Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/2261 |
Resumo: | The occurrence of motor control of the ankle after stroke, can significantly interfere in activities of daily living, especially in the balance operations. Apart from this, treatments that make lower extremity function become important. Objectives: Primary outcome: To analyze the electrical activity of the anterior tibial muscle (TA) and postural control of hemiparetic individuals as a result of stroke, after Transcranial Direct Current Stimulation (tDCS) associated with Peripheral Electrical Stimulation (PES); Secondary outcome: to evaluate functional mobility after treatment involving tDCS and PES. Methods: Thirty-six hemiparetic subjects diagnosed with chronic stroke, 59 ± 10 years, randomized into three treatment groups: 1) active PES associated with sham tDCS (PESa /tDCSs); 2) active PES associated with active tDCS (PESa/tDCSa) and PES sham associated with active tDCS (PESs/ ETCCa). Active tDCS and sham were applied in bilateral assembly (anode on motor cortex, injured hemisphere, cathode on uninjured motor cortex), 2mA; sham tDCS remained on for 20 seconds. PES was performed on paretic TA, 50 hz. Sessions lasting 30 minutes, five times a week, for 2 weeks, totaling 10 sessions. Evaluation: electric motor activity of the paretic TA muscle by the mean root mean square (RMS), during three maximal voluntary isometric contractions (CVM) and median frequency (MDF) (3 repetitions of 5 consecutive isotonic contractions) by means of electromyography; equilibrium was evaluated by the Mini-Balance Evaluation System (Mini-BESTest) and functional mobility by the Timed Up Go test. The evaluations were collected in three moments, pre, post 10 and follow-up 30 days of the interventions. Emg: there was no significant difference in RMS for any of the groups after 10 days of treatment and 30 days follow-up. The MDF measure decreased significantly (p <0.05) after 10 days of treatment and 30-day follow-up in all groups except the 30-day follow-up of the PESa/tDCSs group, in which a non-significant increase (p> 0.05) of the MDF in relation to the baseline condition; (p = 0.001) and PESs/tDCSa (p = 0.005) and after 30 days of PESa/tDCSa follow-up (p = 0.00) were significantly lower after 10 days of treatment for PESa /tDCSa and PESs/ETCCa (p = 0.001) compared to the PESa/tDCSp group. Equilibrium: balance improved significantly (p = 0.00) and clinically important (improvement of > that 3 points) in the PESa/tDCSa group for 10 days of treatment and 30-day follow-up; there was no significant difference (p> 0.05) between groups. In functional mobility there weren´t statistical differences in the results for either group. Conclusion: For the electrical activity of the TA muscle, the central stimulation with tDCS didn´t potentiate the effects of the PES, on the contrary, it led to a reduction of its activity. The same results were not observed for the postural control, since the association of the techniques provided a clinical improvement of this variable. There weren´t changes in the functional mobility. |
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Corrêa, Fernanda IshidaPolitti, FabianoCorrêa, Fernanda IshidaCarvalho, Paulo de Tarso Camillo deDias, Raphael RittiBaptista, Abrahão FontesSimone, Flávia Donáhttp://lattes.cnpq.br/0972466991211678Fruhauf, Aline Marina Alves2020-10-26T21:56:59Z2018-12-12Fruhauf, Aline Marina Alves. Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego. 2018. 63 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2261The occurrence of motor control of the ankle after stroke, can significantly interfere in activities of daily living, especially in the balance operations. Apart from this, treatments that make lower extremity function become important. Objectives: Primary outcome: To analyze the electrical activity of the anterior tibial muscle (TA) and postural control of hemiparetic individuals as a result of stroke, after Transcranial Direct Current Stimulation (tDCS) associated with Peripheral Electrical Stimulation (PES); Secondary outcome: to evaluate functional mobility after treatment involving tDCS and PES. Methods: Thirty-six hemiparetic subjects diagnosed with chronic stroke, 59 ± 10 years, randomized into three treatment groups: 1) active PES associated with sham tDCS (PESa /tDCSs); 2) active PES associated with active tDCS (PESa/tDCSa) and PES sham associated with active tDCS (PESs/ ETCCa). Active tDCS and sham were applied in bilateral assembly (anode on motor cortex, injured hemisphere, cathode on uninjured motor cortex), 2mA; sham tDCS remained on for 20 seconds. PES was performed on paretic TA, 50 hz. Sessions lasting 30 minutes, five times a week, for 2 weeks, totaling 10 sessions. Evaluation: electric motor activity of the paretic TA muscle by the mean root mean square (RMS), during three maximal voluntary isometric contractions (CVM) and median frequency (MDF) (3 repetitions of 5 consecutive isotonic contractions) by means of electromyography; equilibrium was evaluated by the Mini-Balance Evaluation System (Mini-BESTest) and functional mobility by the Timed Up Go test. The evaluations were collected in three moments, pre, post 10 and follow-up 30 days of the interventions. Emg: there was no significant difference in RMS for any of the groups after 10 days of treatment and 30 days follow-up. The MDF measure decreased significantly (p <0.05) after 10 days of treatment and 30-day follow-up in all groups except the 30-day follow-up of the PESa/tDCSs group, in which a non-significant increase (p> 0.05) of the MDF in relation to the baseline condition; (p = 0.001) and PESs/tDCSa (p = 0.005) and after 30 days of PESa/tDCSa follow-up (p = 0.00) were significantly lower after 10 days of treatment for PESa /tDCSa and PESs/ETCCa (p = 0.001) compared to the PESa/tDCSp group. Equilibrium: balance improved significantly (p = 0.00) and clinically important (improvement of > that 3 points) in the PESa/tDCSa group for 10 days of treatment and 30-day follow-up; there was no significant difference (p> 0.05) between groups. In functional mobility there weren´t statistical differences in the results for either group. Conclusion: For the electrical activity of the TA muscle, the central stimulation with tDCS didn´t potentiate the effects of the PES, on the contrary, it led to a reduction of its activity. The same results were not observed for the postural control, since the association of the techniques provided a clinical improvement of this variable. There weren´t changes in the functional mobility.A falta de controle motor de tornozelo após Acidente Vascular Cerebral (AVC), pode interferir significantemente nas atividades de vida diária, principalmente nas que requerem equilíbrio. Diante disto, tratamentos que melhorem a função da extremidade inferior, tornam-se importantes. Objetivos: Desfecho primário: Analisar a atividade elétrica do músculo tibial anterior (TA) parético e equilíbrio de indivíduos hemiparéticos em decorrência de AVC, após Estimulação Transcrania por Corrente Contínua (ETCC) associada a Estimulação Elétrica Periférica (PES); desfecho secundário, avaliar a mobilidade funcional após ETCC e PES. Métodos: participaram do estudo 36 indivíduos hemiparéticos adultos com diagnóstico de AVC crônico, aleatorizados em 3 grupos de tratamento: 1) PES ativa associada à ETCC placebo (PESa /ETCCp); 2) PES ativa associada à ETCC ativa (PESa/ETCCa) e PES placebo associada à ETCC ativa (PESp/ETCCa), cinco vezes por semana, durante 2 semanas, totalizando 10 sessões. ETCC ativa e placebo foram aplicadas na montagem bilateral, anodo sobre córtex motor (M1), hemisfério lesionado; catodo sobre M1 não lesionado, 2mA, por 20 minutos; ETCC placebo manteve-se ligada por 20 segundos. PES associada à ETCC foi aplicada sobre TA parético, 50 Hz, por 30 minutos. Avaliações: atividade elétrica do músculo TA parético foi avaliada pelas variáveis eletromiográficas root mean square (RMS) e frequência mediana (MDF); equilíbrio pelo Mini-Balance Evaluation System (Mini-BESTest) e mobilidade funcional por teste de Timed Up Go. As avaliações foram coletadas em três momentos, pré, pós 10dias de tratamento e follow-up de 30 dias. Resultados Emg: não houve diferença significante na RMS para nenhum dos grupos após 10 dias de tratamento e follow-up de 30 dias. A medida MDF diminuiu significativamente (p < 0.05) pós 10 dias de tratamento e follow-up de 30 dias em todos os grupos, exceto no follow-up de 30 dias do grupo PESa/ETCCp, no qual observa-se um aumento não significante (p >0.05) da MDF em relação a condição basal; na comparação entre os grupo, a MDF foi significantemente menor após 10 dias de tratamento para PESa/ETCCa (p= 0.001) e PESp/ETCCa (p=0.005) e após 30 dias de follow-up PESa/ETCCa (p= 0.00) e PESp/ETCCa (p=0.001) em comparação ao grupo PESa/ETCCp. Equilíbrio: o