Luanda André Collange Grecco1,2,3, Claudia Santos Oliveira1, Natália de Almeida Carvalho Duarte1, Vânia L C Carvalho Lima4, Nelci Zanon2, Felipe Fregni3. 1. a Postgraduate in Rehabilitation Sciences , Universidade Nove de Julho , São Paulo , SP , Brazil. 2. b Pediatric Neurosurgical, Center (CENEPE) , São Paulo , SP , Brazil. 3. c Department of Physical Medicine & Rehabilitation , Spaulding Neuromodulation Center, Spaulding Rehabilitation Hospital, Harvard Medical School , Boston , MA , USA. 4. d Communication Disorders Department , Federal University of São Paulo , São Paulo , SP , Brazil.
Abstract
OBJECTIVE: The aim of the present study was to analyze the use of anodal tDCS of the cerebellar region combined with treadmill training to improve balance and functional performance in children with ataxic cerebral palsy. DESIGN: Single-blind, sham-controlled, crossover, pilot study. SETTING: Rehabilitation center and research motion analysis laboratory. PARTICIPANTS: Children (N = 6) with ataxic cerebral palsy and balance deficit. MAIN OUTCOME MEASURES: Static balance (oscillations of the center of pressure), functional balance (Pediatric Balance Scale) and functional performance (Pediatric Evaluation of Disability Inventory) were evaluated. RESULTS: Significant reductions occurred in oscillations of the center of pressure with eyes closed after active anodal tDCS only. The effects of treadmill training on functional balance and functional performance in mobility were maintained in the active tDCS group only. CONCLUSION: These preliminary data support the notion that anodal tDCS of the cerebellar region combined with treadmill training improves balance in children with ataxic cerebral palsy.
RCT Entities:
OBJECTIVE: The aim of the present study was to analyze the use of anodal tDCS of the cerebellar region combined with treadmill training to improve balance and functional performance in children with ataxic cerebral palsy. DESIGN: Single-blind, sham-controlled, crossover, pilot study. SETTING: Rehabilitation center and research motion analysis laboratory. PARTICIPANTS: Children (N = 6) with ataxic cerebral palsy and balance deficit. MAIN OUTCOME MEASURES: Static balance (oscillations of the center of pressure), functional balance (Pediatric Balance Scale) and functional performance (Pediatric Evaluation of Disability Inventory) were evaluated. RESULTS: Significant reductions occurred in oscillations of the center of pressure with eyes closed after active anodal tDCS only. The effects of treadmill training on functional balance and functional performance in mobility were maintained in the active tDCS group only. CONCLUSION: These preliminary data support the notion that anodal tDCS of the cerebellar region combined with treadmill training improves balance in children with ataxic cerebral palsy.
Entities:
Keywords:
Ataxic; balance; cerebral palsy; children; transcranial direct current stimulation
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