Investigation on rehabilitation performance of combining tDCS and FES on upper limb motor functions in patients with chronic stroke
10.3969/j.issn.1001-1242.2017.09.006
- VernacularTitle:经颅直流电刺激结合功能性电刺激对脑卒中平台期患者上肢运动功能康复影响的研究
- Author:
Shaheiwola NUERJIAYI
1
;
Jie JIA
;
Dingguo ZHANG
Author Information
1. 上海交通大学机械与动力工程学院机器人研究所
- Keywords:
transcranial direct current stimulation;
functional electrical stimulation;
chronic stroke,upper limb;
motor rehabilitation
- From:
Chinese Journal of Rehabilitation Medicine
2017;32(9):1000-1005
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the efficacy of combining transcranial direct current stimulation (tDCS) and functional electrical stimulation (FES) therapy on the upper limb function of chronic stroke patients.Method:Three subjects with chronic stroke patients received active tDCS + FES therapy for 4 weeks after 4 weeks of baseline observation.Surface electromyography (sEMG),transcranial magnetic stimulation (TMS) and upper limb part of the Fugl-Meyer assessment (U-FMA) were used to assess the performance of the subjects pre-and-post the intervention.Result:U-FMA scores improved after the intervention.There are five of the seven tested active muscles showed an increasing change in surface electromyography activation levels.Portion of the short latency cortical inhibition and facilitation data of the contralateral hemisphere tested with TMS paired pulse stimulation showed a change post the intervention.Conclusion:Subjects showed improvement with their upper limb motor function,thus the tDCS combine FES therapy may be a promising rehabilitation method for upper limb motor function of stroke in chronic stages.
