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Can transcranial direct current stimulation on the dorsolateral prefrontal cortex improves balance and functional mobility in Parkinson’s disease?

dc.contributor.authorLattari, Eduardo
dc.contributor.authorCosta, Samara Sezana
dc.contributor.authorCampos, Carlos
dc.contributor.authorde Oliveira, Aldair José
dc.contributor.authorMachado, Sérgio
dc.contributor.authorMaranhao Neto, Geraldo Albuquerque
dc.date.accessioned2019-06-04T14:21:55Z
dc.date.available2019-06-04T14:21:55Z
dc.date.issued2017
dc.description.abstractTranscranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique increasingly explored for Parkinson's disease (PD). Although evidence is still inconsistent, there are preliminary findings suggesting its efficacy to improve motor function in individuals with PD, as the role of secondary motor areas remains unclear. The goal of this study was to investigate the effects of left dorsolateral prefrontal cortex (DLPFC) tDCS on balance and functional mobility of individuals with PD. Seventeen individuals with PD, on-medication, aged between 40 and 90 years were recruited to enroll in a double-blind, randomized, cross-over trial. Each participant completed two conditions at least 48h apart, namely anodal-tDCS and sham-tDCS (placebo). The a-tDCS condition targeted the left DLPC (F3) and was applied during 20min using a 2mA current intensity. In the sham-tDCS condition, electrode position remained the same but the stimulator was turned off after 30s. Functional mobility and balance were assessed using the Berg Balance Scale, Dynamic Gait Index and Timed Up and Go. There were significant differences between conditions on all outcome measures, as the a-tDCS condition was associated with better performance in comparison to the sham condition (p<0.05). Our findings suggest that a-tDCS on the left DLPFC improves balance and functional mobility in comparison to sham-tDCS. Compensatory mechanisms that support motor function in individuals with PD may have been enhanced by a-tDCS on the DLPFC, leading to improved functional mobility and balance. Future trials should explore left DLPFC stimulation with larger samples and compare t-DCS protocols targeting several brain regions.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1016/j.neulet.2016.11.019pt_PT
dc.identifier.issn0304-3940
dc.identifier.urihttp://hdl.handle.net/10400.22/13831
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S0304394016308618?via%3Dihubpt_PT
dc.subjectDouble-Blind Methodpt_PT
dc.subjectMotor Activitypt_PT
dc.subjectMotor Cortexpt_PT
dc.subjectParkinson Diseasept_PT
dc.subjectPrefrontal Cortexpt_PT
dc.subjectTranscranial Direct Current Stimulationpt_PT
dc.titleCan transcranial direct current stimulation on the dorsolateral prefrontal cortex improves balance and functional mobility in Parkinson’s disease?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage169pt_PT
oaire.citation.startPage165pt_PT
oaire.citation.titleNeuroscience Letterspt_PT
oaire.citation.volume636pt_PT
person.familyNameCampos
person.givenNameCarlos
person.identifier.ciencia-idB518-6A52-D50F
person.identifier.orcid0000-0002-5966-4050
person.identifier.scopus-author-id56567519500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf9744770-c154-483e-b271-b58d1089d55f
relation.isAuthorOfPublication.latestForDiscoveryf9744770-c154-483e-b271-b58d1089d55f

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