Estimulação transcraniana por corrente continua associada ao treino de marcha em esteira em indivíduos após acidente vascular cerebral: estudo clinica aleatorizado controlado e duplo cego

Abstract

Objective: determine the effects of transcranial direct current stimulation (tDCS) of the primary motor cortex combined with treadmill training on the gait, static balance and functional mobility in individuals post-stroke.Materials and Methods: Study I: Study I: A search was conducted in five Medline, PEDro, Lilacs, SciELO and PubMed.Methodological quality was assessed according to the PEDroscale.Study II: A patient with hemiparesis due to ischemic stroke was subjected to a single gait training session on a treadmill associated with tDCS. For evaluation we used a force plate (Kistler 9286BA model).Study III: The sample consisted of 28 post-stroke individuals, randomly divided into two groups: experimental group (EG) n = 14 (gait training on a treadmill +tDCS active) and control group (CG) n = 14 (gait training on a treadmill + tDCS Placebo). The evaluation was performed by means of three-dimensional gait analysis, stabilometry and functional mobility. 10 training sessions were conducted for two consecutive weeks, five sessions per week (20 minutes each).Results:Study I: 14 controlled clinical trials addressing evaluation of static balance and / or dynamic individuals post-stroke were included in the study.Study II: Under the conditions of open and eyes, closed reductions were found in the anterior-posterior oscillation stroke length and speed of oscillation immediately after tDCS.Study III: The EG presented significant result (p <0.05) in (Knee KMSw and K ROM) and (Ankle AMSt, AMSw and A-ROM) and functional mobility. Conclusion: Based on the presented results it suggested that tDCS of the primary motor cortex combined with treadmill training it has an effect on the gait and functional mobility in individuals post-stroke.