TY - JOUR
T1 - The Effects of tDCS with NDT on the Improvement of Motor Development in Cerebral Palsy
AU - Salazar Fajardo, Jhosedyn Carolaym
AU - Kim, Rock Hyun
AU - Gao, Chang
AU - Hong, Ji Yeon
AU - Yang, Jin Kyu
AU - Wang, Dong Gil
AU - Yoon, Bum Chul
N1 - Funding Information:
This work was supported by Korea University (grant number: K2017911). The authors are grateful to the Purme Children’s Rehabilitation Hospital and the Rehabilitation Center King’s Kids (both located in Seoul, South Korea) for their support during the recruitment of the participants and for facilitating their installations for the successful completion of this study. In addition, we thank the Y-Brain Company for providing the tDCS device used in this study.
Publisher Copyright:
© 2021 Taylor & Francis Group, LLC.
PY - 2022
Y1 - 2022
N2 - We investigated the effects of transcranial direct current stimulation (tDCS) over the primary motor cortex (M1) with neurodevelopmental treatment (NDT) on the improvement of motor development and reduction of spasticity in children with cerebral palsy (CP). Twenty-four children with CP were allocated to two groups: the tDCS + NDT group and the only NDT group, done 3 times per week for 5 weeks. The Gross Motor Function Measurement (GMFM-88) and Box and Block Test (BBT) were used to assess changes in motor development, and the Modified Ashworth Scale (MAS) was used to evaluate changes in spasticity. All measurements were carried out at 3 time points: baseline, post-intervention, and 1 month follow-up. We found improvements in the GMFM-88 total scores and in each individual GMFM-88 dimension scores, favoring the tDCS + NDT group over the only NDT group. The BBT scores improved only in the tDCS + NDT group. In addition, the MAS scores reduced in the hemibody with significant motor impairment only in the tDCS + NDT group. The present findings suggest that tDCS combined with NDT can be considered a promising intervention for children with CP, as it can enhance motor development and reduce spasticity in this population.
AB - We investigated the effects of transcranial direct current stimulation (tDCS) over the primary motor cortex (M1) with neurodevelopmental treatment (NDT) on the improvement of motor development and reduction of spasticity in children with cerebral palsy (CP). Twenty-four children with CP were allocated to two groups: the tDCS + NDT group and the only NDT group, done 3 times per week for 5 weeks. The Gross Motor Function Measurement (GMFM-88) and Box and Block Test (BBT) were used to assess changes in motor development, and the Modified Ashworth Scale (MAS) was used to evaluate changes in spasticity. All measurements were carried out at 3 time points: baseline, post-intervention, and 1 month follow-up. We found improvements in the GMFM-88 total scores and in each individual GMFM-88 dimension scores, favoring the tDCS + NDT group over the only NDT group. The BBT scores improved only in the tDCS + NDT group. In addition, the MAS scores reduced in the hemibody with significant motor impairment only in the tDCS + NDT group. The present findings suggest that tDCS combined with NDT can be considered a promising intervention for children with CP, as it can enhance motor development and reduce spasticity in this population.
KW - cerebral palsy
KW - gross motor function
KW - motor development
KW - neurodevelopmental training
KW - transcranial direct current stimulation
UR - http://www.scopus.com/inward/record.url?scp=85121498837&partnerID=8YFLogxK
U2 - 10.1080/00222895.2021.2016572
DO - 10.1080/00222895.2021.2016572
M3 - Article
C2 - 34913842
AN - SCOPUS:85121498837
SN - 0022-2895
VL - 54
SP - 480
EP - 489
JO - Journal of Motor Behavior
JF - Journal of Motor Behavior
IS - 4
ER -