The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson’s Disease

<i>Background and Objectives</i>: The purpose of this study was to investigate the effects of transcranial direct current stimulation (tDCS) on motor function, balance and gait ability in patients with Parkinson’s disease (PD). <i>Materials and Methods</i>: For the experiment...

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Main Authors: Si-a Lee, Myoung-Kwon Kim
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/57/11/1146
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author Si-a Lee
Myoung-Kwon Kim
author_facet Si-a Lee
Myoung-Kwon Kim
author_sort Si-a Lee
collection DOAJ
description <i>Background and Objectives</i>: The purpose of this study was to investigate the effects of transcranial direct current stimulation (tDCS) on motor function, balance and gait ability in patients with Parkinson’s disease (PD). <i>Materials and Methods</i>: For the experiment, 30 patients with PD were randomly assigned to the experimental group (<i>n</i> = 15) and the control group (<i>n</i> = 15). Visual cueing training was commonly applied to both groups, the experimental group applied tDCS simultaneously with visual training, and the control group applied sham tDCS simultaneously with visual training. All subjects were pre-tested before the first intervention, post-tested after completing all 4 weeks of intervention, and followed-up tested 2 weeks after the completing intervention. The tests used the Unified Parkinson’s Disease Rating Scale (UPDRS) for motor function assessment, Functional Gait Assessment (FGA) for balance assessment, Freezing of Gait Questionnaire (FOG-Q) and the GAITRite system for gait ability assessment. Among the data obtained through the GAITRite system, gait velocity, cadence, step time, double support time, and stride length were analyzed. <i>Results</i>: The experimental group showed a significant decrease in UPDRS and a significant increase in FGA and cadence after the intervention. In addition, UPDRS and cadence showed a significant difference in the follow-up test compared to the pre-intervention test. <i>Conclusions</i>: This study suggests that the application of tDCS to the supplementary motor area of PD patients is useful as an adjuvant therapy for rehabilitation training of PD patients.
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spelling doaj.art-846f715c3f9c422a8df57535656010062023-11-23T00:16:20ZengMDPI AGMedicina1010-660X1648-91442021-10-015711114610.3390/medicina57111146The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson’s DiseaseSi-a Lee0Myoung-Kwon Kim1Department of Rehabilitation Sciences, Graduate School, Daegu University, Jillyang, Gyeongsan, Gyeongbuk 712-714, KoreaDepartment of Physical Therapy, College of Rehabilitation Sciences, Daegu University, Jillyang, Gyeongsan, Gyeongbuk 712-714, Korea<i>Background and Objectives</i>: The purpose of this study was to investigate the effects of transcranial direct current stimulation (tDCS) on motor function, balance and gait ability in patients with Parkinson’s disease (PD). <i>Materials and Methods</i>: For the experiment, 30 patients with PD were randomly assigned to the experimental group (<i>n</i> = 15) and the control group (<i>n</i> = 15). Visual cueing training was commonly applied to both groups, the experimental group applied tDCS simultaneously with visual training, and the control group applied sham tDCS simultaneously with visual training. All subjects were pre-tested before the first intervention, post-tested after completing all 4 weeks of intervention, and followed-up tested 2 weeks after the completing intervention. The tests used the Unified Parkinson’s Disease Rating Scale (UPDRS) for motor function assessment, Functional Gait Assessment (FGA) for balance assessment, Freezing of Gait Questionnaire (FOG-Q) and the GAITRite system for gait ability assessment. Among the data obtained through the GAITRite system, gait velocity, cadence, step time, double support time, and stride length were analyzed. <i>Results</i>: The experimental group showed a significant decrease in UPDRS and a significant increase in FGA and cadence after the intervention. In addition, UPDRS and cadence showed a significant difference in the follow-up test compared to the pre-intervention test. <i>Conclusions</i>: This study suggests that the application of tDCS to the supplementary motor area of PD patients is useful as an adjuvant therapy for rehabilitation training of PD patients.https://www.mdpi.com/1648-9144/57/11/1146Parkinson’s diseasetranscranial direct current stimulationmotorbalancegait
spellingShingle Si-a Lee
Myoung-Kwon Kim
The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson’s Disease
Medicina
Parkinson’s disease
transcranial direct current stimulation
motor
balance
gait
title The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson’s Disease
title_full The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson’s Disease
title_fullStr The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson’s Disease
title_full_unstemmed The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson’s Disease
title_short The Effect of Transcranial Direct Current Stimulation Combined with Visual Cueing Training on Motor Function, Balance, and Gait Ability of Patients with Parkinson’s Disease
title_sort effect of transcranial direct current stimulation combined with visual cueing training on motor function balance and gait ability of patients with parkinson s disease
topic Parkinson’s disease
transcranial direct current stimulation
motor
balance
gait
url https://www.mdpi.com/1648-9144/57/11/1146
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