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http://dx.doi.org/10.5762/KAIS.2014.15.11.6767

Effects of Trunk Pattern Exercise in Proprioceptive Neuromuscular Facilitation Integrated Transcranial Direct Current Stimulation on Function of Lower extremity in Stroke Patients  

Cho, Hyuk-Shin (Dept. of Physical Therapy, Wonkwang Health Science University)
Cha, Hyun-Gyu (Dept. of Physical Therapy, College of Kyungbuk)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.15, no.11, 2014 , pp. 6767-6773 More about this Journal
Abstract
The study examined the effects of trunk pattern exercise in proprioceptive neuromuscular facilitation (PNF) integrated transcranial direct current stimulation (tDCS) on the muscle activity and balance, walking speed in stroke patient. Thirty-one patients with hemiplegia due to stroke were assigned to either the experimental group (n=15) or control group (n=16). Both groups performed trunk pattern training in PNF for 3 times per week over a 6 week period for 20 minutes per session. The experimental group performed additional tDCS for 20 minutes. A comparison of the two groups after the intervention showed that the exercise program in experimental group had a more significant on the gastrocnemius, tibialis anterior and balance than the control group (p<.05). This showed that trunk pattern exercise in PNF integrated tDCS had a positive effect on the functional recovery of the lower extremity in stroke patients.
Keywords
Gait; Proprioceptive neuromuscular facilitation; tDCS;
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1 Y. R. Yang, M. P. Tsai, T. Y. Chuang and W. Sung. "Virtual reality-based training improves community ambulation in individuals with stroke: A randomized controlled trial", Gait Posture, Vol. 28(2), pp. 201-206, 2008. DOI: http://dx.doi.org/10.1016/j.gaitpost.2007.11.007   DOI   ScienceOn
2 R. Dunsky, R. Dickstein, E. Marcovitz, S. Levy. "Home-based motor imagery training for gait rehabilitation of people with chronic post stroke hemiparesis", Arch Phys Med Rehabil, Vol. 89(8), pp. 1580-1588, 2008. DOI: http://dx.doi.org/10.1016/j.apmr.2007.12.039   DOI   ScienceOn
3 K.K. Patterson, I. Parafianowicz, C. J. Danells. "Gait asymmetry in community-ambulating stroke survivors. Archives of physical medicine and rehabilitation", Vol. 89(2), pp. 304-310, 2008. DOI: http://dx.doi.org/10.1016/j.apmr.2007.08.142   DOI   ScienceOn
4 W. M. Thomas. "Anatomy Train", Chur Living, Elser Sci Limit, pp. 93-102, 2002.
5 J. L. Stephenson, A. Lamontagne, S. J. DE-Serres. " The coordination of upper limb movements during gait in healthy and stroke individuals", Gait Posture, vol. 29(1), pp. 11-16, 2009 DOI: http://dx.doi.org/10.1016/j.gaitpost.2008.05.013   DOI   ScienceOn
6 S. K. Ji. "The effects of combination of isotonic technique in proprioceptive neuromuscular facilitation on the balance, muscle activity and fatigue of quadriceps muscle in hemiplegic stroke patients", Graduate School of Public Health, Eulji Univ. Master's thesis, 2008.
7 G. Yavuzer, R. Selles and N. Sezer. "Mirror therapy improve hand function in subcute stroke: A randomized controlled trial", Arch phys med rehabil, Vol. 89(3), pp.393-398, 2008. DOI: http://dx.doi.org/10.1016/j.apmr.2007.08.162   DOI   ScienceOn
8 G. Schlaug, V. Renga and D. Nair. "Transcranial direct current stimulation in stroke recovery". Arch Neurol, Vol. 65(12), pp.1571-1576, 2008. DOI: http://dx.doi.org/10.1001/archneur.65.12.1571
9 F. Fregni, P. S. Boggio and M. C. Santos. "Noninvasive corticalstimulation with transcranial direct current stimulation in parkinson's disease", Mov disor, Vol. 21(10), pp. 1693-1702, 2006.   DOI   ScienceOn
10 S. Tanaka and K. Watanabe. "Transcranial direct current stimulation a new tool for human cognitive neuroscience", Brain Nerve, Vol. 61, pp. 53-64, 2009.
