000 02878cam a2200349 a 4500
003 EG-GiCUC
005 20250223032227.0
008 190316s2018 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.21.08.Ph.D.2018.No.E
100 0 _aNoura Abdelhamid Ahmed Elkafrawy
245 1 0 _aEffect of transcranial direct current stimulation combined with constraint-induced movement therapy on cortical reorganization and functional outcome in stroke patients /
_cNoura Abdelhamid Ahmed Elkafrawy ; Supervised Abdaleem Abdalfattah Atteya , Waleed Talat Mansour , Amani Mahmoud Nawito
246 1 5 _aالتأثير المزدوج للتيار المباشر عبر الجمجمة و العلاج الحركى المستحث بالتقييد على إعادة تنظيم القشرة المخية و الناتج الوظيفى فى مرضى السكتة الدماغية
260 _aCairo :
_bNoura Abdelhamid Ahmed Elkafrawy ,
_c2018
300 _a142 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Neuromuscular and Neurosurgery
520 _aBackground: The brain has an intrinsic capacity to compensate for structural damage through reorganizing of surviving networks. These processes are fundamental for recovery of function after stroke. Objectives: To investigate the combined effect of bihemispheric transcranial direct current stimulation (tDCS) and constraint induced movement therapy (CIMT) on cortical reorganization and functional recovery of the affected upper extremity in chronic stroke patients. In addition, it assessed the correlation between changes of ipsilesional cortical excitability as a measure of reorganization and functional improvements post intervention. Methods: Forty stroke patients with age ranged from 45 to 60 years were randomly assigned to receive 10 consecutive sessions of either 1) bihemispheric tDCS with simultaneous CIMTor 2) sham stimulation with simultaneous CIMT. Outcome measures include changes in fugl-meyer upper extremity motor assessment (FMUE), Motricity Index (MI) and Action Research Arm Test (ARAT). Cortical excitability of pre and post intervention was assessed using motor evoked potential (MEP) amplitude to identify neural correlates of functional improvement
530 _aIssued also as CD
653 4 _aConstraint induced movement therapy
653 4 _aStoke
653 4 _aTranscranial direct current stimulation
700 0 _aAbdaleem Abdalfattah Atteya ,
_eSupervisor
700 0 _aAmani Mahmoud Nawito ,
_eSupervisor
700 0 _aWaleed Talat Mansour ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c70867
_d70867