Use of Transcranial Direct Current Stimulation in Post-stroke Patients with Motor and Speech Disturbances
https://doi.org/10.31550/1727-2378-2022-21-8-6-11
Abstract
Study Objective: To assess the efficiency of transcranial direct current stimulation (tDCS) as a component of rehabilitation measures in ischemic stroke patients with motor and speech disturbances.
Study Design: prospective study.
Materials and Methods. We tested 77 patients in the early rehabilitation period after ischemic stroke using Montreal Cognitive Assessment, Hospital Anxiety and Depression Scale, Wassermann Scale, Dysarthria Assessment Scale, Locus of Control Recovery Assessment Scale, Medical Research Committee Scale, Franchay Scale.
Study Results. Distal muscle strength in paralytic upper extremity improved in patients who were treated with motor zone tDCS (p < 0.05). Franchay Scale results during rehabilitation demonstrated improvements in all study groups (p < 0.05). “Attention” sub-scale results in Montreal Cognitive Assessment, Hospital Anxiety and Depression Scale, and Locus of Control Recovery Assessment Scale were statistically higher in patients who were treated with speech zone tDCS.
Conclusion. Use of tDCS in stroke patients improves cognitive functions in naming objects, speech functions, and patients’ motivation to rehabilitation grows, positively impacting their quality of life. Use of tDCS in motor zones facilitates motor function improvement and enhances dexterity of stroke patients. When electrodes were used in speech zones, anxiety and depression reduced, while attention improved.
About the Authors
A. R. Gasanbekova
Ivanovo State Medical Academy (a Federal Governmentfunded Educational Institution of Higher Education), Russian Federation Ministry of Health
Russian Federation
Russian Federation
8 Sheremetevsky Prospect, Ivanovo, 153012
I. P. Yastrebtseva
Ivanovo State Medical Academy (a Federal Governmentfunded Educational Institution of Higher Education), Russian Federation Ministry of Health
Russian Federation
Russian Federation
8 Sheremetevsky Prospect, Ivanovo, 153012
E. V. Dmitriev
Ivanovo State Medical Academy (a Federal Governmentfunded Educational Institution of Higher Education), Russian Federation Ministry of Health
Russian Federation
Russian Federation
8 Sheremetevsky Prospect, Ivanovo, 153012
E. A. Bochkova
Ivanovo State Medical Academy (a Federal Governmentfunded Educational Institution of Higher Education), Russian Federation Ministry of Health
Russian Federation
Russian Federation
8 Sheremetevsky Prospect, Ivanovo, 153012
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Review
For citations:
Gasanbekova A.R., Yastrebtseva I.P., Dmitriev E.V., Bochkova E.A. Use of Transcranial Direct Current Stimulation in Post-stroke Patients with Motor and Speech Disturbances. Title. 2022;21(8):6-11. (In Russ.) https://doi.org/10.31550/1727-2378-2022-21-8-6-11
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