Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke

DURSUN, Erbil; ŞAHİN, Ersin; Dursun, Nigar; Sade, Ilgın; ŞIK, Y. Berna

Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke

Y. Berna ŞIK, (Sağlık Bakanlığı, Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul, Türkiye)

Nigar DURSUN, (Kocaeli Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kocaeli, Türkiye)

Erbil DURSUN, (Kocaeli Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kocaeli, Türkiye)

Ilgın SADE, (Kocaeli Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kocaeli, Türkiye)

Ersin ŞAHİN (Fiziomer Fiziksel Tıp ve Rehabilitasyon Merkezi Kocaeli, Türkiye)

Journal of Neurological Sciences (Turkish)

6 0

Yıl: 2015 Cilt: 32 Sayı: 2 Sayfa Aralığı: 320 - 334 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke

Öz:

Amaç: Bu prospektif, randomize ve kontrollü araştırmanın birincil amacı anodal tDAS veyabihemisferik tDAS'nin inmeli hastalarda üst ekstremite motor fonksiyonlarına olanetkinliğinin değerlendirilmesidir. Diğer amacı bihemisferik tDAS ile anodal tDASuygulamalarının etkinliklerinin karşılaştırılmasıdır.Metod: Otuz altı inmeli hasta anodal tDAS (n:12), bihemisferik tDAS (lezyonlu hemisfereanodal tDAS ve lezyonsuz hemisfere katodal tDAS) (n:12) veya plasebo tDAS (n:12) olmaküzere randomize olarak 3 gruba ayrıldı. Her hasta 15 gün süren konvansiyonel rehabilitasyonprogramı aldı.31 hasta çalışamayı tamamladı. Hastaların plejik üst ekstremite motorfonksiyonları, Wolf Motor Fonksiyon Test (WMFT), Jebsen Taylor El Fonksiyon Tesi(JTEFT) ve Kocaeli Fonksiyonel Değerlerndirme Testi (KFDT) ile değerlendirildi.Bulgular: Anodal tDAS grubu 10 kalitatif ve 8 kantitatif parametre (tüm parametreler içinp<0,05); bihemisferik tDAS grubu ise WMFT'nin 8 kalitatif ve 13 kantitatif parametresindeistatistiksel olarak anlamlı gelişme gösterdi (tüm parametreler için p<0,05). Anodal tDAS vebihemisferik tDAS gruplarının her ikisinde KFDT ve JTEFT'nin tüm alt parametrelerindeistatistiksel olarak anlamlı gelişmeler elde edildi (tüm parametreler için p<0,05). Plasebo ilekarşılaştırıldığında tedavi sonrasında, anodal tDAS grubu WMFT'de 5 kalitatif ve 1 kantitifparametrede (tüm parametreler p<0,017 ) ve JTEFT'de 1 parametrede (p<0,017); bihemisferiktDAS grubu ise WMFT'de 5 kalitatif, 1 kantitatif parametrede (tümünde p<0,017), JTEFT'de3 (p<0,017) ve KFDT'de 1 parametrede (p<0,017) anlamlı gelişmeler gözlendi.Sonuç: Bu araştırmada konvansiyonel rehabilitasyon programı ile kombine edildiğinde inmelihastalarda tDAS'nin plejik üst ekstremitede ek motor fonksiyonel kazançlar sağladığısaptandı.

Anahtar Kelime:

Konular: Nörolojik Bilimler

Transkranial Doğru Akım Stimülasyonu: İnmeli Hastalarda Plejik Üst Ekstremite Motor Fonksiyon Üzerine Etkileri

Öz:

