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Effect of Transcranial Direct Current Stimulation with Balance Training in a Middle-Aged Population: Randomized
Juho Jung1,2, Jhosedyn Carolaym Salazar Fajardo1,2, Seongkuk Kim1,2,3
1Department of Public Health, Major of Rehabilitation Science, College of Health Science, Korea University, Seongbuk-gu, Seoul, Korea.
Journal of Integrative and Complementary Medicine
|January 18, 2024
Summary
Transcranial direct current stimulation combined with balance training significantly improved static and dynamic balance in middle-aged adults. This combined intervention is safe and satisfactory, potentially delaying age-related balance deficits.
Area of Science:
- Neuroscience
- Gerontology
- Physical Therapy
Background:
- Balance impairment begins in middle age, increasing fall risk in older adults.
- Early intervention is crucial to address balance deficits and prevent falls.
- Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique.
Purpose of the Study:
- To evaluate the effects of tDCS combined with balance training (BT) on static and dynamic balance in middle-aged individuals.
- To assess the safety and satisfaction of participants undergoing the combined intervention.
- To determine if tDCS can enhance balance improvements beyond BT alone.
Main Methods:
- 28 middle-aged participants were randomized into active tDCS + BT or sham tDCS + BT groups.
- Intervention was administered thrice weekly for 6 weeks.
- Balance was assessed using sway rate (eyes open/closed) and functional reach test; safety and satisfaction were surveyed.
Main Results:
- The active tDCS group demonstrated significantly greater improvements in static and dynamic balance compared to the sham group.
- The combined intervention was found to be safe.
- 80% of participants reported satisfaction with the tDCS + BT program.
Conclusions:
- tDCS combined with BT is an effective strategy for improving balance in middle-aged adults.
- This approach may help mitigate age-related balance decline and reduce fall risk.
- The intervention is safe and well-tolerated, suggesting its potential for clinical application.

