Transcranial Direct Current Stimulation Combined with Treadmill Gait Training in Delayed Neuro-psychomotor Development

Author(s)

Collange Grecco, Luanda Andre ^[1] ; Mendonca, Mariana E. ^[2] ; Duarte, Natalia A. C. ^[3] ; Zanon, Nelci ^[4] ; Fregni, Felipe ^{[4, 3, 2, 5]} ; Oliveira, Claudia Santos ^[3]

Affiliation

^[1] Univ Nove de Julho, Pediat Neurosurg Ctr CENEPE, BR-04037000 Sao Paulo - Brazil

^[2] Univ Sao Paulo, Inst Psychol, BR-05508 Sao Paulo - Brazil

^[3] Univ Nove de Julho, BR-04037000 Sao Paulo - Brazil

^[4] Univ Fed Sao Paulo, Sao Paulo - Brazil

^[5] Spaulding Rehabil Hosp, Dept Phys Med & Rehabil, Charlestown, MA 02129 - USA

• Document type: Journal article
• Source: Journal of Physical Therapy Science; v. 26, n. 6, p. 945-950, JUN 2014.
• Web of Science Citations: 14

Abstract

{[}Purpose] The aim of the present study was to describe the results of transcranial direct current stimulation combined with treadmill training in a child with delayed neuro-psychomotor development. {[}Subject and Methods] Transcranial direct current stimulation (intensity: 1 mA) was applied over the primary motor cortex for 20 minutes during simultaneous treadmill training (2.5 km/h) in ten sessions. {[}Results] Clinically significant improvement was found in motor development (fine motor subscale, 23 to 25; gross motor subscale, 32 to 41). Reductions in mean oscillation of the center of pressure were found in the anteroposterior (239.2 to 146.5 mm) and mediolateral (177.4 to 149.2 mm) directions. Increases occurred in cadence (106 to 123 steps/minute), step length (0.16 to 0.23 m), step width (0.09 to 0.14 m) and gait velocity with support (0.3 to 0.7 m/s). {[}Conclusion] After treatment, the child was able to initiate the standing position for the first time and walk without support. (AU)

• FAPESP's process: 12/24019-0 - EFFECT OF TRANSCRANIAL DIRECT CURRENT STIMULATION ASSOCIATED WITH GAIT TRAINING ON THE STATIC AND FUNCTIONAL BALANCE IN CHILDREN WITH CEREBRAL PALSY: DOUBLE-BLIND RANDOMIZED CONTROLLED CLINICAL TRIAL
• Grantee: Natália de Almeida Carvalho Duarte
• Support Opportunities: Scholarships in Brazil - Master