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Transcranial direct current stimulation and repetitive functional task-oriented programme for upper limb functional rehabilitation in stroke survivors.
- Source :
- Physical Therapy Reviews; Dec 2021, Vol. 26 Issue 6, p420-427, 8p
- Publication Year :
- 2021
-
Abstract
- Recovery of upper limb motor function remains a major challenge to stroke rehabilitation experts and stroke survivors alike. Stimulation of the motor cortex by noninvasive brain stimulators and therapy focused on repetitive functional activities can increase upper limb functioning after stroke. Hence, this study was designed to determine therapeutic efficacy of transcranial direct current stimulation (tDCS) and repetitive functional task-oriented programme (RFTOP) for upper limb functional rehabilitation in stroke survivors. A single-blind randomized control trial involving 78 individuals with sub-acute and chronic stroke. They were randomized into three groups: Group 1: Anodal tDCS + RFTOP; Group 2: Cathodal tDCS + RFTOP; Group 3: RFTOP only. Participants had two sessions of therapy in a week for six weeks. Upper limb function was assessed using Fugl-Meyer Assessment Upper Extremity (FMA-UE) and Box and Block Test (BBT). Significance was set at p < 0.05. Baseline comparison of the groups showed no significant difference (FMA-UE: p = 0.237; BBT: p = 0.183). All groups showed statistical significant difference between baseline and post intervention in scores of FMA-UE (p ≤ 0.001) and BBT (p < 0.001). Mean difference comparison showed statistical significant difference among groups for FMA-UE hand domain (p = 0.009) and BBT (p = <0.001). Post hoc analysis showed the difference among the groups was between anodal against cathodal and anodal against control. tDCS and RFTOP were efficacious for upper limb functional rehabilitation in stroke survivors. Anodal tDCS showed better clinical improvement compared to Cathodal tDCS. [ABSTRACT FROM AUTHOR]
- Subjects :
- ARM physiology
STATISTICS
NONPARAMETRIC statistics
MATHEMATICAL statistics
KRUSKAL-Wallis Test
PARAMETERS (Statistics)
CONVALESCENCE
ONE-way analysis of variance
HEALTH outcome assessment
FUNCTIONAL training
RANDOMIZED controlled trials
COMPARATIVE studies
PSYCHOLOGICAL tests
T-test (Statistics)
STROKE rehabilitation
TRANSCRANIAL direct current stimulation
BLIND experiment
DESCRIPTIVE statistics
STATISTICAL sampling
DATA analysis
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 10833196
- Volume :
- 26
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Physical Therapy Reviews
- Publication Type :
- Academic Journal
- Accession number :
- 153218681
- Full Text :
- https://doi.org/10.1080/10833196.2021.1945805