Effect of transcranial direct current stimulation with different current density on upper limb motor disorder after stroke
Objective To explore the therapeutic effect of transcranial direct current stimulation (tDCS) with different current density on upper limb motor disorder in stroke patients. Methods A total of 45 stroke patients with upper limb motor disorder hospitalized in Xuanwu Hospital, Capital Medical Universi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Tianjin Huanhu Hospital
2024-03-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
| Subjects: | |
| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/2840 |
| _version_ | 1797232554197123072 |
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| author | ZHANG Da‑hua SONG Wei‑qun CHENG Yi‑nan YUAN Ying WANG Jie MA Jia‑ni |
| author_facet | ZHANG Da‑hua SONG Wei‑qun CHENG Yi‑nan YUAN Ying WANG Jie MA Jia‑ni |
| author_sort | ZHANG Da‑hua |
| collection | DOAJ |
| description | Objective To explore the therapeutic effect of transcranial direct current stimulation (tDCS) with different current density on upper limb motor disorder in stroke patients. Methods A total of 45 stroke patients with upper limb motor disorder hospitalized in Xuanwu Hospital, Capital Medical University from March 2019 to June 2022 were selected and randomly divided into low current density stimulation group (low density group, 0.028 mA/cm2), medium current density stimulation group (medium density group, 0.057 mA/cm2), high current density stimulation group (high density group, 0.080 mA/cm2), 15 cases in each group. Upper limb motor function was evaluated by Fugl‑Meyer Assessment Scale for Upper Extremity (FMA‑UE) and Action Research Arm Test (ARAT) before and one week after treatment, and activity of daily living was evaluated by modified Barthel Index (mBI). Results After treatment of tDCS, FMA‑UE (F = 284.343, P = 0.000), ARAT (F = 180.427, P = 0.000) and mBI (F = 487.159, P = 0.000) scores in 3 groups were improved compared with those before treatment. FMA‑UE (F = 2.293, P = 0.000) and ARAT (F = 2.572, P = 0.000) scores were significantly different among 3 groups, FMA‑UE (t = 2.426, P = 0.029; t = 2.140, P = 0.035) and ARAT (t = 2.537, P = 0.024; t = 2.353, P = 0.028) scores in high density group and medium density group were higher than those in low density group. Conclusions tDCS is safe and effective in the treatment of upper limb motor disorder after stroke. Current densities of 0.057 and 0.080 mA/cm2 are more effective than those of 0.028 mA/cm2. |
| first_indexed | 2024-04-24T16:02:07Z |
| format | Article |
| id | doaj.art-d4d40410210441648a8649d14a5c34f0 |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-04-24T16:02:07Z |
| publishDate | 2024-03-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-d4d40410210441648a8649d14a5c34f02024-04-01T07:14:30ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312024-03-0124318819210.3969/j.issn.1672‑6731.2024.03.0132794Effect of transcranial direct current stimulation with different current density on upper limb motor disorder after strokeZHANG Da‑hua0SONG Wei‑qun1CHENG Yi‑nan2YUAN Ying3WANG Jie4MA Jia‑ni5Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaObjective To explore the therapeutic effect of transcranial direct current stimulation (tDCS) with different current density on upper limb motor disorder in stroke patients. Methods A total of 45 stroke patients with upper limb motor disorder hospitalized in Xuanwu Hospital, Capital Medical University from March 2019 to June 2022 were selected and randomly divided into low current density stimulation group (low density group, 0.028 mA/cm2), medium current density stimulation group (medium density group, 0.057 mA/cm2), high current density stimulation group (high density group, 0.080 mA/cm2), 15 cases in each group. Upper limb motor function was evaluated by Fugl‑Meyer Assessment Scale for Upper Extremity (FMA‑UE) and Action Research Arm Test (ARAT) before and one week after treatment, and activity of daily living was evaluated by modified Barthel Index (mBI). Results After treatment of tDCS, FMA‑UE (F = 284.343, P = 0.000), ARAT (F = 180.427, P = 0.000) and mBI (F = 487.159, P = 0.000) scores in 3 groups were improved compared with those before treatment. FMA‑UE (F = 2.293, P = 0.000) and ARAT (F = 2.572, P = 0.000) scores were significantly different among 3 groups, FMA‑UE (t = 2.426, P = 0.029; t = 2.140, P = 0.035) and ARAT (t = 2.537, P = 0.024; t = 2.353, P = 0.028) scores in high density group and medium density group were higher than those in low density group. Conclusions tDCS is safe and effective in the treatment of upper limb motor disorder after stroke. Current densities of 0.057 and 0.080 mA/cm2 are more effective than those of 0.028 mA/cm2.http://www.cjcnn.org/index.php/cjcnn/article/view/2840transcranial direct current stimulationstrokemotor disordersupper extremity |
| spellingShingle | ZHANG Da‑hua SONG Wei‑qun CHENG Yi‑nan YUAN Ying WANG Jie MA Jia‑ni Effect of transcranial direct current stimulation with different current density on upper limb motor disorder after stroke Chinese Journal of Contemporary Neurology and Neurosurgery transcranial direct current stimulation stroke motor disorders upper extremity |
| title | Effect of transcranial direct current stimulation with different current density on upper limb motor disorder after stroke |
| title_full | Effect of transcranial direct current stimulation with different current density on upper limb motor disorder after stroke |
| title_fullStr | Effect of transcranial direct current stimulation with different current density on upper limb motor disorder after stroke |
| title_full_unstemmed | Effect of transcranial direct current stimulation with different current density on upper limb motor disorder after stroke |
| title_short | Effect of transcranial direct current stimulation with different current density on upper limb motor disorder after stroke |
| title_sort | effect of transcranial direct current stimulation with different current density on upper limb motor disorder after stroke |
| topic | transcranial direct current stimulation stroke motor disorders upper extremity |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/2840 |
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