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International Journal of
Medical Science and Research
ARCHIVES
VOL. 5, ISSUE 1 (2023)
Comprative study of transcranial direct current stimulation (tDCS) and conventional physiotherapy for motor recovery of upper extremity in ischemic stroke patients
Authors
Pintu Kumar, Dr. Manoj Narain Shukla, Dr. Mukesh Goyal
Abstract
Background: Stroke is the second leading cause of death and a substantial cause of disability worldwide... Restoration of upper extremity motor function are therefore highly relevant for people who are unable to do their ADL activities after stroke. Objectives: To compare effect of tDCS along with physiotherapy on motor recovery of upper extremity in stroke patients. Methods: The present study involved total of 80 ischemic stroke survivors which were randomly divided in two groups, each group consisting of 40 subjects. The subjects of group a received 12 sessions of anodal tDCS (2 mA) along with conventional physiotherapy. The subjects of group B received 12 sessions of sham tDCS along with conventional physiotherapy. The outcomes before and after 6 weeks of the therapy were measured by Jensen Taylor hand function test, NIHSS scale, modified ranking scale, Fugl-Meyer assessment-UE motor, and modified Barthel index. Results: No statistically significant difference between the groups at baseline in the all variables JTHFT, FMA-UE and mBI. After the intervention, time taken to complete each task by the participants of the sham group (Group B) was higher as compared to the tDCS group (Group A) however significant differences were found in turning over the cards (p 0.001), feeding (p 0.001), stacking objects (p 0.031), and picking up large light objects (p 0.001). Statistically significant difference in score between the two groups was also statistically different (p 0.050). After the interventional therapy, the mean FMA-UE score improved than that of the baseline values. The mean score of group A was found to be 38.91 with the standard deviation of 20.31, whereas group B had mean score of 33.42 with standard deviation of 19.88. the difference between theses scores of the two groups was not found to be statistically significant (p 0.393). Conclusion: In this study we come to end that the use of tDCS along with physiotherapy may improve the upper limb motor functions. This technique has clinical potential for use in stroke recovery as it is easy to use, non-invasive, and safe. It also provides the importance in controlled clinical trials can be combined with other stroke recovery stimulation techniques. tDCS with physiotherapy was found more efficacious.
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Pages:33-41
How to cite this article:
Pintu Kumar, Dr. Manoj Narain Shukla, Dr. Mukesh Goyal "Comprative study of transcranial direct current stimulation (tDCS) and conventional physiotherapy for motor recovery of upper extremity in ischemic stroke patients". International Journal of Medical Science and Research, Vol 5, Issue 1, 2023, Pages 33-41
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