Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.

<h4>Background</h4>Cerebral palsy refers to permanent, mutable motor development disorders stemming from a primary brain lesion, causing secondary musculoskeletal problems and limitations in activities of daily living. The aim of the present study was to determine the effects of gait tra...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Natália de Almeida Carvalho Duarte, Luanda André Collange Grecco, Manuela Galli, Felipe Fregni, Cláudia Santos Oliveira
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fddbd8d96d6e46d8a985b5930872a098
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:fddbd8d96d6e46d8a985b5930872a098
record_format	dspace
spelling	oai:doaj.org-article:fddbd8d96d6e46d8a985b5930872a0982021-11-25T06:02:43ZEffect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.1932-620310.1371/journal.pone.0105777https://doaj.org/article/fddbd8d96d6e46d8a985b5930872a0982014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25171216/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Cerebral palsy refers to permanent, mutable motor development disorders stemming from a primary brain lesion, causing secondary musculoskeletal problems and limitations in activities of daily living. The aim of the present study was to determine the effects of gait training combined with transcranial direct-current stimulation over the primary motor cortex on balance and functional performance in children with cerebral palsy.<h4>Methods</h4>A double-blind randomized controlled study was carried out with 24 children aged five to 12 years with cerebral palsy randomly allocated to two intervention groups (blocks of six and stratified based on GMFCS level (levels I-II or level III).The experimental group (12 children) was submitted to treadmill training and anodal stimulation of the primary motor cortex. The control group (12 children) was submitted to treadmill training and placebo transcranial direct-current stimulation. Training was performed in five weekly sessions for 2 weeks. Evaluations consisted of stabilometric analysis as well as the administration of the Pediatric Balance Scale and Pediatric Evaluation of Disability Inventory one week before the intervention, one week after the completion of the intervention and one month after the completion of the intervention. All patients and two examiners were blinded to the allocation of the children to the different groups.<h4>Results</h4>The experimental group exhibited better results in comparison to the control group with regard to anteroposterior sway (eyes open and closed; p<0.05), mediolateral sway (eyes closed; p<0.05) and the Pediatric Balance Scale both one week and one month after the completion of the protocol.<h4>Conclusion</h4>Gait training on a treadmill combined with anodal stimulation of the primary motor cortex led to improvements in static balance and functional performance in children with cerebral palsy.<h4>Trial registration</h4>Ensaiosclinicos.gov.br/RBR-9B5DH7.Natália de Almeida Carvalho DuarteLuanda André Collange GreccoManuela GalliFelipe FregniCláudia Santos OliveiraPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 8, p e105777 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Natália de Almeida Carvalho Duarte Luanda André Collange Grecco Manuela Galli Felipe Fregni Cláudia Santos Oliveira Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.
description	<h4>Background</h4>Cerebral palsy refers to permanent, mutable motor development disorders stemming from a primary brain lesion, causing secondary musculoskeletal problems and limitations in activities of daily living. The aim of the present study was to determine the effects of gait training combined with transcranial direct-current stimulation over the primary motor cortex on balance and functional performance in children with cerebral palsy.<h4>Methods</h4>A double-blind randomized controlled study was carried out with 24 children aged five to 12 years with cerebral palsy randomly allocated to two intervention groups (blocks of six and stratified based on GMFCS level (levels I-II or level III).The experimental group (12 children) was submitted to treadmill training and anodal stimulation of the primary motor cortex. The control group (12 children) was submitted to treadmill training and placebo transcranial direct-current stimulation. Training was performed in five weekly sessions for 2 weeks. Evaluations consisted of stabilometric analysis as well as the administration of the Pediatric Balance Scale and Pediatric Evaluation of Disability Inventory one week before the intervention, one week after the completion of the intervention and one month after the completion of the intervention. All patients and two examiners were blinded to the allocation of the children to the different groups.<h4>Results</h4>The experimental group exhibited better results in comparison to the control group with regard to anteroposterior sway (eyes open and closed; p<0.05), mediolateral sway (eyes closed; p<0.05) and the Pediatric Balance Scale both one week and one month after the completion of the protocol.<h4>Conclusion</h4>Gait training on a treadmill combined with anodal stimulation of the primary motor cortex led to improvements in static balance and functional performance in children with cerebral palsy.<h4>Trial registration</h4>Ensaiosclinicos.gov.br/RBR-9B5DH7.
format	article
author	Natália de Almeida Carvalho Duarte Luanda André Collange Grecco Manuela Galli Felipe Fregni Cláudia Santos Oliveira
author_facet	Natália de Almeida Carvalho Duarte Luanda André Collange Grecco Manuela Galli Felipe Fregni Cláudia Santos Oliveira
author_sort	Natália de Almeida Carvalho Duarte
title	Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.
title_short	Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.
title_full	Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.
title_fullStr	Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.
title_full_unstemmed	Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.
title_sort	effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/fddbd8d96d6e46d8a985b5930872a098
work_keys_str_mv	AT nataliadealmeidacarvalhoduarte effectoftranscranialdirectcurrentstimulationcombinedwithtreadmilltrainingonbalanceandfunctionalperformanceinchildrenwithcerebralpalsyadoubleblindrandomizedcontrolledtrial AT luandaandrecollangegrecco effectoftranscranialdirectcurrentstimulationcombinedwithtreadmilltrainingonbalanceandfunctionalperformanceinchildrenwithcerebralpalsyadoubleblindrandomizedcontrolledtrial AT manuelagalli effectoftranscranialdirectcurrentstimulationcombinedwithtreadmilltrainingonbalanceandfunctionalperformanceinchildrenwithcerebralpalsyadoubleblindrandomizedcontrolledtrial AT felipefregni effectoftranscranialdirectcurrentstimulationcombinedwithtreadmilltrainingonbalanceandfunctionalperformanceinchildrenwithcerebralpalsyadoubleblindrandomizedcontrolledtrial AT claudiasantosoliveira effectoftranscranialdirectcurrentstimulationcombinedwithtreadmilltrainingonbalanceandfunctionalperformanceinchildrenwithcerebralpalsyadoubleblindrandomizedcontrolledtrial
_version_	1718414259840352256

Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: a double-blind randomized controlled trial.

Ejemplares similares