Effect of transcranial direct current stimulation combined with contralateral control functional electrical stimulation on upper limb function of stroke patients
10.3969/j.issn.1006-9771.2023.05.006
- VernacularTitle:经颅直流电刺激联合对侧控制型功能性电刺激对脑卒中患者上肢功能的效果
- Author:
Tiantian CHEN
1
;
Dongping XU
2
;
Fengbao SUN
3
;
Junmei LAI
3
;
Duchun ZENG
3
Author Information
1. Zhejiang University of Chinese Medicine, Hangzhou, Zhejiang 310053, China
2. Zhejiang Provincial People's Hospital, Department of Cardiovascular Medicine, People's Hospital Affiliated to Hangzhou Medical College, Hangzhou, Zhejiang 310014, China
3. Rehabilitation Center of Zhejiang Provincial People's Hospital, Department of Rehabilitation Medicine, People's Hospital Affiliated to Hangzhou Medical College, Hangzhou, Zhejiang 310014, China
- Publication Type:Journal Article
- Keywords:
stroke;
transcranial direct current stimulation;
contralaterally controlled functional electrical stimulation;
upper limb;
motor function
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(5):527-532
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effect of anodal transcranial direct current stimulation (atDCS) combined with contralaterally controlled functional electrical stimulation (CCFES) on upper limb motor function of stroke patients. MethodsFrom January to December, 2022, 60 stroke patients from Zhejiang Provincial People's Hospital were randomly divided into atDCS group (n = 20), CCFES group (n = 20) and combined group (n = 20). All the groups accepted routine rehabilitation, while atDCS group accepted atDCS on the primary motor (M1) area of the damaged hemisphere, CCFES group accepted CCFES on the triceps brachii and extensors carpi muscles, and the combined group accepted atDCS on the M1 area of damaged hemisphere and CCFES on triceps brachii and extensors carpi muscles, for six weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Wolf Motor Function Test (WMFT), and the electromyography root mean square (RMS) ratio of bilateral triceps brachii muscles and extensor carpi muscles, before and after treatment. ResultsThe FMA-UE score, WMFT score, and the RMS ratio of the triceps brachii muscles and extensor carpi muscles improved in all the groups after treatment (|t| > 5.007, P < 0.001), and improved the most in the combined group (F > 14.492, P < 0.001). ConclusionatDCS combined with CCFES can effectively improve upper limb motor function of stroke patients.
