Practical Geriatrics ›› 2023, Vol. 37 ›› Issue (5): 449-453.doi: 10.3969/j.issn.1003-9198.2023.05.005

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Effects of transcranial direct current stimulation combined with motor imagery training on upper limb motor function and cognitive function in patients with hemiplegia after stroke

REN Sha-sha, CHENG Kai, XU Liang, ZHOU Mo, GAO Ming-xia   

  1. Department of Rehabilitation Medicine, the Affiliated Nanjing Hospital of Nanjing Medical University(Nanjing First Hospital), Nanjing 210006, China
  • Received:2022-06-30 Online:2023-05-20 Published:2023-05-22
  • Contact: GAO Ming-xia, Email: gaomingxia1955@163.com

Abstract: Objective To observe the effect of transcranial direct current stimulation(tDCS) combined with motor imagery training(MIT) on upper limb motor function and cognitive function in the patients with hemiplegia after stroke. Methods A total of 84 patients with hemiplegia after stroke were randomly divided into tDCS group, MIT group and combination group, with 28 cases in each group. Before and 4 weeks after treatment, Fugl Meyer assessment for the upper extremity(FMA-UE), Wolf motor function test(WMFT), Mini-Mental State Examination(MMSE), Montreal Cognitive Assessment Scale(MoCA) and modified Barthel Index(MBI) were used to evaluate the effect in the three groups. Results After 4 weeks of treatment, the scores of FMA-UE, WMFT, MMSE, MoCA and MBI in the three groups were significantly improved compared with those before treatment(all P<0.05), especially in the combination group(P<0.05). Conclusions tDCS combined with MIT can significantly improve the motor function of upper limb and cognitive function in the patients with hemiplegia after stroke, and improve the ability of the activities of daily living.

Key words: stroke, transcranial direct current stimulation, motor imagery training, upper limb motor function, cognitive function

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