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创伤性脑损伤患者对认知的非侵入性神经调节作用:单盲,双臂并行随机临床试验

Kavita Kaushik¹, Nidhi Sharma¹, Parveen Kumar²

¹Department of Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Ambala, Haryana, India.

Turkish journal of physical medicine and rehabilitation

|March 29, 2024

概括

在创伤性脑损伤患者中,电刺激 (CES) 显著改善了认知能力,远远超过了跨直流刺激 (tDCS). CES提供了一种更有效的非侵入性神经调节,用于损伤后的认知增强.

科学领域:

神经科学是一个神经科学.
康复医学康复医学康复医学
医疗器械医疗器械

背景情况:

轻度创伤性脑损伤 (mTBI) 经常导致认知障碍.
在mTBI后的认知康复中,正在探索非侵入性神经调节技术.

研究的目的:

为了比较电刺激 (CES) 与跨直流刺激 (tDCS) 在增强mTBI患者的认知能力方面的疗效.

主要方法:

一项前后测试随机对照研究,涉及72名具有认知障碍的mTBI患者.
参与者接受了CES或tDCS与四周的认知训练相结合.
用蒙特利尔认知评估 (MoCA) 和加尔维斯顿定向失忆测试 (GOAT) 评估认知功能.

主要成果:

无论是CES和tDCS组都显示出在组内显著的认知改善 (p=0.001).
与tDCS相比,CES在MoCA (p=0.001) 和GOAT (p=0.002) 评分上显示出显著更大的改善.
两种干预措施都观察到优秀的效果大小 (>0.80),CES显示出更好的效果.

结论:

与tDCS相比,电刺激 (CES) 是一种更有效的非侵入性神经调节装置,用于改善创伤性脑损伤患者的认知能力.
在mTBI之后,CES代表了对认知康复的有前途的治疗选择.

关键词:

大脑刺激刺激大脑认知功能障碍认知功能障碍头骨电刺激头骨电刺激头部创伤是什么意思通过神经调节进行神经调节.通过骨进行直流刺激.

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