Effect of high-definition transcranial direct current stimulation combined with rehabilitation robot on upper limb and hand function in patients with subacute stroke
10.3969/j.issn.1006-9771.2023.11.010
- VernacularTitle:高精度经颅直流电刺激联合康复机器人对亚急性期脑卒中患者上肢和手功能的效果
- Author:
Yaqin ZENG
1
,
2
;
Ruidong CHENG
1
,
2
;
Li ZHANG
1
,
2
;
Shan FANG
1
,
2
;
Yunlan DAI
1
,
2
;
Qian LÜ
1
,
2
;
Xinyi GONG
1
,
2
;
Xiangming YE
1
,
2
Author Information
1. Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital/People's Hospital of Hangzhou Medical College
2. Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Hangzhou, Zhejiang 310014, China
- Publication Type:Journal Article
- Keywords:
stroke;
transcranial direct current stimulation;
upper limb;
rehabilitation robot
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(11):1327-1332
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effect of high-definition transcranial direct current stimulation (HD-tDCS) combined with rehabilitation robot on upper limb and hand dysfunction in patients with subacute stroke. MethodsFrom December, 2019 to December, 2021, 50 inpatients with subacute stroke in Zhejiang Provincial People's Hospital were randomly divided into control group (n = 25) and experimental group (n = 25). Both groups received routine rehabilitation therapy, while the control group added sham HD-tDCS combined with rehabilitation robot, and the experimental group added HD-tDCS combined with rehabilitation robot, for four weeks. The upper limb and hand function was assessed with Action Research Arm Test (ARAT), Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and Motor Assessment Scale (MAS) before and after treatment. ResultsAfter treatment, the scores of ARAT, FMA-UE and MAS increased in the two groups (∣Z∣ > 3.320, t > 6.379, P < 0.01), while the scores of FMA-UE and MAS were higher in the experimental group than in the control group (Z = -2.379, t = 3.181, P < 0.05), as well as the scores of grasping and gross motor of ARAT (∣Z∣ > 2.033, P < 0.05). ConclusionThe combination of HD-tDCS and rehabilitation robot can be more effective on upper limb and hand function in patients with subacute stroke than rehabilitation robot alone.
