Effects of transcranial random noise stimulation combined with Graded Repetitive Arm Supplementary Program (GRASP) on motor rehabilitation of the upper limb in sub-acute ischemic stroke patients: a randomized pilot study.

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Tytuł:: Effects of transcranial random noise stimulation combined with Graded Repetitive Arm Supplementary Program (GRASP) on motor rehabilitation of the upper limb in sub-acute ischemic stroke patients: a randomized pilot study.
Autorzy:: Arnao V; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy.; Neurology Department, Fondazione Istituto Giuseppe Giglio, Contrada Pietrapollastra, Via Pisciotto, 90015, Cefalù (Palermo), Italy.
Riolo M; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy.; Struttua Complessa di Neurologia Ospedale Santa Croce di Moncalieri (TO)-Asl TO5, Piazza A. Ferdinando, 3, 10024, Moncalieri (TO), Italy.
Carduccio F; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy.
Tuttolomondo A; Dipartimento Biomedico di Medicina Interna e Specialistica (Di.Bi.M.I.S), Università degli Studi di Palermo, Via del Vespro 129, 90127, Palermo, Italy.
D'Amelio M; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy.
Brighina F; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy.
Gangitano M; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy.
Salemi G; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy.
Ragonese P; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy.
Aridon P; Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Via Gaetano La Loggia n.1, 90129, Palermo, Italy. .
Źródło:: Journal of neural transmission (Vienna, Austria : 1996) [J Neural Transm (Vienna)] 2019 Dec; Vol. 126 (12), pp. 1701-1706. Date of Electronic Publication: 2019 Oct 01.
Typ publikacji:: Journal Article; Randomized Controlled Trial
Język:: English
Imprint Name(s):: Original Publication: Wien ; New York : Springer-Verlag, 1996-
MeSH Terms:: Physical Therapy Modalities*
Recovery of Function*
Combined Modality Therapy/*methods
Stroke Rehabilitation/*methods
Transcranial Direct Current Stimulation/*methods
Aged ; Brain/physiology ; Double-Blind Method ; Female ; Humans ; Male ; Pilot Projects ; Treatment Outcome ; Upper Extremity
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Contributed Indexing:: Keywords: Graded Repetitive Arm Supplementary Program (Grasp); Stroke rehabilitation; Transcranial random noise stimulation combined (tRNS)
Entry Date(s):: Date Created: 20191003 Date Completed: 20200817 Latest Revision: 20200817
Update Code:: 20240104
DOI:: 10.1007/s00702-019-02087-9
PMID:: 31576424
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We evaluated the combined use of transcranial random noise stimulation (tRNS) with the Graded Repetitive Arm Supplementary Program (GRASP) in sub-acute ischemic stroke patients suffering from arm impairment. Eighteen ischemic stroke patients with upper limb disability were randomly assigned to either the GRASP + tRNS or GRASP + Sham stimulation group. Fugl-Meyer Assessment-Upper extremity (FMA-UE) was performed to evaluate upper limb impairment before treatment (T0), after the last stimulation (T1) and after 30 days (T2). At T1 and T2, beneficial effects in the tRNS group correlated with better FMA-UE score than sham stimulation group (p < 0.001) and these results did not correlate to stroke severity, because no associations were observed between National Institute of Health Stroke Scale and FMA UE T1 and T2. This study displayed a good feasibility and was the first to evaluate the use of tRNS in association with Grasp in sub-acute stroke survivors having arm impairment to improve arm motor recovery.

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