balance melhorou de forma significante (p=0.00) e clinicamente importante (melhora > que 3 pontos) no grupo PESa/ ETCCa 10 dias de tratamento e follow-up de 30 dias; não houve diferença significante (p >0.05) entre os grupos. MF: não houve diferenças estatísticas nos resultados para nenhum dos grupos. Conclusão: Para a atividade elétrica do músculo TA, a estimulação central com ETCC não potencializou os efeitos da estimulação periférica com PES, pelo contrário, levou a uma redução de sua atividade. Os mesmos resultados não foram observados para o equilíbrio, pois a associação das técnicas proporcionou uma melhora clínica desta variável. Não houve mudanças na mobilidade funcional.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-10-26T21:56:59Z No. of bitstreams: 1 ALINE MARINA ALVES FRUHAUF.pdf: 3380102 bytes, checksum: 6d2dd04664cd3df4e7ae311ff793531a (MD5)Made available in DSpace on 2020-10-26T21:56:59Z (GMT). No. of bitstreams: 1 ALINE MARINA ALVES FRUHAUF.pdf: 3380102 bytes, checksum: 6d2dd04664cd3df4e7ae311ff793531a (MD5) Previous issue date: 2018-12-12application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdehemiparesiatibial anteriorestimulação transcraniana por corrente contínuaestimulação elétrica periféricaeletromiografiaequilíbriohemiparesisanterior tibialtranscranial direct current stimulationperipheral electrical stimulationelectromyographypostural controlCIENCIAS DA SAUDEEfeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cegoEffects of transcranial stimulation by continuos current and peripheral stimulation in electrical activity of previous tibial muscle and balance of hemiparetic individuals - clinical study, controlled, randomized and double blindinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALALINE MARINA ALVES FRUHAUF.pdfALINE MARINA ALVES FRUHAUF.pdfapplication/pdf3380102http://localhost:8080/tede/bitstream/tede/2261/2/ALINE+MARINA+ALVES+FRUHAUF.pdf6d2dd04664cd3df4e7ae311ff793531aMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2261/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/22612020-10-26 19:56:59.252oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2020-10-26T21:56:59Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego |
dc.title.alternative.eng.fl_str_mv |
Effects of transcranial stimulation by continuos current and peripheral stimulation in electrical activity of previous tibial muscle and balance of hemiparetic individuals - clinical study, controlled, randomized and double blind |
title |
Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego |
spellingShingle |
Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego Fruhauf, Aline Marina Alves hemiparesia tibial anterior estimulação transcraniana por corrente contínua estimulação elétrica periférica eletromiografia equilíbrio hemiparesis anterior tibial transcranial direct current stimulation peripheral electrical stimulation electromyography postural control CIENCIAS DA SAUDE |
title_short |
Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego |
title_full |
Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego |
title_fullStr |
Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego |
title_full_unstemmed |
Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego |
title_sort |
Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego |
author |
Fruhauf, Aline Marina Alves |
author_facet |
Fruhauf, Aline Marina Alves |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Corrêa, Fernanda Ishida |
dc.contributor.advisor-co1.fl_str_mv |
Politti, Fabiano |
dc.contributor.referee1.fl_str_mv |
Corrêa, Fernanda Ishida |
dc.contributor.referee2.fl_str_mv |
Carvalho, Paulo de Tarso Camillo de |
dc.contributor.referee3.fl_str_mv |
Dias, Raphael Ritti |
dc.contributor.referee4.fl_str_mv |
Baptista, Abrahão Fontes |
dc.contributor.referee5.fl_str_mv |
Simone, Flávia Doná |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0972466991211678 |
dc.contributor.author.fl_str_mv |
Fruhauf, Aline Marina Alves |
contributor_str_mv |
Corrêa, Fernanda Ishida Politti, Fabiano Corrêa, Fernanda Ishida Carvalho, Paulo de Tarso Camillo de Dias, Raphael Ritti Baptista, Abrahão Fontes Simone, Flávia Doná |
dc.subject.por.fl_str_mv |
hemiparesia tibial anterior estimulação transcraniana por corrente contínua estimulação elétrica periférica eletromiografia equilíbrio |
topic |
