Basma Hussein Mohamed <br/><br/>
Cerebellar transcranial direct current stimulation versus motor rehabilitation in reaching in stroke patients /  
 التحفيز الكهربائى للمخيخ عبر الجمجمة مقابل التأهيل الحركى للوصول لمرضى السكتة الدماغية 
Basma Hussein Mohamed ; Supervised Nahed Ahmed Salem , Ebtesam Mohammed Fahmy , Rasha Mohammed Elrewainy 
 - Cairo :   Basma Hussein Mohamed ,   2020 
 - 82 P. :   charts , facimiles ;   25cm  
<br/><br/>Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Neuromuscular and Neurosurgery 
<br/><br/> Background: The ability to reach and grasp is necessary for many daily life functional tasks. Stroke may disrupt efficient reach to grasp function. Cerebellar trans-cranial direct current stimulation may represent a promising tool for reconstitution of reaching coordination deficits in stroke patients. Objective: This study aimed to compare the effect of cerebellar trans-cranial direct current versus motor rehabilitation on reaching coordination in chronic stroke patients. Subjects and Methods: Thirty stroke patients with arm reaching coordination problems were included. Their age ranged between 40-60 years. Patients were assigned into two equal groups: Study group (A): received cerebellar Trans cranial direct current stimulation combined with a selected physical therapy program and Control group (B): received the selected physical therapy program only. The arm reaching activity and coordination were assessed by the Fugl-Meyer arm section scale (FMUA), Action research arm test (ARAT). For kinematic analysis: video processing by Kinovea software program was used to measure acceleration and movement time of specific reaching phase. Measurements were performed pre and post treatment.Treatment sessions were given three times per week for five successive weeks. Results: There was significant increase in mean values of Fugl-Meyer arm section scale and Action Research Arm Test post treatment in group (A) only. A highly significant increase in the mean acceleration was found in both groups post treatments, with a tendency towards significant difference between both groups post treatment in favor of group (A). A significant decrease in movement time was detected in both groups post treatment, especially in group (A). Conclusion: Cerebellar transcranial direct current stimulation is an effective and safe neuro-rehabilitation modality for improving reaching function and coordination deficits in chronic stroke patients 
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<br/><br/><label>Subjects--Index Terms: </label>Cerebellar transcranial direct current stimulation  Coordination  Stroke