The Effect of Adding Transcranial Direct Current Stimulation to Hyperbaric Oxygen Therapy in Patients With Delayed Encephalopathy After Carbon Monoxide Poisoning: A Randomised Controlled Trial

Objective: To investigate the effect of transcranial direct current stimulation (tDCS) combined with hyperbaric oxygen therapy (HBOT) in patients with delayed encephalopathy after carbon monoxide poisoning (DEACMP).Design: A parallel-group, open-label randomised controlled study.Setting: Hyperbaric...

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Autores principales: Huifang Cao, Xiaona Tan, Zibo Liu, Long Zhao, Lin Chi, Manyu Li, Chunhui Liu, Hongling Li
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:d55bce4f9cf54a879101b2e805fbd2c22021-12-01T23:02:15ZThe Effect of Adding Transcranial Direct Current Stimulation to Hyperbaric Oxygen Therapy in Patients With Delayed Encephalopathy After Carbon Monoxide Poisoning: A Randomised Controlled Trial1664-229510.3389/fneur.2021.719765https://doaj.org/article/d55bce4f9cf54a879101b2e805fbd2c22021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.719765/fullhttps://doaj.org/toc/1664-2295Objective: To investigate the effect of transcranial direct current stimulation (tDCS) combined with hyperbaric oxygen therapy (HBOT) in patients with delayed encephalopathy after carbon monoxide poisoning (DEACMP).Design: A parallel-group, open-label randomised controlled study.Setting: Hyperbaric Oxygen Therapy Room of the Second Hospital of Hebei Medical University.Subjects: A total of 40 patients were recruited for the current study. Patients were randomly divided into a treatment group and a control group (20 cases/group).Interventions: Control group: conventional, individualised rehabilitation therapy. Treatment group: conventional, individualised rehabilitation therapy and tDCS.Main Measures: cognitive function of patients, the Barthel Index (BI).Results: After treatment, significantly higher MMSE and BI scores, as well as a greater reduction in P300 latency and an increase in P300 amplitude, were observed in the treatment group compared to the control group (MMSE: 13 ± 7 vs. 9 ± 5; P300 latency: 342 ± 29 vs. 363 ± 17 ms; P300 amplitude: 7.0 ± 3.3 vs. 5.1 ± 2.7 μV; all P < 0.05). In both groups, however, MMSE and BI scores, in addition to P300 amplitude, were significantly improved; in contrast, there was a decrease in P300 latency in both groups after treatment compared to before treatment (all P < 0.05).Conclusion: Combined with HBOT, tDCS can help improve cognitive function and ADL in patients with DEACMP. This combination therapy might be a helpful method to enhance the recovery of patients with DEACMP.Huifang CaoXiaona TanZibo LiuLong ZhaoLin ChiManyu LiChunhui LiuHongling LiFrontiers Media S.A.articletranscranial direct current stimulationhyperbaric oxygendelayed encephalopathy after carbon monoxide poisoningcognitive functionactivities of daily livingNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic transcranial direct current stimulation
hyperbaric oxygen
delayed encephalopathy after carbon monoxide poisoning
cognitive function
activities of daily living
Neurology. Diseases of the nervous system
RC346-429
spellingShingle transcranial direct current stimulation
hyperbaric oxygen
delayed encephalopathy after carbon monoxide poisoning
cognitive function
activities of daily living
Neurology. Diseases of the nervous system
RC346-429
Huifang Cao
Xiaona Tan
Zibo Liu
Long Zhao
Lin Chi
Manyu Li
Chunhui Liu
Hongling Li
The Effect of Adding Transcranial Direct Current Stimulation to Hyperbaric Oxygen Therapy in Patients With Delayed Encephalopathy After Carbon Monoxide Poisoning: A Randomised Controlled Trial
description Objective: To investigate the effect of transcranial direct current stimulation (tDCS) combined with hyperbaric oxygen therapy (HBOT) in patients with delayed encephalopathy after carbon monoxide poisoning (DEACMP).Design: A parallel-group, open-label randomised controlled study.Setting: Hyperbaric Oxygen Therapy Room of the Second Hospital of Hebei Medical University.Subjects: A total of 40 patients were recruited for the current study. Patients were randomly divided into a treatment group and a control group (20 cases/group).Interventions: Control group: conventional, individualised rehabilitation therapy. Treatment group: conventional, individualised rehabilitation therapy and tDCS.Main Measures: cognitive function of patients, the Barthel Index (BI).Results: After treatment, significantly higher MMSE and BI scores, as well as a greater reduction in P300 latency and an increase in P300 amplitude, were observed in the treatment group compared to the control group (MMSE: 13 ± 7 vs. 9 ± 5; P300 latency: 342 ± 29 vs. 363 ± 17 ms; P300 amplitude: 7.0 ± 3.3 vs. 5.1 ± 2.7 μV; all P < 0.05). In both groups, however, MMSE and BI scores, in addition to P300 amplitude, were significantly improved; in contrast, there was a decrease in P300 latency in both groups after treatment compared to before treatment (all P < 0.05).Conclusion: Combined with HBOT, tDCS can help improve cognitive function and ADL in patients with DEACMP. This combination therapy might be a helpful method to enhance the recovery of patients with DEACMP.
format article
author Huifang Cao
Xiaona Tan
Zibo Liu
Long Zhao
Lin Chi
Manyu Li
Chunhui Liu
Hongling Li
author_facet Huifang Cao
Xiaona Tan
Zibo Liu
Long Zhao
Lin Chi
Manyu Li
Chunhui Liu
Hongling Li
author_sort Huifang Cao
title The Effect of Adding Transcranial Direct Current Stimulation to Hyperbaric Oxygen Therapy in Patients With Delayed Encephalopathy After Carbon Monoxide Poisoning: A Randomised Controlled Trial
title_short The Effect of Adding Transcranial Direct Current Stimulation to Hyperbaric Oxygen Therapy in Patients With Delayed Encephalopathy After Carbon Monoxide Poisoning: A Randomised Controlled Trial
title_full The Effect of Adding Transcranial Direct Current Stimulation to Hyperbaric Oxygen Therapy in Patients With Delayed Encephalopathy After Carbon Monoxide Poisoning: A Randomised Controlled Trial
title_fullStr The Effect of Adding Transcranial Direct Current Stimulation to Hyperbaric Oxygen Therapy in Patients With Delayed Encephalopathy After Carbon Monoxide Poisoning: A Randomised Controlled Trial
title_full_unstemmed The Effect of Adding Transcranial Direct Current Stimulation to Hyperbaric Oxygen Therapy in Patients With Delayed Encephalopathy After Carbon Monoxide Poisoning: A Randomised Controlled Trial
title_sort effect of adding transcranial direct current stimulation to hyperbaric oxygen therapy in patients with delayed encephalopathy after carbon monoxide poisoning: a randomised controlled trial
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/d55bce4f9cf54a879101b2e805fbd2c2
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