Effect of transcranial direct current stimulation combined with seated Taijiquan Yunshou in different sequences on cerebral cortical activation in stroke patients with hemiplegia:a functional near-infrared spectroscopy study
10.3969/j.issn.1006-9771.2025.10.002
- VernacularTitle:不同时序经颅直流电刺激联合坐位太极拳云手对脑卒中偏瘫患者脑皮质激活影响的功能性近红外光谱研究
- Author:
Qi XU
1
;
Dingzhao ZHENG
;
Zhenyuan NIU
;
Yaling YANG
;
Weiyou WEN
;
Jingsheng XU
;
Longqiang WU
;
Fan WU
;
Tiebin YAN
Author Information
1. 厦门医学院临床医学院,福建 厦门市 361023;厦门市第五医院,福建 厦门市 361101
- Publication Type:Journal Article
- Keywords:
stroke;
hemiplegia;
transcranial direct current stimulation;
Taijiquan;
Yunshou;
functional near-infrared spectroscopy;
brain-limb coordinated rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(10):1121-1127
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the immediate effect of transcranial direct current stimulation(tDCS)combined with seated Tai-jiquan Yunshou training under different sequences on cerebral cortical activation in stroke patients with hemiple-gia.Methods From September to December,2024,14 stroke inpatients with hemiplegia were enrolled from the Fifth Hospi-tal of Xiamen.Based on the routine medication and rehabilitation,the patients were randomly assigned to a spe-cific intervention sequence,receiving three interventions in a fixed order:tDCS followed by Yunshou(S-Y group),Yunshou followed by tDCS(Y-S group),and simultaneous tDCS and Yunshou(Sim group).Functional near-infrared spectroscopy was used to detect oxyhemoglobin(HbO?)concentration in bilateral sensorimotor cor-tex,premotor and supplementary motor cortex,and prefrontal cortex before and after each intervention.Results Three patients dropped out.In all the regions of interest,inter-group effects were significant in HbO? concentra-tions(F>3.697,P<0.05),and interaction effects were significant in some brain regions(F>3.276,P<0.05).Post-hoc test showed a general trend of Sim Group≥S-Y Group>Y-S Group(P<0.05),although some varia-tions existed across different brain regions.Conclusion Both simultaneous intervention(tDCS and Yunshou)and tDCS followed by Yunshou are more effective on immediate activation of key motor-related cortices in stroke patients with hemiplegia than Yunshou followed by tDCS intervention.
