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Neurosci Lett. 2018 Jan 1;662:302-305. doi: 10.1016/j.neulet.2017.10.049. Epub 2017 Oct 28.

Effects of transcranial direct current stimulation over the supplementary motor area body weight-supported treadmill gait training in hemiparetic patients after stroke.

Author information

1
Department of Human Health Science, Tokyo Metropolitan University, 7-2-2-10 Higashi-Ogu, Arakawa-ku, Tokyo 116-0012, Japan; Department of Rehabilitation, Saitama Misato Sogo Rehabilitation Hospital, Japan. Electronic address: magokuro19811129@yahoo.co.jp.
2
Department of Human Health Science, Tokyo Metropolitan University, 7-2-2-10 Higashi-Ogu, Arakawa-ku, Tokyo 116-0012, Japan.
3
Department of Physical Therapy, Faculty of Health Sciences, Josai International University, Japan.
4
Nissan Tamagawa Hospital Rehabilitation Center, Japan.
5
Department of Neurology, Kanto Central Hospital, Japan.
6
Department of internal medicine, Saitama Misato Sogo Rehabilitation Hospital, Japan.

Abstract

Transcranial direct current stimulation (tDCS) is used in a variety of disorders after stroke including upper limb motor dysfunctions, hemispatial neglect, aphasia, and apraxia, and its effectiveness has been demonstrated. Although gait ability is important for daily living, there were few reports of the use of tDCS to improve balance and gait ability. The supplementary motor area (SMA) was reported to play a potentially important role in balance recovery after stroke. We aimed to investigate the effect of combined therapy body weight-supported treadmill training (BWSTT) and tDCS on gait function recovery of stroke patients. Thirty stroke inpatients participated in this study. The two BWSTT periods of 1weeks each, with real tDCS (anode: front of Cz, cathode: inion, 1mA, 20min) on SMA and sham stimulation, were randomized in a double-blind crossover design. We measured the time required for the 10m Walk Test (10MWT) and Timed Up and Go (TUG) test before and after each period. We found that the real tDCS with BWSTT significantly improved gait speed (10MWT) and applicative walking ability (TUG), compared with BWSTT+sham stimulation periods (p<0.05). Our findings demonstrated the feasibility and efficacy of tDCS in gait training after stroke. The facilitative effects of tDCS on SMA possibly improved postural control during BWSTT. The results indicated the implications for the use of tDCS in balance and gait training rehabilitation after stroke.

KEYWORDS:

Body weight-supported treadmill training; Stroke; Supplementary motor area; Transcranial direct current stimulation

PMID:
29107706
DOI:
10.1016/j.neulet.2017.10.049
[Indexed for MEDLINE]

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