An Tae-Gyu, Kim Soo-Han, Kim Ko-Un
Rehabilitation Science, Daegu University, Republic of Korea.
Department of Physical Therapy, College of Health Medicine, Kaya University, Republic of Korea.
J Phys Ther Sci. 2017 Mar;29(3):505-507. doi: 10.1589/jpts.29.505. Epub 2017 Mar 22.
[Purpose] The aim of this study was to assess the effects of transcranial direct current stimulation (tDCS) on depression and quality of life (QOL) in patients with stroke, by conducting conventional occupational therapy with and without tDCS on 20 patients each. [Subjects and Methods] The experimental group (N=20) received both tDCS and conventional occupational therapy, while the control group (N=20) received false tDCS and conventional occupational therapy. The treatment was conducted 20 times over a four-week period; each session was 30 minutes long. The Beck Depression Inventory (BDI) was administered to score the depression levels in patients before and after the intervention, while the stroke-specific quality of life (SS-QOL) was measured to compare the QOL. [Result] Following the intervention, the patients in the experimental group showed a significant decrease in depression and an increase in the QOL. In contrast, the control group showed no significant changes in depression or QOL. Our findings indicate that tDCS decreased depression while increasing QOL in patients with stroke. [Conclusion] In other words, our study confirmed that the application of tDCS during stroke rehabilitation improves the depression symptoms and QOL in patients.
[目的]本研究旨在通过对20例患者分别进行有和没有经颅直流电刺激(tDCS)的常规职业治疗,评估tDCS对中风患者抑郁和生活质量(QOL)的影响。[对象与方法]实验组(N = 20)接受tDCS和常规职业治疗,而对照组(N = 20)接受伪tDCS和常规职业治疗。治疗在四周内进行20次;每次治疗时长30分钟。采用贝克抑郁量表(BDI)对干预前后患者的抑郁水平进行评分,同时测量中风特异性生活质量(SS-QOL)以比较生活质量。[结果]干预后,实验组患者的抑郁显著降低,生活质量提高。相比之下,对照组的抑郁或生活质量没有显著变化。我们的研究结果表明,tDCS可降低中风患者的抑郁水平,同时提高生活质量。[结论]换句话说,我们的研究证实了在中风康复过程中应用tDCS可改善患者的抑郁症状和生活质量。