: 170 Hyeon chung-ro, Namgu, Daegu 705-703, Republic of Korea – sequence: 1 fullname: Kim, Myoung-Kwon organization: Department of Physical Therapy, Youngsan University, Republic of Korea |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24707084$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1001/archneur.65.12.1571 10.1186/1471-2202-7-73 10.1682/JRRD.2005.04.0076 10.1056/NEJMcp043511 10.2522/ptj.20060065 10.1016/j.neulet.2008.02.012 10.5014/ajot.39.6.386 10.1161/01.STR.25.6.1181 10.1097/01.wnr.0000177010.44602.5e 10.1007/s00221-009-1863-9 10.1152/jn.00963.2004 10.1590/S1516-44462009000500006 10.1212/01.WNL.0000152986.07469.E9 10.1152/jn.01312.2006 10.1093/brain/awh369 10.1016/j.neulet.2006.05.051 10.1093/brain/123.3.572 10.2340/1650197771331 |
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| Keywords | tDCS Stroke Limb function |
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| References | 9) Boggio PS, Castro LO, Savagim EA, et al.: Enhancement of non-dominant hand motor function by anodal transcranial direct current stimulation. Neurosci Lett, 2006, 404: 232–236. 20) Tanaka S, Takashi H, Manabu H: Enhancement o fpinch force in the lower leg by anodal transcranial direct current stimulation. Exp Brain Res, 2009, 196: 459–465. 11) Lee DC, Jang KP: An analysis of grip strength for Korean adults. J Ergo Soc Korea, 1997, 16: 565–572. 15) Nitsche MA, Doemkes S, Karakose T, et al.: Shaping the effects of transcranial direct current stimulation of the human motor cortex. J Neurophysiol, 2007, 97: 3109–3117. 1) Kautz SA, Patten C: Interlimb influences on paretic leg function in post stroke hemiparesis. J Neurophysiol, 2005, 93: 2460. 6) Stefan K, Kunesch E, Cohen LG: Induction of plasticity in the human motor cortex by paired associative stimulation. Brain, 2000, 123: 572. 14) Berlim MT, Neto VD, Turecki G: Transcranial direct current stimulation: a promising alternative for the treatment of major depression? Rev Bras Psiquiatr, 2009, 31: 34–38. 2) Dobkin BH: Clnical practice. Rehabilitation after stroke. N Engl J Med, 2005, 352: 1677–1684. 3) Prange GB, Jannink MJ, Groothuis-Oudshoorn CG: Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. J Rehabil Res Dev, 2006, 43: 171–184. 16) Fregni F, Boggio PS, Mansur CG, et al.: Transcranial direct current stimulation of the unaffected hemisphere in stroke patients. Neuroreport, 2005, 16: 1551–1555. 4) Harris JE, Eng JJ: Paretic upper-limb strength best explains arm activity in people with stroke. Phys Ther, 2007, 87: 88–97. 10) Mathiowetz V, Volland G, Kashman N, et al.: Adult norms for the box and block test of manual dexterity. Am J Occup Ther, 1985, 39: 386–391. 13) Duncan PW, Goldstein L, Horner R, et al.: Similar motor recovery of upper and lower extremities after stroke. Stroke, 1994, 25: 1181–1188. 19) Hummel FC, Voller B, Celnik P: Effects of brain polarization on reaction times and pinch force in chronic stroke. BMC Neurosci, 2006, 7: 73. 17) Hummel F, Wu CW, Floel A: Improvement of skilled motor functions in elderly healthy volunteers by cortical stimulation. Neuroimage, 2004, 22: S29. 7) Kwon YH, Ko MH, Ahn SH, et al.: Primary motor cortex activation by transcranial direct current stimulation in the human brain. Neurosci Lett, 2008, 435: 56–59. 8) Iyer MB, Mattu U, Grafman JM, et al.: Safety and cognitive effect of frontal DC brain polarization in healthy individuals. Neurology, 2005, 64: 872–875. 18) Hummel F, Celnik P, Giraux P, et al.: Effects of non-invasive cortical stimulation on skilled motor function in chronic stroke. Brain, 2005, 128: 490–499. 