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
Aldizkaria:
Psicothema

ISSN: 0214-9915,  1886-144X

Argitalpen urtea: 2019

Alea: 31

Zenbakia: 2

Orrialdeak: 179-183

Mota: Artikulua

DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Psicothema

Laburpena

Antecedentes: la estimulación transcraneal de corriente directa (tDCS) es una técnica de neuromodulación no invasiva que ha mostrado efectos positivos sobre varias patologías motoras, incluyendo disfagia. Empero, su aplicación clínica y efectos microestructurales subyacentes están aún bajo investigación. Consecuentemente, en este estudio comprobamos si la tDCS aplicada junto a terapia de deglución podría benefi ciar a un paciente con disfagia debida a ictus resistente a tratamiento. Método: el paciente fue un hombre de 64 años con disfagia severa, consecuencia de un ictus en el cerebelo medial izquierdo. El tratamiento consistió en una rehabilitación de deglución, empleada como línea base, seguida de una intervención añadiendo tDCS (anodal/M1 izquierdo/16 sesiones/1 mA). Las variables medidas fueron; (1) síntomas clínicos de disfagia, (2) calidad de vida, y (3) cambios microestructurales medidos con resonancia magnética (MRI) y tensor de difusión (DTI). Resultados: los resultados mostraron: (1) una leve reducción de síntomas clínicos, (2) una mejora en calidad de vida en las áreas de comunicación, fatiga y sueño, y (3) una mejora en la conectividad y aumento de las fi bras del pedúnculo cerebeloso izquierdo. Conclusiones: estos resultados apoyan el uso de tDCS como herramienta de neurorehabilitación coadyuvante para casos resistentes a tratamiento de rehabilitación motora tradicional

€ Ikusi finantzaketa

Finantzaketari buruzko informazioa

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].

