Transcranial direct current stimulation combined with trunk-targeted, proprioceptive neuromuscular facilitation in subacute stroke: a randomized controlled trial
被引:6
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Tedla, Jaya Shanker
[1
,2
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Rodrigues, Erika
论文数: 0引用数: 0
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机构:
Univ Ctr Augusto Motta UNISUAM, Postgrad Program Rehabil Sci, Rio De Janeiro, BrazilKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi Arabia
Rodrigues, Erika
[2
]
Ferreira, Arthur S.
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机构:
Univ Ctr Augusto Motta UNISUAM, Postgrad Program Rehabil Sci, Rio De Janeiro, BrazilKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi Arabia
Ferreira, Arthur S.
[2
]
Vicente, Jose
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Univ Fed Rio de Janeiro, Neurol Physiotherapy, Rio De Janeiro, BrazilKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi Arabia
Vicente, Jose
[3
]
Reddy, Ravi Shankar
论文数: 0引用数: 0
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King Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi ArabiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi Arabia
Reddy, Ravi Shankar
[1
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Gular, Kumar
[1
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Sangadala, Devika Rani
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King Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi ArabiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi Arabia
Sangadala, Devika Rani
[1
]
Kakaraparthi, Venkata Nagaraj
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King Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi ArabiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi Arabia
Kakaraparthi, Venkata Nagaraj
[1
]
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Asiri, Faisal
[1
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Midde, Ajaya Kumar
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Krishna Inst Med Sci, Dept Physiotherapy, Neurorehabil, Secunderabad, Telangana, IndiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi Arabia
Midde, Ajaya Kumar
[4
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Dixit, Snehil
[1
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机构:
[1] King Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha, Aseer, Saudi Arabia
[2] Univ Ctr Augusto Motta UNISUAM, Postgrad Program Rehabil Sci, Rio De Janeiro, Brazil
[3] Univ Fed Rio de Janeiro, Neurol Physiotherapy, Rio De Janeiro, Brazil
[4] Krishna Inst Med Sci, Dept Physiotherapy, Neurorehabil, Secunderabad, Telangana, India
来源:
PEERJ
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2022年
/
10卷
关键词:
Proprioceptive neuromuscular facilitation;
Physical therapy;
Stroke;
Transcranial direct current stimulation;
MOTOR FUNCTION-TEST;
QUALITY-OF-LIFE;
IMPAIRMENT SCALE;
REHABILITATION;
PERFORMANCE;
MOBILITY;
BALANCE;
PEOPLE;
TDCS;
VALIDATION;
D O I:
10.7717/peerj.13329
中图分类号:
O [数理科学和化学];
P [天文学、地球科学];
Q [生物科学];
N [自然科学总论];
学科分类号:
07 ;
0710 ;
09 ;
摘要:
Background: Stroke is the foremost cause of death and disability worldwide. Improving upper extremity function and quality of life are two paramount therapeutic targets during rehabilitation. Aim of the study: To investigate the effects of transcranial direct current stimulation (tDCS) combined with trunk-targeted proprioceptive neuromuscular facilitation (PNF) on impairments, activity limitations, and participation restrictions of subjects with subacute stroke. Methodology: Fifty-four subjects with subacute stroke were divided into three groups using block randomization. All three groups received rehabilitation sessions lasting 90 min in duration, four times per week, for 6 weeks. Group 1 (n = 18) received conventional physical therapy (CPT); group 2 (n = 18) received CPT, trunk-targeted PNF, and sham tDCS; and group 3 (n = 18) received CPT, trunk-targeted PNF, and bihemispheric motor cortex stimulation with tDCS. Changes in motor impairment, motor activity, and health-related quality of life assessments were outcome measures. Results: A two-way linear mixed model analysis revealed interaction effects (group x time) for all outcome measurements (Trunk Impairment Scale, Fugl-Meyer Assessment of Motor Recovery after stroke upper extremity subsection, Wolf Motor Function Test, 10-Meter Walk Test, and the Stroke-Specific Quality of Life scale; all p < 0.01 or lower). Overall, post-pre mean differences demonstrate more substantial improvement in the active tDCS group, followed by sham stimulation associated with the PNF group and the group that received CPT alone. Conclusion: Trunk-targeted PNF combined with bihemispheric tDCS along with CPT engender larger improvements in upper extremity and trunk impairment, upper limb function, gait speed, and quality of life in the subacute stroke population.
