Combined Brain and Peripheral Nerve Stimulation in Chronic Stroke Patients With Moderate to Severe Motor Impairment

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Arquivos
art_MENEZES_Combined_Brain_and_Peripheral_Nerve_Stimulation_in_Chronic_2018.PDF (307.53 KB)
Citações na Scopus
24
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY
Autores
COHEN, Leonardo G.
MACHADO, Andre G.
PECKHAM, Paul Hunter
PLOW, Ela B.
Citação
NEUROMODULATION, v.21, n.2, p.176-183, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
ObjectivesTo evaluate effects of somatosensory stimulation in the form of repetitive peripheral nerve sensory stimulation (RPSS) in combination with transcranial direct current stimulation (tDCS), tDCS alone, RPSS alone, or sham RPSS+tDCS as add-on interventions to training of wrist extension with functional electrical stimulation (FES), in chronic stroke patients with moderate to severe upper limb impairments in a crossover design. We hypothesized that the combination of RPSS and tDCS would enhance the effects of FES on active range of movement (ROM) of the paretic wrist to a greater extent than RPSS alone, tDCS alone or sham RPSS+tDCS. Materials and MethodsThe primary outcome was the active ROM of extension of the paretic wrist. Secondary outcomes were ROM of wrist flexion, grasp, and pinch strength of the paretic and nonparetic upper limbs, and ROM of wrist extension of the nonparetic wrist. Outcomes were blindly evaluated before and after each intervention. Analysis of variance with repeated measures with factors session and time was performed. ResultsAfter screening 2499 subjects, 22 were included. Data from 20 subjects were analyzed. There were significant effects of time for grasp force of the paretic limb and for ROM of wrist extension of the nonparetic limb, but no effects of session or interaction session x time. There were no significant effects of session, time, or interaction session x time regarding other outcomes. ConclusionsSingle sessions of PSS+tDCS, tDCS alone, or RPSS alone did not improve training effects in chronic stroke patients with moderate to severe impairment.
Palavras-chave
Electric stimulation therapy, sensory function, motor skills, stroke rehabilitation, transcranial direct current stimulation, transcutaneous electric nerve stimulation
URI
https://observatorio.fm.usp.br/handle/OPI/25749
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/15
Artigos e Materiais de Revistas Científicas - ODS/03