![](/images/graphics-bg.png)
Transcranial Direct Current Stimulation (tDCS) Paired with Occupation-Centered Bimanual Training in Children with Unilateral Cerebral Palsy: A Preliminary Study
المؤلفون المشاركون
Friel, Kathleen M.
Rich, Tonya L.
Nemanich, Samuel
Chen, Mo
Feyma, Timothy
Krach, Linda
Nawshin, Tanjila
Meekins, Gregg
Gillick, Bernadette T.
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-14، 14ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-05
دولة النشر
مصر
عدد الصفحات
14
التخصصات الرئيسية
الملخص EN
Objective.
We investigated the preliminary efficacy of cathodal transcranial direct current stimulation (tDCS) combined with bimanual training in children and young adults with unilateral cerebral palsy based on the principle of exaggerated interhemispheric inhibition (IHI).
Methods.
Eight participants with corticospinal tract (CST) connectivity from the lesioned hemisphere participated in an open-label study of 10 sessions of cathodal tDCS to the nonlesioned hemisphere (20 minutes) concurrently with bimanual, goal-directed training (120 minutes).
We measured the frequency of adverse events and intervention efficacy with performance (bimanual—Assisting Hand Assessment (AHA)—and unimanual—Box and Blocks), self-report (Canadian Occupational Performance Measure (COPM), ABILHAND), and neurophysiologic (motor-evoked potential amplitude, cortical silent period (CSP) duration, and motor mapping) assessments.
Results.
All participants completed the study with no serious adverse events.
Three of 8 participants showed gains on the AHA, and 4 of 8 participants showed gains in Box and Blocks (more affected hand).
Nonlesioned CSP duration decreased in 6 of 6 participants with analyzable data.
Cortical representation of the first dorsal interosseous expanded in the nonlesioned hemisphere in 4 of 6 participants and decreased in the lesioned hemisphere in 3 of 4 participants with analyzable data.
Conclusions.
While goal achievement was observed, objective measures of hand function showed inconsistent gains.
Neurophysiologic data suggests nonlinear responses to cathodal stimulation of the nonlesioned hemisphere.
Future studies examining the contributions of activity-dependent competition and cortical excitability imbalances are indicated.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rich, Tonya L.& Nemanich, Samuel& Chen, Mo& Friel, Kathleen M.& Feyma, Timothy& Krach, Linda…[et al.]. 2018. Transcranial Direct Current Stimulation (tDCS) Paired with Occupation-Centered Bimanual Training in Children with Unilateral Cerebral Palsy: A Preliminary Study. Neural Plasticity،Vol. 2018, no. 2018, pp.1-14.
https://search.emarefa.net/detail/BIM-1210554
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rich, Tonya L.…[et al.]. Transcranial Direct Current Stimulation (tDCS) Paired with Occupation-Centered Bimanual Training in Children with Unilateral Cerebral Palsy: A Preliminary Study. Neural Plasticity No. 2018 (2018), pp.1-14.
https://search.emarefa.net/detail/BIM-1210554
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rich, Tonya L.& Nemanich, Samuel& Chen, Mo& Friel, Kathleen M.& Feyma, Timothy& Krach, Linda…[et al.]. Transcranial Direct Current Stimulation (tDCS) Paired with Occupation-Centered Bimanual Training in Children with Unilateral Cerebral Palsy: A Preliminary Study. Neural Plasticity. 2018. Vol. 2018, no. 2018, pp.1-14.
https://search.emarefa.net/detail/BIM-1210554
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1210554
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
![](/images/ebook-kashef.png)
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
![](/images/kashef-image.png)