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http://dx.doi.org/10.5627/KACE.2013.6.1.031

Effect of Applying tDCS by Inactive Electrode Placement to Cognitive Response on Stroke Patients  

Hwang, Ki-Kyeong (Department of Physical Therapy, Graduate School, Kwangju Women's University)
Lee, Jeong-Woo (Department of Physical Therapy, Kwangju Women's University)
Publication Information
Journal of the Korean Academy of Clinical Electrophysiology / v.11, no.1, 2013 , pp. 31-38 More about this Journal
Abstract
Purpose : This study was to identify the effect of cognitive reaction following inactive electrode placement when applying anodal transcranial direct current stimulation over the primary motor cortex. Methods : For this study a total of 28 stroke patients participated. Before applying transcranial direct current stimulation, cognitive reaction was measured (P300 of event related potential, cognitive reaction time), and subjects were randomly assigned to two group. Transcranial direct current stimulation was applied to the scalp with an intensity of $0.04mA/cm^2$ for 15 minutes. All subjects were given an anode transcranial direct current stimulation over the primary motor area and inactive electrodes over the deltoid muscle (group I) and supra-orbital area (group II). Cognitive reactions were measured after applying transcranial direct current stimulation. Results : For this study a total of 28 stroke patients participated. Before applying transcranial direct current stimulation, cognitive reaction was measured (P300 of event related potential, cognitive reaction time), and subjects were randomly assigned to two group. Transcranial direct current stimulation was applied to the scalp with an intensity of $0.04mA/cm^2$ for 15 minutes. All subjects were given an anode transcranial direct current stimulation over the primary motor area and inactive electrodes over the deltoid muscle (group I) and supra-orbital area (group II). Cognitive reactions were measured after applying transcranial direct current stimulation. Conclusion : Thus transcranial direct current stimulation on the primary motor area may help cognitive reaction regardless of inactive electrode placement.
Keywords
Transcranial direct current stimulation; ERP; Cognitive reaction time;
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1 Van der Hiele K, Vein A, Kramer C et al. Memory activation enhances EEG abnormality in mild cognitive impairment. Neurobiology of Aging. 2007;28(1):85-90.   DOI   ScienceOn
2 Kok A. On the utility of p3 amplitude as a measure of processing capacity. Psychophysiology. 2001;38(3):557-77.   DOI   ScienceOn
3 Hillyard SA, Hink RF, Schwent VL et al. Electrical signs of selective attention in the human brain. Science. 1973;182(108):177-80.   DOI   ScienceOn
4 Niogi S, Mukherjee P, Ghajar J et al. Extent of microstructural white matter injury in postconcussive syndrome correlates with impaired cognitive reaction time: A 3t diffusion tensor imaging study of mild traumatic brain injury. American Journal of Neuroradiology. 2008;29(5):967-73.   DOI   ScienceOn
5 Segalowitz SJ, Barnes KL. The reliability of erp components in the auditory oddball paradigm. Psychophysiology. 1993;30(5):451-9.   DOI   ScienceOn
6 Sutton S, Braren M, Zubin J et al. Evoked-potential correlates of stimulus uncertainty. Science. 1965;150(3700):1187-8.   DOI   ScienceOn
7 Fregni F, Boggio PS, Nitsche M et al. Anodal transcranial direct current stimulation of prefrontal cortex enhances working memory. Experimental Brain Research. 2005;166(1):23-30.   DOI   ScienceOn
8 Evers S, Bockermann I, Nyhuis PW. The impact of transcranial magnetic stimulation on cognitive processing: An event-related potential study. Neuroreport. 2001;12(13):2915-8.   DOI   ScienceOn
9 Boggio PS, Ferrucci R, Rigonatti SP et al. Effects of transcranial direct current stimulation on working memory in patients with parkinson's disease. Journal of the Neurological Sciences. 2006;249(1):31-8.   DOI   ScienceOn
10 Schlaug G, Renga V. Transcranial direct current stimulation: A noninvasive tool to facilitate stroke recovery. Expert Review of Medical Devices. 2008;5(6):759-68.   DOI   ScienceOn
11 Bindman LJ, Lippold O, Redfearn J. The action of brief polarizing currents on the cerebral cortex of the rat (1) during current flow and (2) in the production of longlasting after-effects. The Journal of Physiology. 1964;172(3):369-82.   DOI
12 Alvarez JA, Emory E. Executive function and the frontal lobes: A meta-analytic review. Neuropsychology Review. 2006;16(1):17-42.   DOI
13 Lee SS. Review Study of Clinical Availability for Screening Test (MMSE, GDS, CDR). Hanyang University. Dissertation of Master's Degree. 2007.