机构:
Natl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Taipei Vet Gen Hosp, Neurol Inst, Div Cerebrovascular Dis, 201,Sec 2,Shipai Rd, Taipei 11217, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Hsu, Shih-Pin
Lu, Chia-Feng
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Natl Yang Ming Chiao Tung Univ, Dept Biomed Imaging & Radiol Sci, Taipei, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Lu, Chia-Feng
Lin, Bing-Fong
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Natl Yang Ming Chiao Tung Univ, Dept Biomed Imaging & Radiol Sci, Taipei, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Lin, Bing-Fong
Tang, Chih-Wei
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Far Eastern Mem Hosp, Dept Neurol, New Taipei City, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Tang, Chih-Wei
Kuo, I-Ju
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Taipei Vet Gen Hosp, Dept Neurosurg, Taipei, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Kuo, I-Ju
Tsai, Yun-An
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Taipei Vet Gen Hosp, Dept Neurosurg, Taipei, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Tsai, Yun-An
Guo, Chao-Yu
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Natl Yang Ming Chiao Tung Univ, Inst Publ Hlth, Taipei, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Guo, Chao-Yu
Lee, Po-Lei
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Natl Cent Univ, Dept Elect Engn, Taoyuan, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Lee, Po-Lei
Shyu, Kuo-Kai
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Natl Cent Univ, Dept Elect Engn, Taoyuan, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Shyu, Kuo-Kai
Niddam, David M.
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Natl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Natl Yang Ming Chiao Tung Univ, Brain Res Ctr, Taipei, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Niddam, David M.
Lee, I-Hui
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Natl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
Taipei Vet Gen Hosp, Neurol Inst, Div Cerebrovascular Dis, 201,Sec 2,Shipai Rd, Taipei 11217, Taiwan
Natl Yang Ming Chiao Tung Univ, Brain Res Ctr, Taipei, TaiwanNatl Yang Ming Chiao Tung Univ, Inst Brain Sci, Taipei, Taiwan
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Univ New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, AustraliaUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
Loo, Colleen K.
Husain, Mustafa M.
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UT Southwestern Med Ctr, Dept Psychiat, 5323 Harry Hines Blvd, Dallas, TX 75390 USA
Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Duke South 5th Floor Red Zone,DUMC Box 3620, Durham, NC 27710 USAUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
Husain, Mustafa M.
McDonald, William M.
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Emory Univ, Sch Med, Dept Psychiat & Behav Sci, 12 Execut Pk Dr NE 200, Atlanta, GA 30329 USAUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
McDonald, William M.
Aaronson, Scott
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Sheppard Pratt Hlth Syst, Clin Res Programs, 6501 N Charles St,Suite A319, Baltimore, MD 21204 USAUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
Aaronson, Scott
O'Reardon, John P.
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Rowan Univ, Sch Osteopath Med, 2250 Chapel Ave W, Cherry Hill, NJ 08034 USAUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
O'Reardon, John P.
Alonzo, Angelo
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Univ New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, AustraliaUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
Alonzo, Angelo
Weickert, Cynthia Shannon
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Neurosci Res Australia, Margarete Ainsworth Bldg,Barker St, Sydney, NSW 2031, Australia
Univ New South Wales, Sch Psychiat, Fac Med, Sydney, NSW 2052, AustraliaUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
Weickert, Cynthia Shannon
Martin, Donel M.
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Univ New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, AustraliaUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
Martin, Donel M.
McClintock, Shawn M.
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UT Southwestern Med Ctr, Dept Psychiat, 5323 Harry Hines Blvd, Dallas, TX 75390 USA
Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Duke South 5th Floor Red Zone,DUMC Box 3620, Durham, NC 27710 USAUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
McClintock, Shawn M.
Mohan, Adith
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Neurosci Res Australia, Margarete Ainsworth Bldg,Barker St, Sydney, NSW 2031, AustraliaUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia
Mohan, Adith
Lisanby, Sarah H.
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Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Duke South 5th Floor Red Zone,DUMC Box 3620, Durham, NC 27710 USAUniv New South Wales, Black Dog Inst, Sch Psychiat, Hosp Rd, Sydney, NSW 2031, Australia