Effect of tDCS Synchronized FES on Lower Limb Motor and Balance Function of Traumatic Brain Injury Patients with Hemiplegia
ObjectiveTo observe the effect of transcranial direct current stimulation (tDCS) synchronized with normal walking pattern based on multi-channel functional electrical stimulation (FES) on lower limb motor and balance function in patients with traumatic brain injury hemiplegia.MethodsA total of 56 pa...
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Editorial Office of Rehabilitation Medicine
2022-02-01
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| Series: | 康复学报 |
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| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.01003 |
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| author | LU Xiao CHEN Hanbo DING Lijuan CHEN Xing ZHENG Wenhua WEI Ni HE Linghui LI Mengyun LIU Chen YAN Tiebin |
| author_facet | LU Xiao CHEN Hanbo DING Lijuan CHEN Xing ZHENG Wenhua WEI Ni HE Linghui LI Mengyun LIU Chen YAN Tiebin |
| author_sort | LU Xiao |
| collection | DOAJ |
| description | ObjectiveTo observe the effect of transcranial direct current stimulation (tDCS) synchronized with normal walking pattern based on multi-channel functional electrical stimulation (FES) on lower limb motor and balance function in patients with traumatic brain injury hemiplegia.MethodsA total of 56 patients with TBI and hemiplegia were divided into synchronous group (<italic>n</italic>=21), FES group (<italic>n</italic>=20), and tDCS group (<italic>n</italic>=15) by using sealed-envelope randomization. The tDCS group was given head tDCS treatment and lower extremity sham FES treatment, the FES group was given head sham tDCS treatment and lower extremity FES treatment, and the synchronous group was given head tDCS treatment and lower extremity FES treatment. The treatment was 20 min/time, 1 time/d, for 12 days. Before treatment, after 6 days treatment and after 12 days treatment, the following scales were used to evaluate: Fugl-Meyer assessment of lower extremity (FMA-LE), Berg balance scale (BBS), and Neurocom Balance Manager System.ResultsThere was no significant differences among the evaluation results of the three groups before treatment. After treatment, compared with those before treatment, the FMA-LE scores of three groups were significantly different (<italic>P</italic><0.05), but there was no significant differences in FMA-LE among the three groups (<italic>P</italic>>0.05). Compared with the three groups before and after treatment, BBS scores of the three groups were significantly different respectively (<italic>P</italic><0.05). Compared the tDCS group with the FES group, the differences in BBS scores of the synchronization group were significant (<italic>P</italic><0.05). In balance assessment, compared with those before treatment, visual cues (VIS), vestibular cues (VEST), sensory organization test composite (SOTC) and motion control test composite (MCTC) were significantly different in the synchronous group after treatment (<italic>P</italic><0.05); MCTC was significantly different in the FES group (<italic>P</italic><0.05); VIS and SOTC was significantly difference in the tDCS group (<italic>P</italic><0.05). Compared among the three groups, the change rate of MCTC was significantly difference (<italic>P</italic><0.05); there were no significant differences in other indicators (<italic>P</italic>>0.05).ConclusionThe three methods can effectively improve the lower limb motor and balance function of patients with traumatic brain injury in chronic period. The treatment of tDCS with FES is better than the treatment of tDCS or FES alone in terms of some evaluation indicators. |
| format | Article |
| id | doaj-art-2b16263e6a6f4fdd9add93b3c3b7dc98 |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2022-02-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-2b16263e6a6f4fdd9add93b3c3b7dc982025-01-14T10:07:18ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282022-02-0132101723760610Effect of tDCS Synchronized FES on Lower Limb Motor and Balance Function of Traumatic Brain Injury Patients with HemiplegiaLU XiaoCHEN HanboDING LijuanCHEN XingZHENG WenhuaWEI NiHE LinghuiLI MengyunLIU ChenYAN TiebinObjectiveTo observe the effect of transcranial direct current stimulation (tDCS) synchronized with normal walking pattern based on multi-channel functional electrical stimulation (FES) on lower limb motor and balance function in patients with traumatic brain injury hemiplegia.MethodsA total of 56 patients with TBI and hemiplegia were divided into synchronous group (<italic>n</italic>=21), FES group (<italic>n</italic>=20), and tDCS group (<italic>n</italic>=15) by using sealed-envelope randomization. The tDCS group was given head tDCS treatment and lower extremity sham FES treatment, the FES group was given head sham tDCS treatment and lower extremity FES treatment, and the synchronous group was given head tDCS treatment and lower extremity FES treatment. The treatment was 20 min/time, 1 time/d, for 12 days. Before treatment, after 6 days treatment and after 12 days treatment, the following scales were used to evaluate: Fugl-Meyer assessment of lower extremity (FMA-LE), Berg balance scale (BBS), and Neurocom Balance Manager System.ResultsThere was no significant differences among the evaluation results of the three groups before treatment. After treatment, compared with those before treatment, the FMA-LE scores of three groups were significantly different (<italic>P</italic><0.05), but there was no significant differences in FMA-LE among the three groups (<italic>P</italic>>0.05). Compared with the three groups before and after treatment, BBS scores of the three groups were significantly different respectively (<italic>P</italic><0.05). Compared the tDCS group with the FES group, the differences in BBS scores of the synchronization group were significant (<italic>P</italic><0.05). In balance assessment, compared with those before treatment, visual cues (VIS), vestibular cues (VEST), sensory organization test composite (SOTC) and motion control test composite (MCTC) were significantly different in the synchronous group after treatment (<italic>P</italic><0.05); MCTC was significantly different in the FES group (<italic>P</italic><0.05); VIS and SOTC was significantly difference in the tDCS group (<italic>P</italic><0.05). Compared among the three groups, the change rate of MCTC was significantly difference (<italic>P</italic><0.05); there were no significant differences in other indicators (<italic>P</italic>>0.05).ConclusionThe three methods can effectively improve the lower limb motor and balance function of patients with traumatic brain injury in chronic period. The treatment of tDCS with FES is better than the treatment of tDCS or FES alone in terms of some evaluation indicators.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.01003traumatic brain injurytranscranial direct current stimulationfunctional electrical stimulationsynchronizationmotor functionbalance function |
| spellingShingle | LU Xiao CHEN Hanbo DING Lijuan CHEN Xing ZHENG Wenhua WEI Ni HE Linghui LI Mengyun LIU Chen YAN Tiebin Effect of tDCS Synchronized FES on Lower Limb Motor and Balance Function of Traumatic Brain Injury Patients with Hemiplegia 康复学报 traumatic brain injury transcranial direct current stimulation functional electrical stimulation synchronization motor function balance function |
| title | Effect of tDCS Synchronized FES on Lower Limb Motor and Balance Function of Traumatic Brain Injury Patients with Hemiplegia |
| title_full | Effect of tDCS Synchronized FES on Lower Limb Motor and Balance Function of Traumatic Brain Injury Patients with Hemiplegia |
| title_fullStr | Effect of tDCS Synchronized FES on Lower Limb Motor and Balance Function of Traumatic Brain Injury Patients with Hemiplegia |
| title_full_unstemmed | Effect of tDCS Synchronized FES on Lower Limb Motor and Balance Function of Traumatic Brain Injury Patients with Hemiplegia |
| title_short | Effect of tDCS Synchronized FES on Lower Limb Motor and Balance Function of Traumatic Brain Injury Patients with Hemiplegia |
| title_sort | effect of tdcs synchronized fes on lower limb motor and balance function of traumatic brain injury patients with hemiplegia |
| topic | traumatic brain injury transcranial direct current stimulation functional electrical stimulation synchronization motor function balance function |
| url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.01003 |
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