Combination of Transcranial Direct Current Stimulation and Neuromuscular Electrical Stimulation Improves Gait Ability in a Patient in Chronic Stage of Stroke

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Satow, Takeshi ; Kawase, Tomotaka ; Kitamura, Atsushi ; Kajitani, Yuki ; Yamaguchi, Takuya ; Tanabe, Nobuhiko ; Otoi, Reiko ; Komuro, Taro ; Kobayashi, Akira ; Nagata, Hirokazu ; Mima, Tatsuya (2016)
  • Publisher: S. Karger AG, Basel
  • Journal: Case Reports in Neurology, volume 8, issue 1, pages 39-46 (issn: 1662-680X, eissn: 1662-680X)
  • Related identifiers: pmc: PMC4899658, doi: 10.1159/000444167
  • Subject: Published online: February, 2016 | Rehabilitation | Neurology. Diseases of the nervous system | Gait | RC346-429 | Neuromuscular electrical stimulation | Stroke | Transcranial direct current stimulation

Background: Walking ability is important in stroke patients to maintain daily life. Nevertheless, its improvement is limited with conventional physical therapy in chronic stage. We report the case of a chronic stroke patient showing a remarkable improvement in gait function after a new neurorehabilitation protocol using transcranial direct current stimulation (tDCS) and neuromuscular electrical stimulation (NMES). Case Presentation: A 62-year-old male with left putaminal hemorrhage suffered from severe right hemiparesis. He could move by himself with a wheelchair 1 year after the ictus. Anodal tDCS at the vertex (2 mA, 20 min) with NMES at the anterior tibialis muscle had been applied for 3 weeks. The Timed Up and Go test and 10-meter walk test improved after the intervention, which had been maintained for at least 1 month. Conclusion: This single case suggests the possibility that tDCS with NMES could be a new rehabilitation approach to improve the gait ability in chronic stroke patients.
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