TY  - JOUR
TI  - The Effect of Transcranial Direct Current Stimulation Therapy on Upper Extremity Motor Functions in Patients with Chronic Stroke: A Prospective Randomized Controlled Study
AB  - ABS TRACT Objective: The aim of this prospective, randomized,
controlled study was to evaluate the effectiveness of anodal transcranial
direct current stimulation (TDCS) applications on the upper extremity
motor functions of patients with stroke. Material and Methods:
Twenty patients with chronic stroke who received botulinum toksin A
(BoNT-A) treatment for upper limb spasticity were randomly assigned
in a 1:1 ratio into two groups as anodal TDCS (n=10), or control (n=10).
Both groups participated in an occupational therapy (OT) program for
10 days. Simultaneous anodal TDCS treatment with OT was applied to
the TDCS group. The plegic upper extremity motor functions were
evaluated by Jebsen-Taylor Hand Function Test (JTHFT), Box and
Block Test (BBT) and Modified Frenchay Scale (MFS). Results: Demographic
characteristics and baseline clinical assessments were found
to be similar in both groups (p>0.05 for all parameters). After the treatment,
statistically significant improvements were obtained in all sub-parameters
of JTHFT, and MFS (p<0.01 for all parameters) and BBT
(p<0.01) in the TDCS group. Whereas in the control group significance
was present in BBT (p=0.011), 3 parameters of JTEFT, and 7 of MFS
(p<0.05 for these parameters). The magnitude of improvement in BBT
(p<0.001), and in all parameters of MFS of the TDCS group (p<0.05,
all of the parameters) were significantly higher than those of the control
group after treatment. Besides decrease in the time spent for feeding
(p=0.011), lifting large light objects (p=0.003) and large heavy
objects (p=0.049) of the TDCS group was significantly better than those
of the control group. Conclusion: In this study, TDCS combined with
OT programs following the BoNT-A injection was shown to provide
additional benefits on motor functions of the plegic upper extremity of
chronic stroke patients.
AU  - ÖZCAN, ELİF
AU  - ÇEKMECE, ÇİĞDEM
AU  - Dursun, Nigar
AU  - GÖKBEL, Tuğba
DO  - 10.5336/medsci.2021-87662
PY  - 2022
JO  - Türkiye Klinikleri Tıp Bilimleri Dergisi
VL  - 42
IS  - 2
SN  - 1300-0292
SP  - 101
EP  - 110
DB  - TRDizin
UR  - http://search/yayin/detay/532979
ER  -