Transcranial direct current stimulation during treadmill training in children with cerebral palsy: A randomized controlled double-blind clinical trial

Luanda André Collange Grecco, Natália de Almeida Carvalho Duarte, Mariana E. Mendonça, VerÔnica Cimolin, Manuela Galli, Felipe Fregni, Claudia Santos Oliveira

Research output: Contribution to journalArticlepeer-review

Abstract

Impaired gait constitutes an important functional limitation in children with cerebral palsy (CP). Treadmill training has achieved encouraging results regarding improvements in the gait pattern of this population. Moreover, transcranial direct current stimulation (tDCS) is believed to potentiate the results achieved during the motor rehabilitation process. The aim of the present study was to determine the effect of the administration of tDCS during treadmill training on the gait pattern of children with spastic diparetic CP. A double-blind randomized controlled trial was carried out involving 24 children with CP allocated to either an experimental group (active anodal tDCS [1. mA] over the primary motor cortex of the dominant hemisphere) or control group (placebo tDCS) during ten 20-min sessions of treadmill training. The experimental group exhibited improvements in temporal functional mobility, gait variables (spatiotemporal and kinematics variables). The results were maintained one month after the end of the intervention. There was a significant change in corticospinal excitability as compared to control group. In the present study, the administration of tDCS during treadmill training potentiated the effects of motor training in children with spastic diparetic CP.

Original languageEnglish
Pages (from-to)2840-2848
Number of pages9
JournalResearch in Developmental Disabilities
Volume35
Issue number11
DOIs
Publication statusPublished - 2014

Keywords

  • Cerebral palsy
  • Functional mobility
  • Transcranial direct current stimulation
  • Treadmill training

ASJC Scopus subject areas

  • Clinical Psychology
  • Developmental and Educational Psychology

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