
EFFICACY OF TRANSCRANIAL DIRECT CURRENT STIMULATION (tDCS) AND DUAL TASK TRAINING IN PARKINSON’S DISEASE
Author(s) -
Smati Sambyal,
Sandeep Karhail,
Shivam Monga
Publication year - 2021
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/1201684
Subject(s) - transcranial direct current stimulation , parkinson's disease , balance (ability) , physical medicine and rehabilitation , berg balance scale , postural instability , medicine , disease , psychology , physical therapy , stimulation
The term “Parkinson's disease”refers to a neurodegenerative disease that affects several regions of the brain,includingthe pigmented nuclei in midbrain and brainstem, the olfactory tubercle, the cerebral cortex, and elements of theperipheral nervous system. It is a neurodegenerative disease characterized by clinical features including restingtremor,rigidity,bradykinesia,and postural instability.Axial symptoms,such as balance impairments,are one of the mainpredictors of quality of life for individuals with PD and have been shown to increase fall risk.Methodology:Parkinson'sdisease subjects aged 55-80 years,both males and females were included in the study,were conveniently divided intothree equal groups- Group A, B and C comprising 10 subjects each, were assessed using Berg Balance Scale forassessment of balance.Group A received Transcranial Direct Current Stimulation (tDCS) along with Dual Task Training;Group B received Dual Task Training whereas Group C received Conventional Physiotherapy.Patients were reassessedafter 3 weeks. Result: After statistical analysis, when compared in Group A and Group B, a significant difference wasfound in BBS scores ('p' 0.05).Whilecomparing Group A with Group C, BBS was found significant.conclusion: The present study concluded that tDCScombined with Dual task training is more effective when compared to Dual task training alone and Conventionalphysiotherapy. Thus, tDCS and dual task training should be implemented in physiotherapy protocol of Parkinson'sdisease patient,and it will be helpful in improving the Balance impairments.