Artigo Acesso aberto Produção Nacional

Effects of a single session of transcranial direct current stimulation on static balance in a patient with hemiparesis: a case study

2015; Penerbit Universiti Sains Malaysia; Volume: 27; Issue: 3 Linguagem: Inglês

10.1589/jpts.27.955

ISSN

2187-5626

Autores

Arislander Jonathan Lopes Dumont, Maria Carolina Araujo, Roberta Delasta Lazzari, Cibele Almedia Santos, Debora Bachin Carvalho, Renata Calhes Franco de Moura, Luiz Alfredo Braun Ferreira, Manuela Galli, Cláudia Santos Oliveira,

Tópico(s)

Muscle activation and electromyography studies

Resumo

[Purpose] Cerebrovascular accident (stroke) is characterized by an abrupt onset of focal or global neurological signs and symptoms. Asymmetry of the limbs is common following a stroke due to hemiplegia or hemiparesis. [Subject and Methods] A male patient having suffered an ischemic stroke was initially evaluated using the Timed Up-and-Go Test and the Six-Minute Walk Test. Static balance was evaluated using a force plate (Kistler model 9286BA) for the stabilometry analysis of center of pressure (COP) sway. The data were interpreted using the SWAY software program (BTS Engineering) synchronized with the SMART-D 140(®) system. Anodal transcranial direct current stimulation (tDCS; 2 mA) was applied over the primary motor cortex for 20 minutes during gait training on a treadmill. [Results] Under the condition of eyes open, reductions were found in anteroposterior sway (6.18%), trace length (3.3%) and sway velocity (3.3%) immediately following tDCS. [Conclusion] A single session of anodal tDCS combined with treadmill training had a positive effect on the static balance of a subject with chronic hemiparesis stemming from a stroke.

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