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Electrode Positioning and Montage in Transcranial Direct Current Stimulation
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Transcranial Direct Current Stimulation Improves Pusher Phenomenon.

Takuya Yamaguchi1, Takeshi Satow2, Taro Komuro2

  • 1Department of Rehabilitation Medicine, Nagahama City Hospital, Nagahama, Japan.

Case Reports in Neurology
|September 24, 2019
PubMed
Summary
This summary is machine-generated.

This study shows that transcranial direct current stimulation (tDCS) can significantly improve pusher phenomenon (PP) in stroke patients. This novel treatment option enhances rehabilitation by improving balance and sitting stability.

Keywords:
Parietal areaPusher phenomenonTranscranial direct current stimulation

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Neurology

Background:

  • Pusher phenomenon (PP) is a neurological disorder characterized by active pushing away from the non-paretic side, often complicating stroke rehabilitation.
  • Severe PP can lead to significant disability, including hemiparesis and hemispatial neglect, hindering patient recovery and increasing care needs.

Observation:

  • The patient exhibited severe pusher phenomenon, significantly impeding his ability to participate in rehabilitation.
  • Standard rehabilitation approaches were challenging due to the severity of the PP.

Findings:

  • Transcranial direct current stimulation (tDCS) was administered over the parietal area (anodal right, cathodal left; 2 mA for 20 minutes daily) for 8 days.
  • The tDCS intervention resulted in a remarkable improvement in the patient's pusher phenomenon.
  • Significant prolongation of static sitting time was observed post-intervention.

Implications:

  • Parietal tDCS demonstrates potential as a novel therapeutic strategy for managing pusher phenomenon post-stroke.
  • This non-invasive neuromodulation technique may enhance functional recovery and improve rehabilitation outcomes for affected individuals.
  • Further research is warranted to explore the efficacy and mechanisms of tDCS in treating PP.