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
]
Rodrigues, Erika
论文数: 0引用数: 0
h-index: 0
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.
论文数: 0引用数: 0
h-index: 0
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
论文数: 0引用数: 0
h-index: 0
机构:
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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机构:
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
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
Sangadala, Devika Rani
[1
]
Kakaraparthi, Venkata Nagaraj
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
Kakaraparthi, Venkata Nagaraj
[1
]
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Asiri, Faisal
[1
]
Midde, Ajaya Kumar
论文数: 0引用数: 0
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机构:
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:
Aqaba Univ Technol, Allied Med Sci Dept, Phys Therapy Div, Aqaba 77110, JordanAqaba Univ Technol, Allied Med Sci Dept, Phys Therapy Div, Aqaba 77110, Jordan
Etoom, Mohammad
Alwardat, Mohammad
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Jordan Univ Sci & Technol, Fac Appl Med Sci, Dept Rehabil Sci, POB 3030, Irbid, JordanAqaba Univ Technol, Allied Med Sci Dept, Phys Therapy Div, Aqaba 77110, Jordan
Alwardat, Mohammad
Alghwiri, Alia
论文数: 0引用数: 0
h-index: 0
机构:
Univ Jordan, Sch Rehabil Sci, Dept Physiotherapy, Amman 11942, Jordan
Univ Pittsburgh, Dept Phys Therapy, Pittsburgh, PA 15261 USAAqaba Univ Technol, Allied Med Sci Dept, Phys Therapy Div, Aqaba 77110, Jordan
Alghwiri, Alia
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Lena, Francesco
Romigi, Andrea
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IRCCS INM Neuromed, I-86077 Pozzilli, IS, ItalyAqaba Univ Technol, Allied Med Sci Dept, Phys Therapy Div, Aqaba 77110, Jordan
机构:
Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Populat Hlth Res Inst, Hamilton, ON L8L 2X2, CanadaHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Boasquevisque, Danielle De S.
Servinsckins, Larissa
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Servinsckins, Larissa
de Paiva, Joselisa P. Q.
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
de Paiva, Joselisa P. Q.
Dos Santos, Daniel G.
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Dos Santos, Daniel G.
Soares, Priscila
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Soares, Priscila
Pires, Danielle S.
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Pires, Danielle S.
Meltzer, Jed A.
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Baycrest Ctr Geriatr Care, Rotman Res Inst, Toronto, ON M6A 2E, CanadaHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Meltzer, Jed A.
Plow, Ela B.
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Cleveland Clin Fdn, Cleveland, OH 44195 USAHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Plow, Ela B.
de Freitas, Paloma F.
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
de Freitas, Paloma F.
Speciali, Danielli S.
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Speciali, Danielli S.
Lopes, Priscila
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Lopes, Priscila
Peres, Mario F. P.
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Peres, Mario F. P.
Silva, Gisele S.
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Univ Fed Sao Paulo, BR-04039000 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Silva, Gisele S.
Lacerda, Shirley
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Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Lacerda, Shirley
Conforto, Adriana B.
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机构:
Hosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
Univ Sao Paulo, Hosp Clin, BR-05403000 Sao Paulo, BrazilHosp Israelita Albert Einstein, BR-05652900 Sao Paulo, Brazil
机构:
Educ Univ Hong Kong, Fac Liberal Arts & Social Sci, Hong Kong, Peoples R ChinaKaohsiung Med Univ, Coll Hlth Sci, Dept Phys Therapy, Kaohsiung, Taiwan
Lo, Sing-Kai
Chen, Chia-Hsin
论文数: 0引用数: 0
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机构:
Kaohsiung Med Univ, Coll Med, Sch Med, Kaohsiung, Taiwan
Kaohsiung Med Univ, Chung Ho Mem Hosp, Dept Phys Med & Rehabil, Kaohsiung, TaiwanKaohsiung Med Univ, Coll Hlth Sci, Dept Phys Therapy, Kaohsiung, Taiwan
Chen, Chia-Hsin
Lin, Jau-Hong
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机构:
Kaohsiung Med Univ, Coll Hlth Sci, Dept Phys Therapy, Kaohsiung, Taiwan
Kaohsiung Med Univ Hosp, Dept Med Res, Kaohsiung, TaiwanKaohsiung Med Univ, Coll Hlth Sci, Dept Phys Therapy, Kaohsiung, Taiwan
机构:
Fushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R ChinaFushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R China
Lin, Ping
Yang, Moudan
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Fushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R ChinaFushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R China
Yang, Moudan
Huang, Deqing
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Fushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R ChinaFushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R China
Huang, Deqing
Lin, Huan
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机构:
Fushun Peoples Hosp, Dept Radiol, 490 Jixiang Rd,Fushi St Zigong, Fushun, Peoples R ChinaFushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R China
Lin, Huan
Wang, Jialin
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Fushun Peoples Hosp, Dept Radiol, 490 Jixiang Rd,Fushi St Zigong, Fushun, Peoples R ChinaFushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R China
Wang, Jialin
Zhong, Chaoping
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Fushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R ChinaFushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R China
Zhong, Chaoping
Guan, Li
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Fushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R ChinaFushun Peoples Hosp, Dept Rehabil Med, 47 Xiangyun St West Sect, Zigong, Peoples R China