14 Kang YJ. Development of virtual reality based cognitive assessment and evaluation of its usefulness in patients with stroke. Yonsei University. Dissertation of Master's Degree. 2003.
15 Moliadze V, Antal A, Paulus W. Electrode-distance dependent after-effects of transcranial direct and random noise stimulation with extracephalic reference electrodes. Clinical Neurophysiology. 2010;121(12):2165-71.   DOI   ScienceOn
16 Nair D, Renga V, Hamelin S et al. Improving motor function in chronic stroke patients using simultaneous occupational therapy and tdcs. Stroke. 2008;39(2):542.
17 Korpelainen J, Kauhanen M, Tolonen U et al. Auditory p300 event related potential in minor ischemic stroke. Acta Neurologica Scandinavica. 2000;101(3):202-8.   DOI   ScienceOn
18 Gummow LJ, Dustman RE, Keaney RP. Cerebrovascular accident alters p300 event-related potential characteristics. Electroencephalography and Clinical Neurophysiology. 1986;63(2):128-37.   DOI   ScienceOn
19 Lim YE. Effect of hand function and cerebral motor area activity by transcranial direct current stimulation (tDCS). Dongshin University. Dissertation of Master's Degree. 2009.
20 Dockery CA, Hueckel-Weng R, Birbaumer N et al. Enhancement of planning ability by transcranial direct current stimulation. The Journal of Neuroscience. 2009;29(22):7271-7.   DOI   ScienceOn
21 Park RJ, Lee MY, Cho IS et al. The effects of transcranial direct current stimulation in motor performance of visuomotor task. Rehailitation Research. 2008;12(3):39-53.
22 Cicinelli P, Traversa R, Rossini P. Post-stroke reorganization of brain motor output to the hand: A 2?4 month follow-up with focal magnetic transcranial stimulation. Electroencephalography and Clinical Neurophysiology/Electromyography and Motor Control. 1997;105(6):438-50.   DOI   ScienceOn
23 Seitz RJ, Hoflich P, Binkofski F et al. Role of the premotor cortex in recovery from middle cerebral artery infarction. Archives of Neurology. 1998;55(8):1081.   DOI   ScienceOn
24 Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: Effects on function and spasticity. Archives of Physical Medicine and Rehabilitation. 1997;78(11):1231-6.   DOI   ScienceOn
25 Zinn S, Dudley TK, Bosworth HB et al. The effect of poststroke cognitive impairment on rehabilitation process and functional outcome. Archives of Physical Medicine and Rehabilitation. 2004;85(7):1084-90.   DOI   ScienceOn
26 Pomeroy V, Aglioti SM, Mark VW et al. Neurological principles and rehabilitation of action disorders rehabilitation interventions. Neurorehabilitation and Neural Repair. 2011;25(5 suppl):33S-43S.   DOI
27 Schlaug G, Renga V, Nair D. Transcranial direct current stimulation in stroke recovery. Archives of Neurology. 2008;65(12):1571.   DOI   ScienceOn
28 Song HS. The effect of transcranial direct current sitmulation combined with tast-related training on muscle activity and gait abiltiy in chronic stroke. Donshin University. Dissertation of Master's Degree. 2011.
29 Boggio PS, Nunes A, Rigonatti SP et al. Repeated sessions of noninvasive brain dc stimulation is associated with motor function improvement in stroke patients. Restorative Neurology and Neuroscience. 2007;25(2):123-9.
30 Antal A, Nitsche MA, Paulus W. Transcranial direct current stimulation and the visual cortex. Brain Research Bulletin. 2006;68(6):459-63.   DOI   ScienceOn