Shaker Hussien Ahmed, Sawan Salah Abd Elmonem, Fahmy Ebtesam Mohamed, Ismail Rania Shehata, Elrahman Shymaa Abd Elhamid Abd
1Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
2Neurology Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Egypt J Neurol Psychiatr Neurosurg. 2018;54(1):32. doi: 10.1186/s41983-018-0037-8. Epub 2018 Nov 6.
Cognitive impairment after stroke is common and can cause disability with major impacts on quality of life and independence. Transcranial direct current stimulation may represent a promising tool for reconstitution of cognitive functions in stroke patients.
This study aimed to investigate the effect of transcranial direct current stimulation on cognitive functions in stroke patients.
Forty male stroke patients were included. Patients were divided randomly into two equal groups (A and B). Group A received transcranial direct current stimulation (tDCS) in combination with selected cognitive training program by RehaCom. Group B received sham transcranial direct current stimulation in combination with the same cognitive training program.Cognitive evaluation and functional independence measure (FIM) were done for all patients before and after treatment.
There was a significant improvement in the scores of attention and concentration, figural memory, logical reasoning, reaction behavior, and FIM post treatment in both groups; the improvement was significantly higher in group A compared to group B.
tDCS is a safe and effective neuro-rehabilitation modality that improves post stroke cognitive dysfunctions. Moreover, tDCS has a positive impact on performance of daily activities.
中风后认知障碍很常见，会导致残疾，对生活质量和独立性产生重大影响。经颅直流电刺激可能是恢复中风患者认知功能的一种有前景的工具。
本研究旨在探讨经颅直流电刺激对中风患者认知功能的影响。
纳入40名男性中风患者。患者被随机分为两组（A组和B组），每组人数相等。A组接受经颅直流电刺激（tDCS）并结合使用RehaCom进行的特定认知训练方案。B组接受伪经颅直流电刺激并结合相同的认知训练方案。在治疗前后对所有患者进行认知评估和功能独立性测量（FIM）。
两组治疗后注意力和专注力、图形记忆、逻辑推理、反应行为以及FIM评分均有显著改善；A组的改善明显高于B组。
经颅直流电刺激是一种安全有效的神经康复方式，可改善中风后的认知功能障碍。此外，经颅直流电刺激对日常活动表现有积极影响。
