Targeting motor and cognitive networks with multichannel transcranial direct current stimulation along with peripheral stimulation in a subacute stroke survivor: single case study

Midha, Divya; Arumugam, Narkeesh

doi:10.14474/ptrs.2020.9.4.318

Cited by 2 publications

(3 citation statements)

References 18 publications

(22 reference statements)

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“…Inclusion criteria comprised participants of any gender with sub-acute stroke and with the age ranging between 20-75years, Spasticity grading on modified Ashworth scale score ＜2 for both upper or lower extremities, second stage of Brunnstrom stages of recovery, ambulatory individuals with MMSE score ≥23, and those desiring to take part in the study. The exclusion criteria comprised of individuals with cognitive deficit, with a history of neurological disorder except stroke, or any musculoskeletal injury/disease involving the LE, any recent surgery affecting lower limb movement, individuals with any metallic implant or history of systemic illness, individuals with history of any sensory deficit (Hyposensitivity or Hypersensitivity disorders, or unsupportive individuals [10].…”

Section: Participant Selection Criteriamentioning

confidence: 99%

“…The patient was treated using M-tDCS (anode over C3 and F3 and cathode over supraorbital areas, Intensity -1.2mA for a period of 20 minutes [26,27]. 10-20 electroencephalography international classification system was used to select points of stimulation [10]…”

Section: M-tdcsmentioning

confidence: 99%

“…Even 6 months after stroke, only 12% of the stroke survivors are able to attain complete motor recovery [9]. Partial functional recovery, dearth of effective neuro repair post stroke and limited functional independencepost stroke are the factors that leads to the search of novel alternative approaches that expand the scope for motor recovery post stroke [10].…”

Section: Introductionmentioning

confidence: 99%

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Targetting Balance and Gait Rehabilitation with Multichannel Transcranial Direct Current Stimulation in a Sub-Acute Stroke Survivor-A Case Report

Gakhar

Arumugam

Midha

2022

Phys Ther Rehabil Sci

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Objective: Post stroke motor recovery is facilitated by the brain reorganization or the neuroplastic changes. The therapeutic approach mentioned in the current case is one of the approaches for enhancing motor recovery by stimulating the damaged neural networks directing the motor behaviour of a person. The aim of the present study was to establish the changes in the balance and gait pattern of an individual through multi target stimulation of areas of cerebral cortex by utilising multichannel trans cranial direct current stimulation (M-tDCS) in a sub-acute stroke survivor. Design: A Case ReportMethods: The present patient was the participant of the trial (CTRI/2021/02/031044).The patient was intervened with M-tDCS (anodes over left primary motor cortex that is C3 point and left dorsolateral prefrontal cortex i.e., F3 point and cathodes over supraorbital areas, Intensity -1.2mA) for the duration of 20 minutes along with turbo med extern -an AFO to facilitate ankle dorsi flexion and conventional physiotherapy rehabilitation. The Fugl-Meyer assessment lower extremity (FMA-LE), Berg Balance Scale (BBS), Wisconsin Gait Scale (WGS) and the Stroke Specific Quality of Life (SSQOL) measures were used for outcome assessment. Baseline assessment was done on day 0 followed by assessment on 10 and 20 post intervention. Results: Improvement was seen in all the tools i.e. (FMA -LE), BBS, SSQOL and WGS over the time period of 20 days.Conclusions: M-tDCS resulted in improvement in gait parameters, balance and motor functions of lower extremity of the patient.

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Section: Participant Selection Criteriamentioning

confidence: 99%

Section: M-tdcsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Targetting Balance and Gait Rehabilitation with Multichannel Transcranial Direct Current Stimulation in a Sub-Acute Stroke Survivor-A Case Report

Gakhar

Arumugam

Midha

2022

Phys Ther Rehabil Sci

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Effects of Robotic Gait Training with Lower Extremity Restraint on Static Balance, Lower Extremity Function, Gait Ability in Subacute Stroke Patients

Kang

Shin

2021

Phys Ther Rehabil Sci

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The purpose of this study is to compare the effect of static balance, lower extremity function, and gait ability between a lower extremity restrain robot gait training and a general robot gait training in subacute stroke subjects. Design: Two-group pretest-posttest design.Methods: A total of 12 subacute stroke patients were randomly divided into an Experimental group (n＝6) and a control group (n ＝6). Both groups were performed for four weeks, three times a week, for 20 minutes. To compare the Static balance function, the center of pressure (COP) path-length and COP velocity were measured. The Fugl-Meyer assessment lower extremity (FMA-LE) were evaluated to compare the Lower Extremity function. 2D Dartfish Program and 10 Meter Walking Test (10 MWT) on Gait ability were evaluated to compare the gait function. Results: In the intra-group comparison, Experimental groups showed significant improvement in COP path-length, velocity, Lower Extremity Function, 10 MWT, Cadence, by comparing the parameters before and after the intervention (p＜0.05). Comparison of the amount of change between groups revealed significant improvement for parameters in the COP path-length, velocity, Lower extremity function, 10 MWT by comparing the parameters before and after the intervention (p＜0.01). Conclusions:The Experimental group showed enhanced efficacy for variables such as COP path-length, velocity, Lower extremity function, 10 MWT as compared to the control group.

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Targeting motor and cognitive networks with multichannel transcranial direct current stimulation along with peripheral stimulation in a subacute stroke survivor: single case study

Cited by 2 publications

References 18 publications

Targetting Balance and Gait Rehabilitation with Multichannel Transcranial Direct Current Stimulation in a Sub-Acute Stroke Survivor-A Case Report

Targetting Balance and Gait Rehabilitation with Multichannel Transcranial Direct Current Stimulation in a Sub-Acute Stroke Survivor-A Case Report

Effects of Robotic Gait Training with Lower Extremity Restraint on Static Balance, Lower Extremity Function, Gait Ability in Subacute Stroke Patients

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