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Effect of transcranial direct current stimulation on relieving upper-limb spasticity after stroke

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机构: [1]100053北京,首都医科人学宣武医院康复医学科
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关键词: Electric stimulation therapy Spasm Stroke Upper extremity

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Objective: To study the effect of transcranial direct current stimulation (tDCS) on relieving upper-limb spasticity after stroke. Methods: Fifty patients after stroke were divided randomly into tDCS group (25 cases) and control group (25 cases). The tDCS group received tDCS (primary sensorimotor cortex of affected side with cathodal stimulation) and physical therapy, while the control group received physical therapy only. The treatments were carried on for 1 month. Modified Ashworth Scale of muscle spasticity (MAS), Fugl-Meyer Assessment of Motor Recovery (FMA) and Barthel Index (BI) were compared between the two groups before and after treatments. Results: Compared with pre-treatment measurement of MAS, FMA and BI, there was significant difference for the tDCS group after treatment [pre-treatment 2.1 ± 0.9, 12(5-44) and 64 ± 17, post-treatment 1.5 ± 0.8, 20(5-50) and 74 ± 16 respectively, P < 0.01]. For the control group, there was significant difference of FMA only [pre-treatment 5(2-35), post-treatment 8(4-37), P < 0.01]. Conclusion: Upper-limb spasticity after stroke could be relieved by tDCS. Combined with proper rehabilitation treatment, tDCS could improve the motor function and activities of daily living (ADL).

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第一作者机构: [1]100053北京,首都医科人学宣武医院康复医学科
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通讯机构: [1]100053北京,首都医科人学宣武医院康复医学科
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