Combined Transcranial Direct Current Stimulation and Vision Restoration Training in Subacute Stroke Rehabilitation: A Pilot Study

Alber, R.; Moser, H; Gall, Carolin; Sabel, Bernhard A.

doi:10.1016/j.pmrj.2016.12.003

Cited by 31 publications

(34 citation statements)

References 30 publications

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“…In the study by Chang et al (2015), improvement in low limb function and higher cortex excitability in the anodal group compared to sham was observed when 24 subacute stroke patients received 10 sessions of anodal/sham tDCS combined with conventional physical therapy. Another investigation revealed significantly greater recovery of visual fields in seven homonymous hemianopia subacute stroke patients treated with anodal tDCS and vision restoration training compared to controls (Alber et al, 2017). A plateau in recovery was achieved faster in acute stroke patients after bilateral priming combined with physiotherapy in the study by Stinear and Byblow, (2014).…”

Section: Introductionmentioning

confidence: 85%

“…Most of the studies, investigating tDCS influence in the acute and subacute stage of recovery post-stroke showed beneficial effects (Alber, Moser, Gall, & Sabel, 2017;Berretta, Tzeng, & Clarkson, 2014;Chang, Kim, & Park, 2015;Lee & Chun, 2014;Stinear & Byblow, 2014;Wang et al, 2014). In the study by Chang et al (2015), improvement in low limb function and higher cortex excitability in the anodal group compared to sham was observed when 24 subacute stroke patients received 10 sessions of anodal/sham tDCS combined with conventional physical therapy.…”

Section: Introductionmentioning

confidence: 97%

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Effect of tDCS on Fine Motor Control of Patients in Subacute and Chronic Post-Stroke Stages

Pavlova

Semenov

Guekht

2019

Journal of Motor Behavior

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In this study we compared the effects of transcranial direct current stimulation (tDCS) in the subacute and chronic stages of post-stroke recovery. Anodal/sham tDCS was applied to the primary motor cortex of stroke patients in these stages of recovery in a cross-over design. The Jebsen-Taylor hand function test was employed. The repeated-measure ANOVA showed significant influence of the stimulation type and test performance time (during/after tDCS) with no overall influence of recovery stage. The interaction TYPE Ã TIME Ã STAGE was significant. The effect after anodal tDCS in the subacute stage was significantly higher compared to the effects in all relevant conditions including the chronic stage. Therefore, tDCS treatment in the subacute stage of recovery can be superior, at least for some patients, to treatment in the chronic stage.

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Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 97%

Effect of tDCS on Fine Motor Control of Patients in Subacute and Chronic Post-Stroke Stages

Pavlova

Semenov

Guekht

2019

Journal of Motor Behavior

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“…Oceňovali samotné zlepšení zraku i snahu personálu o jejich návrat do běžného života jako před nemocí. Náš projekt si klade za cíl zhodnotit, zda tES dokáže akcelerovat či podnítit zrakovou rehabilitaci, jak je popisováno v mnoha studiích [1,2,8,6]. Efekt této metody však nelze toho času zhodnotit, neboť studie zatím ještě není odslepena.…”

Section: Diskuseunclassified

“…Slouží k urychlení zrakové rehabilitace, kdy pozitivní zkušenosti byly zaznamenány např. u pacientů s hemianopsií [1,4] nebo u pokusných zvířat [8].…”

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Methods of Improving the Visual Functions in Patients with Stable Maculopathy – Pilot Results of a New Study

Nekolová

Kremláček

Kuba

et al. 2019

CSO

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“…However, contrary to this traditional paradigm, there is considerable recovery potential. Vision loss can not only spontaneoulsy recover to some degree [1,2], but recovery can be initiated or potentiated by vision training [2][3][4][5][6][7][8][9][10] and non-invasive alternating current stimulation (ACS) [11][12][13][14][15][16][17][18][19][20][21]. For example, in a multicenter trial with patients suffering from optic nerve damage, transorbital ACS treatment resulted in 24% recovery of visual fields, measured by super-threshold perimetry.…”

Section: Introductionmentioning

confidence: 99%

Personality and stress influence vision restoration and recovery in glaucoma and optic neuropathy following alternating current stimulation: implications for personalized neuromodulation and rehabilitation

et al. 2020

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Purpose Identifying factors that affect recovery or restoration of neurological function is a key goal of rehabilitation in neurology and ophthalmology. One such factor can be prolonged mental stress, which may be not only the consequence of nervous system damage but also a major risk factor, or cause, of neural inactivation. Using the visual system as a model of neural injury, we wished to study how patients' stress and personality profiles correlate with vision recovery as induced by therapy with alternating current stimulation (ACS) in patients with optic nerve damage. Methods Personality and stress questionnaires were sent retrospectively to a clinical convenience sample of patients who suffer low vision due to optic nerve damage, which had previously been treated with ACS. The questionnaires included the NEO Five-Factor Inventory (NEO-FFI), the Trier Inventory of Chronic Stress (TICS), and the Flammer syndrome (FS) checklist, which probes signs of vascular dysregulation (VD). These scores were then correlated with the extent of ACS-induced vision restoration as recorded 1-3 years earlier by perimetric visual field tests. Results Two NEO-FFI personality factors (lower neuroticism, higher conscientiousness) and the presence of physiological Flammer signs were associated with greater recovery as were individual items of the factors openness and agreeableness. Single NEO-FFI item analysis revealed that recovery relates to greater extraversion (optimistic and happy), openness (less guided by authorities for decisions on moral issues), and agreeableness (argue less, like working with others, thoughtful, considerate) as well as the presence of FS signs (cold hands/feet, hypotension, slim body shapes, tinnitus). This suggests that patients with better recovery were more calm, peaceful and secure, hard-working, and reliable, and with high organizational skills. In contrast, patients with poor recovery had a tendency to be emotionally unstable, anxious, unhappy and prone to negative emotions, impulsive, careless, and unorganized. Chronic stress assessed with TICS did not correlate with recovery. Conclusion Vision restoration induced by ACS is greater in patients with less stress-prone personality traits and those who show signs of VD. Prospective studies are now needed to determine if personality has (i) a causal influence, i.e., patients with less stress-prone personalities and greater VD signs recover better, and/or (ii) if personality changes are an effect of the treatment, i.e., successful recovery induces personality changes. Though the cause-effect relationship is still open, we nevertheless propose that psychosocial factors and VD contribute to the highly variable outcome of vision restoration treatments in low vision rehabilitation. This has implications for preventive and personalized vision restoration and is of general value for our understanding of outcome variability in neuromodulation and neurological rehabilitation.

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Combined Transcranial Direct Current Stimulation and Vision Restoration Training in Subacute Stroke Rehabilitation: A Pilot Study

Abstract: IV.

Cited by 31 publications

References 30 publications

Effect of tDCS on Fine Motor Control of Patients in Subacute and Chronic Post-Stroke Stages

Effect of tDCS on Fine Motor Control of Patients in Subacute and Chronic Post-Stroke Stages

Methods of Improving the Visual Functions in Patients with Stable Maculopathy – Pilot Results of a New Study

Personality and stress influence vision restoration and recovery in glaucoma and optic neuropathy following alternating current stimulation: implications for personalized neuromodulation and rehabilitation

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