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Volume 14, Issue 3 (Summer-In Press 2024)
PTJ 2024, 14(3): 0-0 |
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Charehjou B, Moghadas Tabrizi Y, Minoonejad H. The Combinition of Tdcs and VR Training on Fatigue, Balance and Walking in Patients with Multiple Sclerosis. PTJ 2024; 14 (3)
URL: http://ptj.uswr.ac.ir/article-1-593-en.html
URL: http://ptj.uswr.ac.ir/article-1-593-en.html
1- University of Tehran, Faculty of Sport Sciences and Health, Department of Health and Sport Medicine, Tehran, Iran.
Abstract: (352 Views)
Introduction & Objective: Fatigue, imbalance and walking disorder were commonly seen in patients with multiple sclerosis (MS) as debilitating symptoms. Therefor, the present study aimed to examine the effect of transcranial direct current stimulation (tDCS) separately and in combinition with virtual reality (VR) training on fatigue, balance and walking (speed & stride length) in patients with MS.
Material & Methods: The present clinical trial research has done with 30 MS patients aged 18-55 years (including 21 females and 9 males). The random assignment of subjects were assesed to one of three groups: transcranial direct current stimulation group (tDCS group), virtual reality training group (VR group) and combined tDCS-VR training group. In tDCS group M1 motor cortex was stimulated by direct electrical current in five session and in VR training patients participated in the VR program for six session. In combination intervention participants were delivered tDCS before each VR session. Fatigue Severity Scale, Berg balance test and 25-foot walk test were used to evaluate the fatigue, balance and walking speed respectively as pre and post- tests. We used statistical method of analysis of covariance (ANCOVA) to compare the findings between three groups.
Results: Our findings showed a significant effect of tDCS, VR and tDCS-VR on fatigue and a significant effect of VR and tDCS-VR on the balance and walking speed in patients with MS(p<0.05). In comparing between different interventions performed on effect on fatigue and balance and walking speed, the improvements were significant in VR and tDCS-VR groups comparing to the tDCS group (p<0.05); but the difference was not significant between VR and tDCS-VR groups (p>0.05).
Conclusion: Despite the positive effect of fatigue, we found VR and tDCS-VR to be a more effective method treating balance and walking of the patient combination effect of tDCS with VR therapy, should be investigated further.
Material & Methods: The present clinical trial research has done with 30 MS patients aged 18-55 years (including 21 females and 9 males). The random assignment of subjects were assesed to one of three groups: transcranial direct current stimulation group (tDCS group), virtual reality training group (VR group) and combined tDCS-VR training group. In tDCS group M1 motor cortex was stimulated by direct electrical current in five session and in VR training patients participated in the VR program for six session. In combination intervention participants were delivered tDCS before each VR session. Fatigue Severity Scale, Berg balance test and 25-foot walk test were used to evaluate the fatigue, balance and walking speed respectively as pre and post- tests. We used statistical method of analysis of covariance (ANCOVA) to compare the findings between three groups.
Results: Our findings showed a significant effect of tDCS, VR and tDCS-VR on fatigue and a significant effect of VR and tDCS-VR on the balance and walking speed in patients with MS(p<0.05). In comparing between different interventions performed on effect on fatigue and balance and walking speed, the improvements were significant in VR and tDCS-VR groups comparing to the tDCS group (p<0.05); but the difference was not significant between VR and tDCS-VR groups (p>0.05).
Conclusion: Despite the positive effect of fatigue, we found VR and tDCS-VR to be a more effective method treating balance and walking of the patient combination effect of tDCS with VR therapy, should be investigated further.
Keywords: Multiple sclerosis, Virtual reality (VR), Transcranial direct current stimulation (tDCS), Combined effect
Type of Study: Research |
Subject:
General
Received: 2023/08/7 | Accepted: 2024/01/3 | Published: 2024/01/3
Received: 2023/08/7 | Accepted: 2024/01/3 | Published: 2024/01/3
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