This paper is published in Volume-7, Issue-3, 2021
Area
Physiotherapy
Author
Dr. Shilpa Khandare, Dr. Sai Priyanka Nerusu, Dr. Tushar J. Palekar
Org/Univ
Dr. D.Y. Patil College of Physiotherapy, Pimpri-Chinchwad, Maharashtra, India
Pub. Date
02 June, 2021
Paper ID
V7I3-1633
Publisher
Keywords
Cathodal tDCS, Anodal tDCS, Bi-Hemispheric tDCS, and Sham tDCS, Spasticity, H Reflex

Citationsacebook

IEEE
Dr. Shilpa Khandare, Dr. Sai Priyanka Nerusu, Dr. Tushar J. Palekar. Effect of Transcranial Direct Current Stimulation (tDCS) on Plantar Flexor Spasticity by using H reflex, International Journal of Advance Research, Ideas and Innovations in Technology, www.IJARIIT.com.

APA
Dr. Shilpa Khandare, Dr. Sai Priyanka Nerusu, Dr. Tushar J. Palekar (2021). Effect of Transcranial Direct Current Stimulation (tDCS) on Plantar Flexor Spasticity by using H reflex. International Journal of Advance Research, Ideas and Innovations in Technology, 7(3) www.IJARIIT.com.

MLA
Dr. Shilpa Khandare, Dr. Sai Priyanka Nerusu, Dr. Tushar J. Palekar. "Effect of Transcranial Direct Current Stimulation (tDCS) on Plantar Flexor Spasticity by using H reflex." International Journal of Advance Research, Ideas and Innovations in Technology 7.3 (2021). www.IJARIIT.com.

Abstract

A spastic ankle reduces walking velocity and mobility resulting in impaired gait and difficulty in ambulation. Increased plantar flexor spasticity has a devasting effect on the dorsiflexion range and also contributes to increased energy consumption during gait. H amplitude as the objective measurement is more accurate in assessing spasticity by using the H reflex. Objective: To determine the effect of various types of tDCS on plantar flexor spasticity by using H reflex and also to know which type of tDCS is more efficient in the reduction of plantar flexor spasticity Methods: A total of 30 participants were included in the study with plantar flexor spasticity. patients were randomized into 4 groups using the chit method. All Patients were evaluated for spasticity grade by using the modified Ashworth scale (MAS). H reflex was assessed for all patients followed by application of Cathodal tDCS for group 1 (n=8), Anodal tDCS for group 2 (n=7), Bi-hemispheric tDCS for group 3 (n=7) and sham tDCS for group 4 (n=8) for about 20 minutes. Post tDCS intervention all patients were reassessed for plantar flexor spasticity by H reflex and MAS scale Results: All the groups have shown significant reduction of spasticity post cathodal tDCS. The mean improvement of cathodal tDCS was found to be -0.9275 anodal tDCS was found to be -0.5229, bi-hemispheric tDCS was found to be -0.3357 and sham tDCS was found to be -0.4988. Conclusion: cathodal tDCS application has shown a reduction of spasticity after tDCS application in plantar flexor spasticity patients. This study concludes that cathodal tDCS over the ipsilesional hemisphere is a treatment modality.