Effect of Transcranial Direct Current Stimulation Combined With Xbox-Kinect Game Experience on Upper Limb Movement in Down Syndrome: A Case Report.
down syndrome
electrical stimulation
motor cortex
physical therapy
reaching
upper limb
Journal
Frontiers in bioengineering and biotechnology
ISSN: 2296-4185
Titre abrégé: Front Bioeng Biotechnol
Pays: Switzerland
ID NLM: 101632513
Informations de publication
Date de publication:
2020
2020
Historique:
received:
30
11
2019
accepted:
30
04
2020
entrez:
18
6
2020
pubmed:
18
6
2020
medline:
18
6
2020
Statut:
epublish
Résumé
Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique used to enhance local synaptic efficacy and modulate the electrical activity of the cortex in neurological disorders. Researchers have sought to combine this type of stimulation with well-established therapeutic modalities, such as motor training involving Xbox Kinect games, which has demonstrated promising results. Thus, this study aimed to determine whether tDCS can enhance upper limb motor training in an eight-year-old child with Down Syndrome (DS) (cognitive age: five years, based on the Wechsler Intelligence Scale for Children). The evaluations consisted of three-dimensional analysis of upper limb kinematics during a reaching task performed before, after10 session, and one month after the intervention. The intervention protocol involved 1 20-min sessions of tDCS over the primary motor cortex at an intensity of 1 mA during Xbox Kinect game training involving an upper limb motor task. The analysis of the kinematic data revealed that in the pre-intervention evaluation, the dominant limb executed the task slowly and over a long path. These aspects improved at the post-intervention and follow-up evaluations, as demonstrated by the shorter total movement duration (3.05 vs. 1.58 vs. 1.52 s, respectively). Similar changes occurred with the non-dominant upper limb; a significant increase in movement velocity at the post-intervention and follow-up evaluations was observed (0.53 vs. 0.54 vs. 0.85 m/s, respectively). The present case report offers preliminary data from a protocol study, and the results confirm the notion that anodal tDCS combined with upper limb motor training leads to improvements in different kinematic variables.
Identifiants
pubmed: 32548102
doi: 10.3389/fbioe.2020.00514
pmc: PMC7273846
doi:
Types de publication
Case Reports
Langues
eng
Pagination
514Informations de copyright
Copyright © 2020 Lopes, Miziara, Galli, Cimolin and Oliveira.
Références
Gait Posture. 2005 Aug;22(1):1-9
pubmed: 15996586
Arch Pediatr Adolesc Med. 2010 Jul;164(7):664-72
pubmed: 20603468
Clin Biomech (Bristol, Avon). 2005 May;20(4):381-8
pubmed: 15737445
Dev Neurorehabil. 2014 Dec;17(6):384-7
pubmed: 24087981
Disabil Rehabil. 2007 Jan 15;29(1):25-31
pubmed: 17364754
Brain. 2012 Jan;135(Pt 1):276-84
pubmed: 22155982
Exp Brain Res. 2009 Jan;192(2):155-65
pubmed: 18830589
Aging Cell. 2015 Jun;14(3):491-5
pubmed: 25678027
J Phys Ther Sci. 2015 May;27(5):1617-20
pubmed: 26157275
Dev Med Child Neurol. 2011 Aug;53(8):742-50
pubmed: 21679357
J Neurosci. 2009 May 13;29(19):6124-31
pubmed: 19439590
Brain Imaging Behav. 2014 Dec;8(4):480-6
pubmed: 24473731
Infant Behav Dev. 2018 May;51:45-51
pubmed: 29649724
Brain. 2015 Jan;138(Pt 1):149-63
pubmed: 25488186
Int J Rehabil Res. 2018 Jun;41(2):138-145
pubmed: 29420360
JMIR Serious Games. 2014 Aug 07;2(2):e5
pubmed: 25654355
Rev Paul Pediatr. 2014 Dec;32(4):389-94
pubmed: 25511004
Exp Brain Res. 2011 Mar;209(1):9-17
pubmed: 21170708
Gait Posture. 2007 Apr;25(4):573-9
pubmed: 16875821
Res Dev Disabil. 2013 Oct;34(10):3517-25
pubmed: 23962599
Am J Psychiatry. 2001 Oct;158(10):1659-65
pubmed: 11578999
Res Dev Disabil. 2014 Nov;35(11):2840-8
pubmed: 25105567
Phys Occup Ther Pediatr. 2017 Nov;37(4):374-388
pubmed: 28157417
Ment Retard Dev Disabil Res Rev. 2000;6(2):84-95
pubmed: 10899801
Phys Ther. 2015 Mar;95(3):337-49
pubmed: 25413621
Neuroimage. 2014 Jan 15;85 Pt 3:924-33
pubmed: 23727528
Dev Neurorehabil. 2017 Apr;20(3):142-148
pubmed: 27003795
Proc Natl Acad Sci U S A. 1994 May 24;91(11):4997-5001
pubmed: 8197171
Am J Hum Genet. 1990 Aug;47(2):236-46
pubmed: 2143053
Arch Phys Med Rehabil. 2004 Jun;85(6):875-80
pubmed: 15179639
Gait Posture. 2002 Apr;15(2):113-9
pubmed: 11869904
Med Sci Monit. 2015 Jul 01;21:1904-10
pubmed: 26132100
Neuropsychologia. 2017 Jan 8;94:84-95
pubmed: 27923662
BMJ Open. 2017 Aug 11;7(8):e016260
pubmed: 28801420
Neuropsychologia. 2008;46(8):2122-8
pubmed: 18394661
J Intellect Disabil Res. 2010 May;54(5):468-77
pubmed: 20537052
Dev Neurorehabil. 2017 Aug;20(6):368-375
pubmed: 28632467
Neuroimage. 2007 Apr 15;35(3):1113-24
pubmed: 17337213
J Neuroeng Rehabil. 2004 Dec 10;1(1):10
pubmed: 15679945
Phys Ther. 2010 Mar;90(3):398-410
pubmed: 20110339
Gait Posture. 2008 Oct;28(3):502-6
pubmed: 18455922
Neurorehabil Neural Repair. 2008 Jan-Feb;22(1):31-9
pubmed: 17595381
Arch Phys Med Rehabil. 2006 Feb;87(2):207-15
pubmed: 16442974
J Phys Ther Sci. 2014 Jun;26(6):945-50
pubmed: 25013302
Dev Psychobiol. 2010 Dec;52(8):782-93
pubmed: 20564329
Dev Med Child Neurol. 2010 Feb;52(2):e29-34
pubmed: 19811515
Prog Clin Biol Res. 1995;393:43-55
pubmed: 8545456
BMC Neurol. 2017 Apr 14;17(1):71
pubmed: 28410583
Neurology. 2001 Nov 27;57(10):1899-901
pubmed: 11723286
Trials. 2016 Aug 17;17(1):405
pubmed: 27530758
Eur J Neurosci. 2004 May;19(10):2720-6
pubmed: 15147306
Prog Clin Biol Res. 1991;373:43-52
pubmed: 1838191
Front Hum Neurosci. 2015 Feb 06;9:54
pubmed: 25705188
Brain. 2004 Apr;127(Pt 4):811-24
pubmed: 14985261
Am J Hum Genet. 1991 Jul;49(1):207-35
pubmed: 1829580
Arch Phys Med Rehabil. 2015 Apr;96(4 Suppl):S129-37
pubmed: 25448248
J Head Trauma Rehabil. 2012 May-Jun;27(3):177-87
pubmed: 21522025
Eur J Neurol. 2009 Feb;16(2):232-9
pubmed: 19146643