• KARM
  • Contact us
  • E-Submission
ABOUT
ARTICLE TYPES
BROWSE ARTICLES
AUTHOR INFORMATION

Articles

Original Article

Improvement of Chronic Post-Stroke Hemiparetic Upper Limb Function after 2 Week Trascranial Direct Current Stimulation.

Kim, Deog Young , Park, Chang Il , Jung, Kang Jae , Ohn, Suk Hoon , Park, Ki Deok , Park, Jong Bum , Oh, Yun Taek
Journal of the Korean Academy of Rehabilitation Medicine 2009;33(1):5-11.
1Department and Research Institute of Rehabilitation Medicine, Rehabilitation Hospital, Yonsei University College of Medicine, Korea. ctboy@naver.com
2Occupational Therapy Team, Rehabilitation Hospital, Yonsei University College of Medicine, Korea.
  • 1,784 Views
  • 53 Download
  • 0 Crossref
  • 0 Scopus
prev next

Objective
To investigate whether transcranial direct current stimulation (tDCS) could improve the motor function of hemiparetic upper limb in chronic stroke patients through randomized double-blinded, sham-controlled study. Method: Twenty chronic post-stroke hemiparetic patients participated in this study. They were randomly assigned into either tDCS or sham group. Anodal tDCS was delivered on lesional primary motor cortex for 20 minutes in tDCS group and 30 seconds in sham group. Just after stimulation, both groups performed the shaping exercise for 30 minutes. Total 10 stimulation sessions (5 session/week for 2 weeks) were administered. Fugl-Meyer motor assessment, box and block test, grasp strength and FIM were assessed before stimulation, after 1 week of stimulation, after 2 weeks of stimulation, and 2 weeks after stimulation. Results: The upper extremity score of Fugl-Meyer motor assessment and box and block test improved significantly in tDCS group compared to sham group (p<0.05). Their improvement lasted significantly for 2 week after stimulation. However, FIM, lower extremity score of Fugl-Meyer motor assessment and grasp power did not improved significantly in tDCS group compared to sham group. Conclusion: tDCS can improve the motor function of hemiparetic upper limb in chronic post-stroke patients, and the effects lasted after stimulation. tDCS may be used as an additional tool for stroke rehabilitation. (J Korean Acad Rehab Med 2009; 33: 5-11)

TOP