Repeated sessions of noninvasive brain DC stimulation is associated with motor function improvement in stroke patients

被引:42
作者
Boggio, Paulo S.
Nunes, Alice
Rigonatti, Sergio P.
Nitsche, Michael A.
Pascual-Leone, Alvaro
Fregni, Felipe
机构
[1] Univ Sao Paulo, Dept Expt Psychol, Sao Paulo, Brazil
[2] Univ Sao Paulo, Dept Psychiat, Sao Paulo, Brazil
[3] Jcleo Neurociencias Mackenzie Univ, Sao Paulo, Brazil
[4] Univ Gottingen, Dept Clin Neurophysiol, Gottingen, Germany
[5] Inst Gutmann Neurorehabil, Barcelona, Spain
[6] Beth Israel Deaconess Med Ctr, Ctr Noninvas Brain Stimulat, Boston, MA 02215 USA
关键词
rehabilitation; transcranial direct current stimulation; brain DC polarization;
D O I
暂无
中图分类号
Q189 [神经科学];
学科分类号
071006 [神经生物学];
摘要
Purpose: Recent evidence has suggested that a simple technique of noninvasive brain stimulation - transcranial direct cur-rent stimulation (tDCS) - is associated with a significant motor function improvement in stroke patients. Methods: We tested the motor performance improvement in stroke patients following 4 weekly sessions of sham, anodal- and cathodal tDCS (experiment 1) and the effects of 5 consecutive daily sessions of cathodal tDCS (experiment 2). A blinded rater evaluated motor function using the Jebsen-Taylor Hand Function Test. Results: There was a significant main effect of stimulation condition (p = 0.009) in experiment 1. Furthermore there was a significant motor function improvement after either cathodal tDCS of the unaffected hemisphere (p = 0.016) or anodal tDCS of the affected hemisphere (p = 0.046) when compared to sham tDCS. There was no cumulative effect associated with weekly sessions of tDCS. however consecutive daily sessions of tDCS (experiment 2) were associated with a significant effect oil time (p < 0.0001) that lasted for 2 weeks after treatment. Conclusions. The findings Of Our study support previous research showing that tDCS is significantly associated with motor function improvement in stroke patients; and support that consecutive daily sessions of tDCS might increase its behavioral effects. Because the technique of tDCS is simple, safe and non-expensive; our findings support further research on the use of this technique for the rehabilitation of patients with stroke.
引用
收藏
页码:123 / 129
页数:7
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