Transcranial direct current stimulation associated with visual and auditory cueing during gait training: A case study with a Parkinson's Disease patient

Pino, Angie; Barria, Patricio; Baleta, Karim; Aguilar, Rolando; Azorín, José M.; Múnera, Marcela; Cifuentes, Carlos A.

Abstract

Parkinson's Disease (PD) is a neurodegenerative disorder that leads to motor dysfunctions and restricts walking independence. Approaches such as transcranial direct current stimulation (tDCS) and cueing gait are potential rehabilitation strategies that have proven efficient in improving motor function in individuals with PD in preliminary and separate studies. This case study with a single PD patient explores the feasibility and potential effects of combining anodal tDCS (a-tDCS) with visual and auditory cues during 15 gait training sessions. The patient was assessed before the first intervention and after completing all training weeks regarding kinematic parameters of gait, neuronal activation, muscle strength, and functional skills. Results showed a beneficial impact in significantly increasing the participant's speed, stride length, step length, and muscle strength. Furthermore, the decrease in beta brain activity and increase in the delta were associated with a reduction in the effects of the disease, improved motor performance, and shorter functional task times. This study suggests the a-tDCS strategy with double cueing gait can lead to therapeutic potential in relieving the disease's motor symptoms.

• Presentation Conference Type: Conference Paper (published)
• Conference Name: 2024 10th IEEE RAS/EMBS International Conference for Biomedical Robotics and Biomechatronics (BioRob)
• Start Date: Sep 1, 2024
• End Date: Sep 4, 2024
• Acceptance Date: Apr 30, 2024
• Online Publication Date: Oct 23, 2024
• Publication Date: Oct 23, 2024
• Deposit Date: Jul 2, 2024
• Publicly Available Date: Oct 23, 2024
• Publisher: Institute of Electrical and Electronics Engineers (IEEE)
• Pages: 211-216
• Book Title: 2024 10th IEEE RAS/EMBS International Conference for Biomedical Robotics and Biomechatronics (BioRob)
• DOI: https://doi.org/10.1109/biorob60516.2024.10719800
• Public URL: https://uwe-repository.worktribe.com/output/12040478