在患有慢性脚不稳定症的患者中,通过运动或额叶皮层进行超直流刺激
Alan R Needle1,2, Jared W Skinner1, Mabry G Watson1
1Department of Public Health & Exercise Science, Appalachian State University, Boone, NC.
Journal of athletic training
|April 15, 2025
概括
阳道横直流刺激 (atDCS) 与运动规划练习相结合,改善了慢性脚不稳定 (CAI) 功能. 无论在DCS应用时,运动规划干预都是有效的,这表明电极放置是最佳结果的关键.
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
- 运动医学 运动医学
背景情况:
- 慢性脚不稳定 (CAI) 影响运动功能和生活质量.
- 当与CAI的运动干预相结合时,阳道横直流刺激 (atDCS) 显示出有希望的结果.
- 有限的研究比较了CAI的不同DCS应用场所.
研究的目的:
- 为了比较atDCS在运动皮层和前额皮层的疗效,结合运动规划,改善CAI患者的神经功能,表现和患者报告的结果.
- 评估atDCS对CAI患者动态平衡,肌肉激活,反应时间和认知表现的影响.
- 评估患者报告的结果,包括足功能和感知到的残疾,干预后.
主要方法:
- 这是一项双盲,假控制,并行随机试验,涉及44名患有CAI的参与者.
- 参与者接受了为期四周的运动规划干预,在运动皮质,额叶皮质或假皮质上应用了atDCS.
- 结果措施包括神经刺激性,动态平衡,肌肉激活,反应时间和患者报告的基线评估结果,第2周,第4周和第6周.
主要成果:
- 在各组神经刺激或肌肉激活方面没有发现显著差异.
- 所有组显示动态姿势稳定性从基线显著改善.
- 足部和脚功能,感知障碍和整体感知改善的改善在干预后和保留时显著.
结论:
- 运动规划干预有效地改善了CAI患者的功能,而不管atDCS应用.
- 在DCS的潜在好处可能取决于电极放置与特定的康复练习的精确配对.
- 需要进一步的研究来优化用于CAI康复的atDCS协议.
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