hemiparesia tibial anterior estimulação transcraniana por corrente contínua estimulação elétrica periférica eletromiografia equilíbrio hemiparesis anterior tibial transcranial direct current stimulation peripheral electrical stimulation electromyography postural control CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
hemiparesis anterior tibial transcranial direct current stimulation peripheral electrical stimulation electromyography postural control |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
The occurrence of motor control of the ankle after stroke, can significantly interfere in activities of daily living, especially in the balance operations. Apart from this, treatments that make lower extremity function become important. Objectives: Primary outcome: To analyze the electrical activity of the anterior tibial muscle (TA) and postural control of hemiparetic individuals as a result of stroke, after Transcranial Direct Current Stimulation (tDCS) associated with Peripheral Electrical Stimulation (PES); Secondary outcome: to evaluate functional mobility after treatment involving tDCS and PES. Methods: Thirty-six hemiparetic subjects diagnosed with chronic stroke, 59 ± 10 years, randomized into three treatment groups: 1) active PES associated with sham tDCS (PESa /tDCSs); 2) active PES associated with active tDCS (PESa/tDCSa) and PES sham associated with active tDCS (PESs/ ETCCa). Active tDCS and sham were applied in bilateral assembly (anode on motor cortex, injured hemisphere, cathode on uninjured motor cortex), 2mA; sham tDCS remained on for 20 seconds. PES was performed on paretic TA, 50 hz. Sessions lasting 30 minutes, five times a week, for 2 weeks, totaling 10 sessions. Evaluation: electric motor activity of the paretic TA muscle by the mean root mean square (RMS), during three maximal voluntary isometric contractions (CVM) and median frequency (MDF) (3 repetitions of 5 consecutive isotonic contractions) by means of electromyography; equilibrium was evaluated by the Mini-Balance Evaluation System (Mini-BESTest) and functional mobility by the Timed Up Go test. The evaluations were collected in three moments, pre, post 10 and follow-up 30 days of the interventions. Emg: there was no significant difference in RMS for any of the groups after 10 days of treatment and 30 days follow-up. The MDF measure decreased significantly (p <0.05) after 10 days of treatment and 30-day follow-up in all groups except the 30-day follow-up of the PESa/tDCSs group, in which a non-significant increase (p> 0.05) of the MDF in relation to the baseline condition; (p = 0.001) and PESs/tDCSa (p = 0.005) and after 30 days of PESa/tDCSa follow-up (p = 0.00) were significantly lower after 10 days of treatment for PESa /tDCSa and PESs/ETCCa (p = 0.001) compared to the PESa/tDCSp group. Equilibrium: balance improved significantly (p = 0.00) and clinically important (improvement of > that 3 points) in the PESa/tDCSa group for 10 days of treatment and 30-day follow-up; there was no significant difference (p> 0.05) between groups. In functional mobility there weren´t statistical differences in the results for either group. Conclusion: For the electrical activity of the TA muscle, the central stimulation with tDCS didn´t potentiate the effects of the PES, on the contrary, it led to a reduction of its activity. The same results were not observed for the postural control, since the association of the techniques provided a clinical improvement of this variable. There weren´t changes in the functional mobility. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-12-12 |
dc.date.accessioned.fl_str_mv |
2020-10-26T21:56:59Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Fruhauf, Aline Marina Alves. Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego. 2018. 63 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2261 |
identifier_str_mv |
Fruhauf, Aline Marina Alves. Efeitos da estimulação transcraniana por corrente contínua e estimulação periférica na atividade elétrica do músculo tibial anterior e equilíbrio de indivíduos hemiparéticos – estudo clínico, controlado, randomizado e duplo cego. 2018. 63 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2261 |
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Universidade Nove de Julho |
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Programa de Pós-Graduação em Ciências da Reabilitação |
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Universidade Nove de Julho |
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