The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot Study

作者: A. Fusco , D. De Angelis , G. Morone , L. Maglione , T. Paolucci

DOI: 10.1155/2013/837595

关键词:

摘要: Transcranial direct current stimulation (tDCS) is a noninvasive technique that emerging as prospective therapy for different neurologic disorders. Previous studies have demonstrated anodal and cathodal can improve motor performance in terms of dexterity manual force. The objective this study was to determine whether electrodes' setups (anodal, cathodal, simultaneous bilateral tDCS) provide which montage more effective. As secondary outcome, we asked the patients about their satisfaction, if tDCS uncomfortable than unilateral tDCS. Nine with stroke subacute phase were enrolled randomly divided three groups. Our results showed an effective treatment compared Sham (P = 0.022). In particular, provided higher improvement dexterity. Cathodal seemed little effect force improvement, not observed other setups. Bipolar be less No significant differences been noted set-ups patients' judgment. These highlight potential efficacy phase.

参考文章(22)
Sergio P Rigonatti, Paulo S Boggio, Felipe Fregni, Alvaro Pascual-Leone, Michael A Nitsche, Alice Nunes, Repeated sessions of noninvasive brain DC stimulation is associated with motor function improvement in stroke patients. Restorative Neurology and Neuroscience. ,vol. 25, pp. 123- 129 ,(2007)
Howard La, Taylor N, Jebsen Rh, Trieschmann Rb, Trotter Mj, An Objective and Standardized Test of Hand Function Archives of Physical Medicine and Rehabilitation. ,vol. 50, pp. 311- 319 ,(1969)
Laura Mordillo-Mateos, Laura Turpin-Fenoll, Jorge Millán-Pascual, Natalia Núñez-Pérez, Ivan Panyavin, José Maria Gómez-Argüelles, Enrique Botia-Paniagua, Guglielmo Foffani, Nicolas Lang, Antonio Oliviero, Effects of simultaneous bilateral tDCS of the human motor cortex. Brain Stimulation. ,vol. 5, pp. 214- 222 ,(2012) , 10.1016/J.BRS.2011.05.001
Saif S. Rathore, Albert R. Hinn, Lawton S. Cooper, Herman A. Tyroler, Wayne D. Rosamond, Characterization of Incident Stroke Signs and Symptoms Findings From the Atherosclerosis Risk in Communities Study Stroke. ,vol. 33, pp. 2718- 2721 ,(2002) , 10.1161/01.STR.0000035286.87503.31
Felipe Fregni, Paulo S. Boggio, Carlos G. Mansur, Tim Wagner, Merari J. L. Ferreira, Moises C. Lima, Sergio P. Rigonatti, Marco A. Marcolin, Steven D. Freedman, Michael A. Nitsche, Alvaro Pascual-Leone, Transcranial direct current stimulation of the unaffected hemisphere in stroke patients. Neuroreport. ,vol. 16, pp. 1551- 1555 ,(2005) , 10.1097/01.WNR.0000177010.44602.5E
Prateek C. Gandiga, Friedhelm C. Hummel, Leonardo G. Cohen, Transcranial DC stimulation (tDCS): a tool for double-blind sham-controlled clinical studies in brain stimulation. Clinical Neurophysiology. ,vol. 117, pp. 845- 850 ,(2006) , 10.1016/J.CLINPH.2005.12.003
Erik J. Plautz, Scott Barbay, Shawn B. Frost, Kathleen M. Friel, Numa Dancause, Elena V. Zoubina, Ann M. Stowe, Barbara M. Quaney, Randolph J. Nudo, Post-infarct cortical plasticity and behavioral recovery using concurrent cortical stimulation and rehabilitative training: a feasibility study in primates. Neurological Research. ,vol. 25, pp. 801- 810 ,(2003) , 10.1179/016164103771953880
Louise Demers, Rhoda Weiss-Lambrou, Bernadette Ska, Development of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST). Assistive Technology. ,vol. 8, pp. 3- 13 ,(1996) , 10.1080/10400435.1996.10132268
Deog Young Kim, Suk Hoon Ohn, Eun Joo Yang, Chang-Il Park, Kang Jae Jung, Enhancing motor performance by anodal transcranial direct current stimulation in subacute stroke patients. American Journal of Physical Medicine & Rehabilitation. ,vol. 88, pp. 829- 836 ,(2009) , 10.1097/PHM.0B013E3181B811E3