12) Fugl-Meyer AR, Jaasko L, Leyman I: The post-stroke hemiplegic patient. 1. A method for evaluation of physical performance. Scand J Rehabil Med, 1975, 7: 13–31. 5) Schlaug G, Renga V, Nair D: Transcranial direct current stimulation in stroke recovery. Arch Neurol, 2008, 65: 1571–1576. 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 10 17179441 - Phys Ther. 2007 Jan;87(1):88-97 17083730 - BMC Neurosci. 2006 Nov 03;7:73 16847784 - J Rehabil Res Dev. 2006 Mar-Apr;43(2):171-84 15590727 - J Neurophysiol. 2005 May;93(5):2460-73 19565150 - Rev Bras Psiquiatr. 2009 May;31 Suppl 1:S34-8 19479243 - Exp Brain Res. 2009 Jul;196(3):459-65 15843670 - N Engl J Med. 2005 Apr 21;352(16):1677-84 3160243 - Am J Occup Ther. 1985 Jun;39(6):386-91 17251360 - J Neurophysiol. 2007 Apr;97(4):3109-17 15634731 - Brain. 2005 Mar;128(Pt 3):490-9 8202977 - Stroke. 1994 Jun;25(6):1181-8 16148743 - Neuroreport. 2005 Sep 28;16(14):1551-5 10686179 - Brain. 2000 Mar;123 Pt 3:572-84 16808997 - Neurosci Lett. 2006 Aug 14;404(1-2):232-6 15753425 - Neurology. 2005 Mar 8;64(5):872-5 18325666 - Neurosci Lett. 2008 Apr 11;435(1):56-9 19064743 - Arch Neurol. 2008 Dec;65(12):1571-6 1135616 - Scand J Rehabil Med. 1975;7(1):13-31 |
| References_xml | – reference: 20) Tanaka S, Takashi H, Manabu H: Enhancement o fpinch force in the lower leg by anodal transcranial direct current stimulation. Exp Brain Res, 2009, 196: 459–465. – reference: 6) Stefan K, Kunesch E, Cohen LG: Induction of plasticity in the human motor cortex by paired associative stimulation. Brain, 2000, 123: 572. – reference: 2) Dobkin BH: Clnical practice. Rehabilitation after stroke. N Engl J Med, 2005, 352: 1677–1684. – reference: 4) Harris JE, Eng JJ: Paretic upper-limb strength best explains arm activity in people with stroke. Phys Ther, 2007, 87: 88–97. – reference: 9) Boggio PS, Castro LO, Savagim EA, et al.: Enhancement of non-dominant hand motor function by anodal transcranial direct current stimulation. Neurosci Lett, 2006, 404: 232–236. – reference: 15) Nitsche MA, Doemkes S, Karakose T, et al.: Shaping the effects of transcranial direct current stimulation of the human motor cortex. J Neurophysiol, 2007, 97: 3109–3117. – reference: 1) Kautz SA, Patten C: Interlimb influences on paretic leg function in post stroke hemiparesis. J Neurophysiol, 2005, 93: 2460. – reference: 13) Duncan PW, Goldstein L, Horner R, et al.: Similar motor recovery of upper and lower extremities after stroke. Stroke, 1994, 25: 1181–1188. – reference: 11) Lee DC, Jang KP: An analysis of grip strength for Korean adults. J Ergo Soc Korea, 1997, 16: 565–572. – reference: 5) Schlaug G, Renga V, Nair D: Transcranial direct current stimulation in stroke recovery. Arch Neurol, 2008, 65: 1571–1576. – reference: 7) Kwon YH, Ko MH, Ahn SH, et al.: Primary motor cortex activation by transcranial direct current stimulation in the human brain. Neurosci Lett, 2008, 435: 56–59. – reference: 19) Hummel FC, Voller B, Celnik P: Effects of brain polarization on reaction times and pinch force in chronic stroke. BMC Neurosci, 2006, 7: 73. – reference: 12) Fugl-Meyer AR, Jaasko L, Leyman I: The post-stroke hemiplegic patient. 