Effect of Transcranial Direct Current Stimulation of Function in Patients with Stroke

Cha, Hyun-Kyu; Ji, Sang-Goo; Kim, Myoung-Kwon; Chang, Jong-Sung

doi:10.1589/jpts.26.363

Cited by 58 publications

(45 citation statements)

References 19 publications

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“…tDCS is used to stimulate the cerebral cortex directly, in order to control the activities of the cortex. tDCS can impact the function of a specific neural structure and augment treatment effects during the rehabilitation process through brain stimulation2 ) . Since tDCS is highly portable and safe, as well as economical, it can be used conveniently for the purposes of research and treatment3 ) .…”

Section: Introductionmentioning

confidence: 99%

Effect of transcranial direct current stimulation on visual perception function and performance capability of activities of daily living in stroke patients

Kim

2016

J Phys Ther Sci

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[Purpose] The purpose of this study was to examine the effects of transcranial direct current stimulation (tDCS) on visual perception and performance of activities of daily living in patients with stroke. [Subjects and Methods] Thirty subjects were assigned equally to a tDCS plus traditional occupational therapy group (experimental group) and a traditional occupational therapy group (control group). The intervention was implemented five times per week, 30 minutes each, for six weeks. In order to assess visual perception function before and after the intervention, the motor-free visual perception test (MVPT) was conducted, and in order to compare the performance of activities of daily living, the Functional Independence Measure scale was employed. [Results] According to the results, both groups improved in visual perception function and in performance of activities of daily living. Although there was no significant difference between the two groups, the experimental group exhibited higher scores. [Conclusion] In conclusion, the application of tDCS for the rehabilitation of patients with stroke may positively affect their visual perception and ability to perform activities of daily living.

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Section: Introductionmentioning

confidence: 99%

Effect of transcranial direct current stimulation on visual perception function and performance capability of activities of daily living in stroke patients

Kim

2016

J Phys Ther Sci

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“…Increasingly, transcranial direct current stimu-lation (tDCS), a form of non-invasive brain stimulation that modulates cortical excitability, has been considered as a possible adjunct to conventional physical therapy aimed at post-stroke motor recovery (Cha et al, 2014;Kim et al, 2010;Lindenberg et al, 2010;Jayaram and Stinear, 2009).…”

Section: Introductionmentioning

confidence: 99%

The effect of single session bi-cephalic transcranial direct current stimulation on gait performance in sub-acute stroke: A pilot study

Tahtis

Kaski

Seemungal

2014

Restorative Neurology and Neuroscience

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Purpose: Non-invasive brain stimulation with transcranial direct current stimulation (tDCS) modulates cortical excitability and improves upper limb motor performance when applied to chronic stroke patients. The objective was to evaluate whether tDCS can influence gait function in sub-acute stroke patients. Methods:We assessed the effect of single session, bi-cephalic tDCS on gait performance in 14 subacute patients with stroke involving the cerebral hemisphere (2-8 weeks post-stroke) in a double-blinded, sham-controlled study. Patients were randomly allocated to receive either active (n = 7) or sham (n = 7) tDCS. The anodal electrode was placed on the scalp over the ipsilesional lower limb primary motor cortex and the cathode was placed over the contralesional leg motor cortex. Gait performance was measured using the Timed Up and Go test and the Performance Oriented Mobility Assessment before and after active or sham tDCS. Results: The tDCS group was significantly quicker in the Timed Up and Go test in the tDCS group, compared to the sham group (p = 0.018). The Performance Oriented Mobility Assessment was not different between groups (p = 0.897). Conclusions: This is the first study to examine the effects of tDCS on gait in stroke patients in the sub-acute stage. Active tDCS improved gait performance (Timed Up and Go) in stroke patients, despite no changes to limb biomechanics of the hemiparetic side (Performance Oriented Mobility Assessment), as compared to sham stimulation. These results suggest that tDCS could be used as a therapeutic adjunct for gait rehabilitation following stroke.

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“…LF-TMS over the unaffected hemisphere may be more beneficial than rTMS over the affected hemisphere. Most of the individual studies reported clinical improvement of upper-limb motor disorder more commonly found in patients with subcortical lesions, when the rTMS intervention was coupled with traditional rehabilitation, and when the stimulation was applied over the nonlesioned hemisphere [17].…”

Section: Tdcs Study In Post-stroke and Parkinson's Diseasementioning

confidence: 99%

“…In one study, 38 patients with post stroke hemiparesis, LF-rTMS (20 min) was combined with physical exercise during 15 days of hospitalization [17] and scores of the TUG test, dynamic gait index and the functional balance scale were significantly improved.…”

Section: Combined Approachesmentioning

confidence: 99%

Non-Invasive Brain Stimulation (TMS/tDCS) and Rehabilitation for Stroke and Parkinson’s

Matsuda¹,

Manji²,

Amimoto³

et al. 2017

Neurological Physical Therapy

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The aim of this study was to clarify and compare the efficacies of rehabilitation using transcranial direct current stimulation (tDCS) and continuous theta burst stimulation (cTBS), a form of repetitive transcranial magnetic stimulation (rTMS), in convalescing stroke and Parkinson's disease patients. For both types of stimuli, kinetic analysis and performance analysis of upper limb motor paralysis and gait analysis showed an increase in speed of movement, and an improvement in performance was observed. Both stimuli resulted in significant improvement compared with a sham stimulus. Change in speed of movement and performance was observed with both tDCS and cTBS, but there was not a significantly large difference between the stimuli. Improved movement due to reduction of excessive tension caused by spasticity was observed. In patients with Parkinson's disease, gait speed and step length were increased. It is suggested that performance was improved because movement became smoother. The efficacy of tDCS and cTBS in patients with motor disorders caused by stroke or Parkinson's disease will probably be further improved when combined with physical therapy.

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Effect of Transcranial Direct Current Stimulation of Function in Patients with Stroke

Cited by 58 publications

References 19 publications

Effect of transcranial direct current stimulation on visual perception function and performance capability of activities of daily living in stroke patients

Effect of transcranial direct current stimulation on visual perception function and performance capability of activities of daily living in stroke patients

The effect of single session bi-cephalic transcranial direct current stimulation on gait performance in sub-acute stroke: A pilot study

Non-Invasive Brain Stimulation (TMS/tDCS) and Rehabilitation for Stroke and Parkinson’s

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