11 A. Burden and R. Bartlett. "Normalization of EMG amplitude: an evaluation and comparison of old and new methods", Med Eng & Phys, Vol. 21, pp. 247-257, 1999. DOI: http://dx.doi.org/10.1016/S1350-4533(99)00054-5   DOI   ScienceOn
12 T. Fujiwara, T. Tsuji, K. Honaga, K. Hase, J. Ushiba and M. Liu. ""Transcranial direct current stimulation modulates the spinal plasticity induce with patterned electrical stimulation", Clin Neurophysiol, 2011. DOI: http://dx.doi.org/10.1016/j.clinph.2011.02.002
13 S. Alder, D. Beckers and M. Buck. "PNF in practice: an illustrated guide", Spri Ver, 2008.
14 P. S. Boggio, L. O. Castro, E. A. Savagim, R. Braite, V. C. Cruz, R. R. Rocha, S. P. Rigonatti, M. T. Silva and F. Fregni. "Enhancement of non dominant hand motor function by anodal transcranial direct current stimulatio", Neurosci Lett, Vol. 404(1-2), pp. 232-236, 2006. DOI: http://dx.doi.org/10.1016/j.neulet.2006.05.051   DOI
15 H. J. Jeon. "Comparative study of chopping and lifting pattern of proprioceptive neuromuscular facilitation versus trunk exercise program for the management of chronic low back pain", Graduate School of Public Health, Eulji Univ. Master's thesis, 2008.
16 A. Srivastava, A. B. Taly, A. Gupta and S. Kumar. "Post-stroke balance training: Role of force platform with visual feedback technique", J Neurol Sci, Vol. 287(1), pp. 89-93, 2009. DOI: http://dx.doi.org/10.1016/j.jns.2009.08.051   DOI   ScienceOn
17 M. Pohl, J. Mehrholz, C. Ritschel and S. Ruckriem. "Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: A randomized controlled trial", Stroke, Vol. 33(2), pp. 553-558, 2002. DOI: http://dx.doi.org/10.1161/hs0202.102365   DOI   ScienceOn
18 F. Hummel, C. W. Wu, A. Floel. "Improvement of skilled motor functions in elderly healthy volunteers by cortical stimulation", Neuroimage, Vol. 22, pp. S29, 2004.   DOI
19 K. H. Kim. "Effect of proprioceptive neuromuscular facilitation applied to the unilateral upper extremity on the muscle activation of contralateral lower extremity", Graduate School of Public Health, Eulji Univ. Master's thesis, 2005.
20 M. T. Berlim, V. D. Neto, G. Turecki. "Transcranial direct current stimulation: A promising alternative for the treatment of major depression?", Rev Brasil Psiqui, Vol. 31, pp. 34-38, 2009. DOI: http://dx.doi.org/10.1590/S1516-44462009000500006   DOI
21 F. Hummel, P. Celnik, P. Giraux, A. Floel, W. H. Wu, C. Gerloff and L. G. Cohen. "Effects of non-invasive cortical stimulation on skilled motor function in chronic stroke", Brain, Vol. 128(Pt 3), pp. 490-499, 2005. DOI: http://dx.doi.org/10.1093/brain/awh369   DOI   ScienceOn
22 Y. S. Lee. "Effect of transcranial directed current stimulus on lower extremity muscle activation and waking capacity for hemiparalysis patients", Graduate School of Daegu University, 2012.
23 L. M. Carey, D. F. Abbott, G. F. Egan, J. Bernhardt and G. A. Donnan. "Motor Impairment and Recovery in the Upper Limb After Stroke : Behavioral and Neuroanatomical Correlates", Stroke, Vol. 36(3), pp. 625-629, 2005.   DOI
24 N. Islam, M. Aftabuddin, A. Moriwaki and Y. Hattori. "Increase in the calcium level following anodal polarization in the rat brain", Brain Res, Vol. 684(2), pp. 206-208, 1995. DOI: http://dx.doi.org/10.1161/01.STR.0000155720.47711.83   DOI   ScienceOn