The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot Study

Transcranial direct current stimulation (tDCS) is a noninvasive technique that is emerging as a prospective therapy for different neurologic disorders. Previous studies have demonstrated that anodal and cathodal stimulation can improve motor performance in terms of dexterity and manual force. The ob...

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Main Authors: A. Fusco, D. De Angelis, G. Morone, L. Maglione, T. Paolucci, M. Bragoni, V. Venturiero
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.1155/2013/837595
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author A. Fusco
D. De Angelis
G. Morone
L. Maglione
T. Paolucci
M. Bragoni
V. Venturiero
author_facet A. Fusco
D. De Angelis
G. Morone
L. Maglione
T. Paolucci
M. Bragoni
V. Venturiero
author_sort A. Fusco
collection DOAJ
description Transcranial direct current stimulation (tDCS) is a noninvasive technique that is emerging as a prospective therapy for different neurologic disorders. Previous studies have demonstrated that anodal and cathodal stimulation can improve motor performance in terms of dexterity and manual force. The objective of this study was to determine whether different electrodes’ setups (anodal, cathodal, and simultaneous bilateral tDCS) provide different motor performance and which montage was more effective. As secondary outcome, we have asked to the patients about their satisfaction, and to determine if the bilateral tDCS was more uncomfortable than unilateral tDCS. Nine patients with stroke in subacute phase were enrolled in this study and randomly divided in three groups. Our results showed that tDCS was an effective treatment if compared to Sham stimulation (). In particular, anodal stimulation provided the higher improvement in terms of manual dexterity. Cathodal stimulation seemed to have a little effect in terms of force improvement, not observed with other setups. Bipolar stimulation seemed to be the less effective. No significant differences have been noted for the different set-ups for patients’ judgment. These results highlight the potential efficacy of tDCS for patients with stroke in subacute phase.
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institution Kabale University
issn 2090-8105
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publisher Wiley
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series Stroke Research and Treatment
spelling doaj-art-f1832efaeec34c21ae4173801c7fc3ad2025-02-03T00:59:02ZengWileyStroke Research and Treatment2090-81052042-00562013-01-01201310.1155/2013/837595837595The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot StudyA. Fusco0D. De Angelis1G. Morone2L. Maglione3T. Paolucci4M. Bragoni5V. Venturiero6Clinical Laboratory of Experimental Neurorehabilitation, I.R.C.C.S. Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, ItalyOperative Unit F, I.R.C.C.S. Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, ItalyClinical Laboratory of Experimental Neurorehabilitation, I.R.C.C.S. Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, ItalyClinical Laboratory of Experimental Neurorehabilitation, I.R.C.C.S. Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, ItalyPhysical Medicine and Rehabilitation, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, ItalyOperative Unit F, I.R.C.C.S. Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, ItalyOperative Unit F, I.R.C.C.S. Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, ItalyTranscranial direct current stimulation (tDCS) is a noninvasive technique that is emerging as a prospective therapy for different neurologic disorders. Previous studies have demonstrated that anodal and cathodal stimulation can improve motor performance in terms of dexterity and manual force. The objective of this study was to determine whether different electrodes’ setups (anodal, cathodal, and simultaneous bilateral tDCS) provide different motor performance and which montage was more effective. As secondary outcome, we have asked to the patients about their satisfaction, and to determine if the bilateral tDCS was more uncomfortable than unilateral tDCS. Nine patients with stroke in subacute phase were enrolled in this study and randomly divided in three groups. Our results showed that tDCS was an effective treatment if compared to Sham stimulation (). In particular, anodal stimulation provided the higher improvement in terms of manual dexterity. Cathodal stimulation seemed to have a little effect in terms of force improvement, not observed with other setups. Bipolar stimulation seemed to be the less effective. No significant differences have been noted for the different set-ups for patients’ judgment. These results highlight the potential efficacy of tDCS for patients with stroke in subacute phase.http://dx.doi.org/10.1155/2013/837595
spellingShingle A. Fusco
D. De Angelis
G. Morone
L. Maglione
T. Paolucci
M. Bragoni
V. Venturiero
The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot Study
Stroke Research and Treatment
title The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot Study
title_full The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot Study
title_fullStr The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot Study
title_full_unstemmed The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot Study
title_short The ABC of tDCS: Effects of Anodal, Bilateral and Cathodal Montages of Transcranial Direct Current Stimulation in Patients with Stroke—A Pilot Study
title_sort abc of tdcs effects of anodal bilateral and cathodal montages of transcranial direct current stimulation in patients with stroke a pilot study
url http://dx.doi.org/10.1155/2013/837595
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