1. A method for evaluation of physical performance. Scand J Rehabil Med, 1975, 7: 13–31. – reference: 14) Berlim MT, Neto VD, Turecki G: Transcranial direct current stimulation: a promising alternative for the treatment of major depression? Rev Bras Psiquiatr, 2009, 31: 34–38. – reference: 17) Hummel F, Wu CW, Floel A: Improvement of skilled motor functions in elderly healthy volunteers by cortical stimulation. Neuroimage, 2004, 22: S29. – reference: 18) Hummel F, Celnik P, Giraux P, et al.: Effects of non-invasive cortical stimulation on skilled motor function in chronic stroke. Brain, 2005, 128: 490–499. – reference: 16) Fregni F, Boggio PS, Mansur CG, et al.: Transcranial direct current stimulation of the unaffected hemisphere in stroke patients. Neuroreport, 2005, 16: 1551–1555. – reference: 10) Mathiowetz V, Volland G, Kashman N, et al.: Adult norms for the box and block test of manual dexterity. Am J Occup Ther, 1985, 39: 386–391. – reference: 3) Prange GB, Jannink MJ, Groothuis-Oudshoorn CG: Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. J Rehabil Res Dev, 2006, 43: 171–184. – reference: 8) Iyer MB, Mattu U, Grafman JM, et al.: Safety and cognitive effect of frontal DC brain polarization in healthy individuals. Neurology, 2005, 64: 872–875. – ident: 5 doi: 10.1001/archneur.65.12.1571 – ident: 17 – ident: 19 doi: 10.1186/1471-2202-7-73 – ident: 3 doi: 10.1682/JRRD.2005.04.0076 – ident: 2 doi: 10.1056/NEJMcp043511 – ident: 4 doi: 10.2522/ptj.20060065 – ident: 7 doi: 10.1016/j.neulet.2008.02.012 – ident: 11 – ident: 10 doi: 10.5014/ajot.39.6.386 – ident: 13 doi: 10.1161/01.STR.25.6.1181 – ident: 16 doi: 10.1097/01.wnr.0000177010.44602.5e – ident: 20 doi: 10.1007/s00221-009-1863-9 – ident: 1 doi: 10.1152/jn.00963.2004 – ident: 14 doi: 10.1590/S1516-44462009000500006 – ident: 8 doi: 10.1212/01.WNL.0000152986.07469.E9 – ident: 15 doi: 10.1152/jn.01312.2006 – ident: 18 doi: 10.1093/brain/awh369 – ident: 9 doi: 10.1016/j.neulet.2006.05.051 – ident: 6 doi: 10.1093/brain/123.3.572 – ident: 12 doi: 10.2340/1650197771331 – reference: 16847784 - J Rehabil Res Dev. 2006 Mar-Apr;43(2):171-84 – reference: 16148743 - Neuroreport. 2005 Sep 28;16(14):1551-5 – reference: 15753425 - Neurology. 2005 Mar 8;64(5):872-5 – reference: 15843670 - N Engl J Med. 2005 Apr 21;352(16):1677-84 – reference: 17251360 - J Neurophysiol. 2007 Apr;97(4):3109-17 – reference: 16808997 - Neurosci Lett. 2006 Aug 14;404(1-2):232-6 – reference: 17179441 - Phys Ther. 2007 Jan;87(1):88-97 – reference: 19479243 - Exp Brain Res. 2009 Jul;196(3):459-65 – reference: 10686179 - Brain. 2000 Mar;123 Pt 3:572-84 – reference: 15634731 - Brain. 2005 Mar;128(Pt 3):490-9 – reference: 8202977 - Stroke. 1994 Jun;25(6):1181-8 – reference: 15590727 - J Neurophysiol. 2005 May;93(5):2460-73 – reference: 1135616 - Scand J Rehabil Med. 1975;7(1):13-31 – reference: 19064743 - Arch Neurol. 2008 Dec;65(12):1571-6 – reference: 3160243 - Am J Occup Ther. 1985 Jun;39(6):386-91 – reference: 17083730 - BMC Neurosci. 2006 Nov 03;7:73 – reference: 19565150 - Rev Bras Psiquiatr. 2009 May;31 Suppl 1:S34-8 – reference: 18325666 - Neurosci Lett. 2008 Apr 11;435(1):56-9 |
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| StartPage | 363 |
| SubjectTerms | Limb function Original Stroke tDCS |
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| Title | Effect of Transcranial Direct Current Stimulation of Function in Patients with Stroke |
| URI | https://www.jstage.jst.go.jp/article/jpts/26/3/26_jpts-2013-341/_article/-char/en https://www.ncbi.nlm.nih.gov/pubmed/24707084 https://www.proquest.com/docview/1514436108 https://www.proquest.com/docview/1534808607 https://www.proquest.com/docview/1643049755 https://pubmed.ncbi.nlm.nih.gov/PMC3976003 https://www.jstage.jst.go.jp/article/jpts/26/3/26_jpts-2013-341/_pdf |
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| ispartofPNX | Journal of Physical Therapy Science, 2014, Vol.26(3), pp.363-365 |
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