Finantzatzaile

Erreferentzia bibliografikoak

  • Bikson, M., Grossman, P., Thomas, C., Louis, A., Jiang, J., Adnan, T., … Hampstead, B. M. (2016). Safety of transcranial direct current stimulation: Evidence based update 2016. Brain Stimulation, 9(5), 641-661. http://doi.org/10.1016/j.brs.2016.06.004
  • Carter, A. R., Astafi ev, S. V., Lang, C. E., Connor, L. T., Rengachary, J., Strube, M. J., … Corbetta, M. (2010). Resting interhemispheric functional magnetic resonance imaging connectivity predicts performance after stroke. Annals of Neurology, 67(3), 365-375. http://doi.org/10.1002/ana.21905
  • Cosentino, G., Alfonsi, E., Brighina, F., Fresia, M., Fierro, B., Sandrini, G., … Priori, A. (2014). Transcranial direct current stimulation enhances sucking of a liquid bolus in healthy humans. Brain Stimulation, 7(6), 817-822. http://doi.org/10.1016/j.brs.2014.09.007
  • Dubljević, V., Saigle, V., & Racine, E. (2014). The Rising Tide of tDCS in the Media and Academic Literature. Neuron, 82(4), 731-736. http://doi. org/10.1016/j.neuron.2014.05.003
  • Foley, N., Teasell, R., Salter, K., Kruger, E., & Martino, R. (2008). Dysphagia treatment post stroke: A systematic review of randomised controlled trials. Age Ageing, 37(3), 258-264. http://doi.org/10.1093/ ageing/afn064
  • Galea, J. M., Jayaram, G., Ajagbe, L., & Celnik, P. (2009). Modulation of cerebellar excitability by polarity-specific noninvasive direct current stimulation. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience, 29(28), 9115-922. http://doi.org/10.1523/JNEUROSCI.2184-09.2009
  • Haghgoo, H. A., Saed Pazuki, E., Hosseini, A. S., & Rassafi ani, M. (2013). Depression, activities of daily living and quality of life in patients with stroke, 328(1-2), 87-91. http://doi.org/10.1016/j.jns.2013.02.027
  • Hamdy, S., Aziz, Q., Rothwell, J. C., Singh, K. D., Barlow, J., Hughes, D. G., … Thompson, D. G. (1996). The cortical topography of human swallowing musculature in health and disease. Nature Medicine, 2(11), 1217-1224. http://doi.org/10.1038/nm1196-1217
  • Kumar, S., Wagner, C. W., Frayne, C., Zhu, L., Selim, M., Feng, W., & Schlaug, G. (2011). Noninvasive brain stimulation may improve strokerelated dysphagia. Stroke, 42(4), 1035-1040. http://doi.org/10.1161/STROKEAHA.110.602128
  • Kwakkel, G., Kollen, B. J., van der Grond, J., & Prevo, A. J. H. (2003). Probability of regaining dexterity in the flaccid upper limb in acute stroke. Stroke, 34(9), 2181-2186. http://doi.org/10.1161/01.STR.0000087172.16305.CD
  • Lefebvre, S., & Liew, S. (2017). Anatomical parameters of tDCS to modulate the motor system after stroke: a review, 8(29), 1-19. http://doi.org/10.3389/fneur.2017.00029
  • Lemon, R. N. (2008). Descending pathways in motor control. Annual Review of Neuroscience, 31, 195-218. http://doi.org/10.1146/annurev. neuro.31.060407.125547
  • Manoli, Z., Parazzini, M., Ravazzani, P., & Samaras, T. (2017). The electric field distributions in anatomical head models during transcranial direct current stimulation for post-stroke rehabilitation. Medical Physics, 44(1), 262-271. http://doi.org/10.1002/mp.12006
  • Martino, R., Foley, N., Bhogal, S., Diamant, N., Speechley, M., & Teasell, R. (2005). Dysphagia after stroke: Incidence, diagnosis, and pulmonary complications. Stroke, 36(12), 2756-2763. http://doi.org/10.1161/01.STR.0000190056.76543.eb
  • Namasivayam, A. M., & Steele, C. M. (2015). Malnutrition and dysphagia in long-Term care: A systematic review. Journal of Nutrition in Gerontology and Geriatrics, 34(1), 1-21. http://doi.org/10.1080/21551197.2014.1002656
  • Page, S. J., Cunningham, D. A., Plow, E., & Blazak, B. (2015). It takes two: Noninvasive brain stimulation combined with neurorehabilitation. Archives of Physical Medicine and Rehabilitation, 96(4), 89-93. http://doi.org/10.1016/j.apmr.2014.09.019
  • Pisegna, J. M., Kaneoka, A., Pearson, W. G., Kumar, S., & Langmore, S. E. (2015). Effects of non-invasive brain stimulation on post-stroke dysphagia: A systematic review and meta-analysis of randomized controlled trials. Clinical Neurophysiology, 127(1), 956-968. http://doi.org/10.1016/j.clinph.2015.04.069
  • Pontes, É. S., Karênina, A., Jordão, D. F., Luiza, F., Heitmann, E., Azevedo, M., … Silva, C. (2017). Quality of life in swallowing of the elderly patients affected by stroke, Arquivos de Gastroenterología, 54(1), 27-32.
  • Rangarathnam, B., Kamarunas, E., & McCullough, G. H. (2014). Role of cerebellum in deglutition and deglutition disorders. Cerebellum, 13(6), 767-776. http://doi.org/10.1007/s12311-014-0584-1
  • Sánchez-Kuhn, A., Pérez-Fernández, C., Cánovas, R., Flores, P., & Sánchez-Santed, F. (2017). Transcranial direct current stimulation as a motor neurorehabilitation tool: An empirical review. BioMedical Engineering Online, 16(1), 76. http://doi.org/10.1186/s12938-0170361-8
  • Simons, A., & Hamdy, S. (2017). The use of brain stimulation in dysphagia management. Dysphagia, 32(2), 209-215. http://doi.org/10.1007/s00455-017-9789-z
  • Tae-Gyu, A., Soo-Han, K., & Ko-Un, K. (2017). Effect of transcranial direct current stimulation of stroke patients on depression and quality of life. Journal of Physical Therapy Science, 29(3), 505-507. http://doi. org/10.1589/jpts.29.505
  • World Health Organization (2008). The global burden of disease: 2004 update. Retrieved from http://www.who.int/iris/handle/10665/43942
  • World Health Organization (2014). The top 10 causes of death. Retrieved from https://www.who.int/healthinfo/statistics/GlobalCOD_method.pdf?ua=1
  • Yang, E. J., Baek, S.-R., Shin, J., Lim, J. Y., Jang, H. J., Kim, Y. K., & Paik, N.-J. (2012). Effects of transcranial direct current stimulation (tDCS) on post-stroke dysphagia. Restorative Neurology and Neuroscience, 30(4), 303-311. http://doi.org/10.3233/RNN-2012-110213
  • Zaldibar-Barinaga, M.B., Miranda-Artieda, M., Zaldibar-Barinaga, A., Pinedo-Otaola, S., Erazo-Presser, P., & Tejada-Ezquerro, P. (2013). Spanish version of the Swallowing Quality of Life Questionnaire (SWAL-QoL): Initial phase of cross-cultural adaptation, 47(3), 136140. http://doi.org/10.1016/j.rh.2013.03.002
  • Zheng, X., & Schlaug, G. (2015). Structural white matter changes in descending motor tracts correlate with improvements in motor impairment after undergoing a treatment course of tDCS and physical therapy. Frontiers in Human Neuroscience, 9, 229. http://doi. org/10.3389/fnhum.2015.00229
Datuen iturria: Dialnet