Volume 14, Issue 3 (Summer-In Press 2024)                   PTJ 2024, 14(3): 0-0 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

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
1- University of Tehran, Faculty of Sport Sciences and Health, Department of Health and Sport Medicine, Tehran, Iran.
Abstract:   (334 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.
     
Type of Study: Research | Subject: General
Received: 2023/08/7 | Accepted: 2024/01/3 | Published: 2024/01/3

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Physical Treatments - Specific Physical Therapy Journal

Designed & Developed by: Yektaweb