Effect of transcranial direct current stimulation combined with constraint-induced weight training of the affected lower limb on Pusher syndrome after stroke
10.3969/j.issn.1006-9771.2023.03.004
- VernacularTitle:经颅直流电刺激协同患侧下肢强制性负重训练对脑卒中Pusher综合征的效果
- Author:
Haibo WANG
1
;
Yuanyuan TAO
1
;
Jing LI
1
;
Jianjun SUN
2
;
Tianpei XIE
3
;
Hao QIU
3
;
Yingjie FAN
3
;
Jianjun LI
4
;
Min SU
1
Author Information
1. Department of Rehabilitation, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215000, China
2. Department of Rehabilitation, Suzhou New District Hospital of Traditional Chinese Medicine (Suzhou New District Hengtang People's Hospital), Suzhou, Jiangsu 215000, China
3. Institute of Rehabilitation, Soochow University, Suzhou, Jiangsu 215000, China
4. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
- Publication Type:Journal Article
- Keywords:
stroke;
Pusher syndrome;
transcranial direct current stimulation;
constraint-induced weight training
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(3):269-274
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effect of transcranial direct current stimulation (tDCS) combined with constraint-induced weight training (CIWT) on Pusher syndrome after stroke. MethodsA total of 60 stroke inpatients with Pusher syndrome in the First Affiliated Hospital of Soochow University from January to December, 2021 were randomly divided into tDCS group, CIWT group and combination group, with 20 cases in each group. The three groups accepted routine rehabilitation training, the tDCS group received anode tDCS, the CIWT group received CIWT of the affected lower limb, and the combination group received CIWT of the affected lower limb and tDCS, for eight weeks. They were assessed with Berg Balance Scale (BBS), Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Burke Lateropulsion Scale (BLS) and Holden Walking Functional Ambulation Category (FAC) before and after treatment. ResultsAfter treatment, the scores of BBS, FMA-LE, BLS and FAC improved (|t| > 1.452, P < 0.05) in all the groups, and improved the most in the combination group (|F| > 1.827, P < 0.05). ConclusiontDCS combined with CIWT of the affected lower extremity can effectively improve the function of stroke patients with Pusher syndrome.
