Transcranial direct current stimulation treatment in chronic after-stroke dysphagiaA clinical case

  1. Ana Sánchez-Kuhn 1
  2. Yasmina Medina 2
  3. Martín García-Pérez
  4. Pilar De Haro 1
  5. Pilar Flores 1
  6. Fernando Sánchez-Santed 1
  1. 1 Universidad de Almería
    info

    Universidad de Almería

    Almería, España

    ROR https://ror.org/003d3xx08

  2. 2 Instituto de Neurorehabilitación InPaula
Journal:
Psicothema

ISSN: 0214-9915,  1886-144X

Year of publication: 2019

Volume: 31

Issue: 2

Pages: 179-183

Type: Article

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Abstract

Background: Transcranial direct current stimulation (tDCS) is a noninvasive neuromodulation technique that has shown positive effects in a variety of motor diseases including dysphagia. However, its clinical application and underlying microstructural effects are still being researched. We tested whether tDCS applied together with swallowing training could benefi t a treatment-resistent patient with dysphagia after a stroke. Method: The clinical case was a 64 year old male who suffered from a left medial cerebellum stroke lesion leading to severe dysphagia. The treatment consisted of a traditional swallowing rehabilitation treatment, which served as a baseline measure, followed by an intervention adding tDCS (anodal/left M1/16 sessions/20 min/1mA). The variables measured were (1) clinical symptoms of dysphagia, (2) quality of life and (3) microstructural changes with magnetic resonance imaging (MRI) and diffusion tensor imaging (DTI). Results: Results showed (1) a slight reduction of the clinical symptoms, (2) an improvement in the quality of life domains of communication, fatigue and sleep and (3) an enhancement of the connectivity and increase of the number of fi bers of the injured left medium cerebellum peduncle. Conclusions: These results support the use of tDCS as a coadjuvant neurorehabilitation tool in cases which are resistant to traditional motor rehabilitation

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Funding information

This work was supported by the Ministerio de Economía y Competitividad and the Fondo Europeo de Desarrollo Regional (MINECO-FEDER) [Grant numbers: PSI2014-55785-C2-1-R, PSI2015-70037-R and PSI2017-86847-C2-1-R].

Funders

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