Evaluating Transcranial Direct Current Stimulation as an Adjunct to In-Patient Physiotherapy in Paediatric Acquired Brain Injury: A Randomized Feasibility Trial.
Purpose: Evaluate the feasibility of transcranial direct current stimulation (tDCS) as an adjunct to in-patient physiotherapy for children and youth with acquired brain injury (ABI). Method: This randomized feasibility trial allocated children (5–18 years of age with moderate to severe ABI) to recei...
| Publicado en: | Physiotherapy Canada Vol. 77; no. 3; pp. 405 - 416 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
University of Toronto Press
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187899179&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187899179 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03000508 R42 jtl: Physiotherapy Canada issn: 03000508 maglogo: N pubinfo: dt: Aug2025 vid: 77 iid: 3 pid: 678 pub: University of Toronto Press place: North York, Ontario artinfo: ui: 187899179 172319585 187899179 187899179 10.3138/ptc-2023-0015 187899179 ppf: 405 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluating Transcranial Direct Current Stimulation as an Adjunct to In-Patient Physiotherapy in Paediatric Acquired Brain Injury: A Randomized Feasibility Trial. aug: au: Ryan, Jennifer L. Beal, Deryk S. Fehlings, Darcy L. Levac, Danielle E. Tendera, Anna Wright, F. Virginia affil: From the: From the: Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Toronto, Ontario, Canada sug: subj: Brain Injuries Rehabilitation Brain Injuries Rehabilitation Transcranial Direct Current Stimulation Evaluation Physical Therapy Treatment Outcomes Canada Human Funding Source Male Female Child, Preschool Child Adolescence Inpatients Frontal Lobe Physiology Pilot Studies Descriptive Statistics Transcranial Direct Current Stimulation Adverse Effects Pruritus Motor Skills Pediatrics Learning Comparative Studies Task Performance and Analysis Videorecording COVID-19 Adverse Health Care Event Length of Stay Content Analysis Questionnaires Scales Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Purpose: Evaluate the feasibility of transcranial direct current stimulation (tDCS) as an adjunct to in-patient physiotherapy for children and youth with acquired brain injury (ABI). Method: This randomized feasibility trial allocated children (5–18 years of age with moderate to severe ABI) to receive either active or sham anodal tDCS immediately prior to 16 of their existing in-patient physiotherapy sessions. Participants, physiotherapists, assessors, and primary investigators were blinded to treatment allocation. Eligibility, recruitment, retention, tolerance, and preliminary treatment outcomes were evaluated against a priori feasibility targets. Results: Of 232 children admitted over 21 months, 6 were eligible (2.6%) and 4 were recruited (66.7%). One participant completed the entire study protocol, two were withdrawn for unrelated changes in medical stability, and one could not commence the study due to COVID-19 restrictions. Participants completed all tDCS sessions that were started with the primary transient side effect being sub-electrode itchiness. Conclusions: While the study was infeasible from eligibility and retention perspectives, study procedures (e.g., assessment, treatment, side effect tracking, physiotherapy documentation) were viable and should be applied to future paediatric tDCS studies. Résumé: Objectif : évaluer la faisabilité d'ajouter la stimulation transcrânienne à courant continu (tDCS, selon l'acronyme anglais) à la physiothérapie hospitalière chez les enfants et les adolescents victimes d'une lésion cérébrale acquise (LCA). Méthodologie : la présente étude de faisabilité randomisée répartissait les enfants (de cinq à 18 ans victimes d'une LCA modérée à grave) entre une tDCS anodale active ou fictive immédiatement avant 16 des séances de physiothérapie hospitalière déjà prévues. Cette répartition se faisait à l'insu des participants, des physiothérapeutes, des évaluateurs et des chercheurs primaires. Les chercheurs ont évalué l'admissibilité, le recrutement, la tolérance et les résultats préliminaires du traitement d'après des cibles de faisabilité a priori. Résultats : des 232 enfants hospitalisés sur une période de 21 mois, six étaient admissibles (2,6 %) et quatre ont été recrutés (66,7 %). Un participant a effectué le protocole complet de l'étude, deux ont été retirés en raison de changements à leur stabilité médicale sans rapport avec l'étude, et un n'a pas pu y participer à cause des restrictions attribuables à la COVID-19. Les participants ont effectué toutes les séances de tDCS entreprises, dont l'effet secondaire transitoire primaire prenait la forme de démangeaisons sous les électrodes. Conclusions : l'étude était irréalisable sur le plan de l'admissibilité et de la rétention, mais ses protocoles (p. ex., évaluation, traitement, suivi des effets secondaires, consignation de données de physiothérapie) étaient viables et devraient être utilisés lors de futures études sur la tDCS en pédiatrie. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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