The effects of cathodic transcranial direct current therapy combined with task-oriented training on upper limb function in patients with ischemic stroke
Objective To observe the effect of transcranial cathodic direct current stimulation combined with task-oriented operation on upper limb and hand motor function in patients with ischemic stroke.Methods Sixty patients with ischemic stroke who met the inclusion criteria at the Rehabilitation Medicine Department of Xuzhou Central Hospital from May 2021 to December 2022 were selected.The patients were divided into a control group and an experimental group according to random number table method,30 in each group.Both groups were given routine job therapy and task-oriented training.The experimental group was additionally given tran-scranial direct current stimulation(ctDCS)on the healthy side of the brain.Rehabilitation assessment was performed before and after 3 weeks of treatment and follow-up assessment after 9 weeks of treatment.The assessment methods were Fugl-Meyer Upper Limb Rating Scale(FMAUE),Jebsen Taylor Hand Function Test(JTT),Modified Barthel Index(MBI),and surface electromyography(EMG).Results After 3 weeks of treatment and after 9 weeks of follow-up,FAMUE and EMG scores of the two groups were improved,and the experiment group was higher than the control group(P<0.05).JTT and MBI scores in both groups were improved when compared with those before treatment.In the inter-group comparison,there was no significant difference between the two groups after 3 weeks of treatment(P>0.05),but there was significant difference between the two groups after 9 weeks of follow-up(P<0.05).Conclusions Transcranial cathodic direct current stimulation can further improve the upper limb function in patients with ischemic stroke.
Cathode transcranial direct current stimulationStrokeUpper limbRehabilitation
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