The Effects of Combined Transcranial Brain Stimulation and a 4-Week Visuomotor Stepping Training on Voluntary Step Initiation in Persons With Chronic Stroke-A Pilot Study

Authors

Shih-Chiao Tseng
Dana Cherry
Mansoo Ko
Steven R Fisher
Michael Furtado
Shuo-Hsiu Chang

Publication Date

2-21-2024

Journal

Frontiers in Neurology

Abstract

PURPOSE: Evidence suggests that transcranial direct current stimulation (tDCS) can enhance motor performance and learning of hand tasks in persons with chronic stroke (PCS). However, the effects of tDCS on the locomotor tasks in PCS are unclear. This pilot study aimed to: (1) determine aggregate effects of anodal tDCS combined with step training on improvements of the neural and biomechanical attributes of stepping initiation in a small cohort of persons with chronic stroke (PCS) over a 4-week training program; and (2) assess the feasibility and efficacy of this novel approach for improving voluntary stepping initiation in PCS.

METHODS: A total of 10 PCS were randomly assigned to one of two training groups, consisting of either 12 sessions of VST paired with a-tDCS (

RESULTS: a-tDCS paired with a 4-week VST program results in a significant increase in paretic weight loading at 1-week follow up. Furthermore, a-tDCS in combination with VST led to significantly greater retention of paretic BWB compared with the sham group at 1 week post-training.

CLINICAL IMPLICATIONS: The preliminary findings suggest a 4-week VST results in improved paretic limb weight bearing (WB) during SI in PCS. Furthermore, VST combined with a-tDCS may lead to better retention of gait improvements (NCT04437251)

Keywords

tDCS, motor learning, rehabilitation, gait initiation, anticipatory postural adjustment

Comments

PMID: 38450075