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논문 기본 정보

자료유형
학술저널
저자정보
Park, See-Hyun (Department of Physical Medicine & Rehabilitation, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Resea) Koh, Eun-Jeong (Department of Neurosurgery, Chonbuk National University School of Medicine) Choi, Ha-Young (Department of Neurosurgery, Chonbuk National University School of Medicine) Ko, Myoung-Hwan (Department of Physical Medicine & Rehabilitation, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Rese)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제54권 제6호
발행연도
2013.1
수록면
484 - 488 (5page)

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Objective : To examine the synergistic effects of both computer-assisted cognitive rehabilitation (CACR) and transcranial direct current stimulation (tDCS) on cognitive function in patients with stroke. Methods : The current double-blind, sham-controlled study enrolled a total of 11 patients who were newly diagnosed with stroke. The patients of the tDCS group (n=6) completed sessions of the Korean computer-assisted cognitive rehabilitation program five times a week for 30 minutes a session during a mean period of 18.5 days concomitantly with the anodal tDCS over the bilateral prefrontal cortex combined with the CACR. The patients of the control group (n=5) also completed sessions of the sham stimulation during a mean period of 17.8 days. Anodal tDCS over bilateral prefrontal cortex (F3 and F4 in 10-20 EEG system) was delivered for 30 minutes at an intensity of 2 mA. Cathode electrodes were applied to the non-dominant arm. All the patients were evaluated using the Seoul Computerized Neuropsychological Test (SCNT) and the Korean Mini-Mental State Examination. Results : Mann-Whitney U test revealed a significant difference between the two groups. The patients of the tDCS group achieved a significant improvement in the post/pre ratio of auditory continuous performance test and visual continuous performance test on the SCNT items. Conclusion : Our results indicate that the concomitant use of the tDCS with CACR to the prefrontal cortex may provide additional beneficial effects in improving the cognitive dysfunction for patients with stroke.

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