Different montages of transcranial direct current stimulation on postural stability in chronic low back pain patients: A randomized sham-controlled study.

BACKGROUND: Impairment in both the motor and cognitive aspects of postural control is a critical issue in patients with chronic low back pain (CLBP) who experience high pain anxiety (HPA). OBJECTIVE: This study aimed to compare the effects of cathodal and anodal transcranial direct current stimulati...

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Publicado en:Journal of Back & Musculoskeletal Rehabilitation Vol. 37; no. 5; pp. 1151 - 1162
Autores principales: Masoudi, Mona, Ehsani, Fatemeh, Hedayati, Rozita, Ramezani, Mona, Jaberzadeh, Shapour
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Sage Publications Inc. 2024
Acceso en línea:Ver este registro en EBSCOhost
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        10538127
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      issn: 10538127
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      dt: 2024
      vid: 37
      iid: 5
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        176522629
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        10.3233/BMR-230229
        180304167
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        atl: Different montages of transcranial direct current stimulation on postural stability in chronic low back pain patients: A randomized sham-controlled study.
      aug:
        au:
          Masoudi, Mona
          Ehsani, Fatemeh
          Hedayati, Rozita
          Ramezani, Mona
          Jaberzadeh, Shapour
        affil: Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran
      sug:
        subj:
          Prefrontal Cortex
          Transcranial Direct Current Stimulation Methods
          Balance, Postural Physiology
          Low Back Pain
          Task Performance and Analysis
          Cognition Evaluation
          Treatment Outcomes
          Human
          Funding Source
          Male
          Female
          Adult
          Randomized Controlled Trials
          Random Assignment
          Psychomotor Performance Evaluation
          Anxiety
          Chronic Pain Psychosocial Factors
          Balance, Postural Evaluation
          Adult: 19-44 years
          Male
          Female
      ab: BACKGROUND: Impairment in both the motor and cognitive aspects of postural control is a critical issue in patients with chronic low back pain (CLBP) who experience high pain anxiety (HPA). OBJECTIVE: This study aimed to compare the effects of cathodal and anodal transcranial direct current stimulation (c-tDCS and a-tDCS) over the dorsolateral prefrontal cortex (DLPFC) on postural control during cognitive postural tasks in CLBP patients with HPA. METHODS: This study included 66 patients randomly assigned to three groups: DLPFC a-tDCS, DLPFC c-tDCS, and sham tDCS. All groups received 20 minutes of tDCS, but the stimulation was gradually turned off in the sham group. Postural stability indices were assessed using the Biodex Balance System. RESULTS: Both the a-tDCS and c-tDCS groups showed a significant reduction in most postural stability indices at static and dynamic levels after the interventions (immediately, 24 hours, and one-week follow-up) during the cognitive postural task (P < 0.01). Additionally, there was a significant improvement in postural balance in the a-tDCS and c-tDCS groups compared to the sham tDCS group (P < 0.01). Furthermore, the a-tDCS group showed significantly greater improvement than the c-tDCS group (P < 0.01). CONCLUSION: Based on the results, both a-tDCS and c-tDCS over the DLPFC had positive effects on postural control during cognitive postural tasks in CLBP patients with HPA.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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