Objective: The primary aim of this prospective, randomized, sham controlled study was toevaluate the effectiveness of anodal or bihemispheric transcranial direct current stimulation(tDCS) applications on the upper extremity motor functions of patients with stroke. Anotheraim was to compare the effectiveness of bihemispheric tDCS with anodal tDCS applications.Methods: Thirty-six patients with stroke were randomly assigned into three groups as anodaltDCS (n:12), bihemispheric tDCS (n:12), or sham tDCS (n:12). All patients participated in aconventional rehabilitation program for 15 days. 31 patient completed study. The plegic upperextremity motor functions were evaluated by Wolf Motor Function Test (WMFT), Jebsen- Taylor Test (JTT) and Kocaeli Functional Evaluation Test (KFET).Results: The anodal tDCS group showed statistically significant improvements in 10qualitative-8 quantitative parameters (p<0.05 all parameters), and the bihemispheric tDCSgroup in 8 qualitative-13 quantitative parameters (p<0.05 all parameters) of WMFT.Significant improvements were also obtained in all sub-parameters of KFET and JTT (p<0.05all parameters) in both the anodal and bihemispheric tDCS groups. Compared with the shamgroup after the treatment, significant improvements were seen with respect to 5 qualitativeparameters of WMFT (p<0.017 for all) and 1 of JTT (p<0.017) in the anodal tDCS group aswell as 5 qualitative and 1 quantitative parameters of WMFT (p<0.017 for all), 3 of JTT(p<0.017), and 1 parameter of KFET (p<0.017) in the bihemispheric tDCS group.Conclusion: When combined with the conventional rehabilitation programs, tDCS providedadditional motor functional gains in the plegic upper extremity of stroke patients in this

Anahtar Kelime:

Konular: Nörolojik Bilimler

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ŞIK Y, Dursun N, DURSUN E, Sade I, ŞAHİN E (2015). Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. , 320 - 334.
Chicago	ŞIK Y. Berna,Dursun Nigar,DURSUN Erbil,Sade Ilgın,ŞAHİN Ersin Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. (2015): 320 - 334.
MLA	ŞIK Y. Berna,Dursun Nigar,DURSUN Erbil,Sade Ilgın,ŞAHİN Ersin Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. , 2015, ss.320 - 334.
AMA	ŞIK Y,Dursun N,DURSUN E,Sade I,ŞAHİN E Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. . 2015; 320 - 334.
Vancouver	ŞIK Y,Dursun N,DURSUN E,Sade I,ŞAHİN E Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. . 2015; 320 - 334.
IEEE	ŞIK Y,Dursun N,DURSUN E,Sade I,ŞAHİN E "Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke." , ss.320 - 334, 2015.
ISNAD	ŞIK, Y. Berna vd. "Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke". (2015), 320-334.

APA	ŞIK Y, Dursun N, DURSUN E, Sade I, ŞAHİN E (2015). Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. Journal of Neurological Sciences (Turkish), 32(2), 320 - 334.
Chicago	ŞIK Y. Berna,Dursun Nigar,DURSUN Erbil,Sade Ilgın,ŞAHİN Ersin Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. Journal of Neurological Sciences (Turkish) 32, no.2 (2015): 320 - 334.
MLA	ŞIK Y. Berna,Dursun Nigar,DURSUN Erbil,Sade Ilgın,ŞAHİN Ersin Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. Journal of Neurological Sciences (Turkish), vol.32, no.2, 2015, ss.320 - 334.
AMA	ŞIK Y,Dursun N,DURSUN E,Sade I,ŞAHİN E Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. Journal of Neurological Sciences (Turkish). 2015; 32(2): 320 - 334.
Vancouver	ŞIK Y,Dursun N,DURSUN E,Sade I,ŞAHİN E Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke. Journal of Neurological Sciences (Turkish). 2015; 32(2): 320 - 334.
IEEE	ŞIK Y,Dursun N,DURSUN E,Sade I,ŞAHİN E "Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke." Journal of Neurological Sciences (Turkish), 32, ss.320 - 334, 2015.
ISNAD	ŞIK, Y. Berna vd. "Transcranial Direct Current Stimulation: The Effects on Plegic Upper Extremity Motor Function of Patients With Stroke". Journal of Neurological Sciences (Turkish) 32/2 (2015), 320-334.