اثرات و عوارض tDCS در اختلالات حرکتی کودکان و نوجوانان

نوع مقاله : مقاله مروری

نویسندگان

1 دفتر تحقیقات و فن آوری دانشجویان. دانشجوی کارشناسی ارشد دانشکده علوم توانبخشی، شعبه بین الملل دانشگاه علوم پزشکی شهید بهشتی. تهران، ایران

2 دکترای فیزیوتراپی، استادیار گروه فیزیوتراپی دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی. تهران، ایران

3 دکترای فیزیوتراپی، استادگروه فیزیوتراپی دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی. تهران، ایران

چکیده

مقدمه و اهداف : مطالعات زیادی در موردتاثیر تحریک الکتریکی مغز با جریان مستقیم در بیماریهای مختلف در افراد بزرگسال انجام شده است اما در گروه کودکان و نوجوانان به دلیل نگرانیهای استفاده از این تحریک، مطالعات کمتری انجام شده است و مطالعات محدودی در سال های اخیر به بررسی اثرات این تحریک در این گروه پرداخته اند.
هدف از این مقاله بررسی تاثیر تحریک الکتریکی مغز در اختلالات حرکتی کودکان و نوجوانان و همینطور بررسی عوارض ناشی از تحریک در این گروه می باشد.
مواد و روشها :این مقاله مطالعه ای مروری است که درآن باجمع آوریاطلاعاتازطریقجستجودرمنابع جستجویChocrane,google scolar, Springer, PubMed, Ovid, Science Directاز سال 2000تا سال 2015 انجام شد و مطالعاتی که اثر و عوارض تحریک الکتریکی مغز از طریق جریان مستقیمرا دراختلالاتحرکتی کودکان و نوجوانان بررسی کرده بودند ، مورد مطالعه و بررسیقرار گرفتند.

یافتهها : از بین 162 مطالعه یافته شده در نهایت با توجه به معیار های ورود و خروج تنها 9 مطالعه باقی ماندند. تحریک الکتریکی مغز با جریان مستقیم همراه با درمانهای دیگر نظیر فیزیوتراپی معمول ،تردمیل و واقعیت مجازی در کودکان و نوجوانان در اندام تحتانی موجب بهبود تعادل و عملکرد راه رفتن و در اندام فوقانی کاهش اسپاستی سیته میگردد.در این مطالعات تنها اثرات سوء جزئی نظیر قرمزی ، سوزش و خارش پوست و گاه اختلال گذرای خلق گزارش شده است.همینطور این جریان نه تنها موجب تشنج نمیشود، بلکه بعنوان یک روش درمانی تشنج میتوانداستفاده شود .
نتیجه گیری: این جریان در کودکان غیراز سوزش و خارش و تغییرخلق به صورت گذرا،لااقل در کوتاه مدت اثرات نامطلوب دیگری ایجادنمی کند . همینطور وقتی این جریان با روشهای درمانی دیگر مورد استفاده قرار گیرد می تواند موجب ایجاد اثرات مفید درمانی در کودکان و نوجوانان دارای اختلال حرکتی گردد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effects and side effects of tDCS in movement disorders of children and adolescents

نویسندگان [English]

  • Nafiseh Saberi Najafabadi 1
  • Minoo Khalkhali Zavieh 2
  • Khosro Khademi Kalantari 3
1 Student Research Committee. MSc Student in Physiotherapy, School of Rehabilitation, International Branch, Shahid Beheshti University of Medical Sciences, Tehran. Iran
2 Assistant Professor of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran. Iran
3 Professor of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran. Iran
چکیده [English]

Background and Aim: Many studies about the effect of transcranial direct current stimulation have been carried out on different conditions in adults. But just few studies have been done in children and adolescents because of the concerns about this stimulation, and a few studies in recent years have studied the effects of this stimulation in this group.
The aim of this study was to investigate the effects and side effects of brain electrical stimulation in children and adolescents with movement disorders.
Materials & Methods: This article is a literature review, which was performed on studies in the period of 2000-2015, using Pub Med, Science Direct, OVID, Springer, Cochrane and Google scholar about the effects and side effects of tanscranial direct current stimulation in children and adolescents with motor disorders
Results: of 162 articles and based on the inclusion and exclusion criterias finaly 9 articles were chosen to be reviewed. These studies demonstrated that the combined use of tDCS and other treatments such as routine physical therapy, treadmill and virtual reality in children and adolescents improves the balance and gait parameter in lower limbs and decreases the spasticity in upper limbs. The only reported adverse effects In these studies were redness , itching burning and transient mood changes

This study showed that the electrical stimulation of the brain through direct current stimulation not only doesn’t cause seizures ,but also can be used as a therapeutic method in patients with seizures.
Conclusion : the results indicates that other than itching and mood change, this current in children and adolescents does not cause another adverse effects at least in the short term. When it is used with other treatments, it can cause desirable effects in children and adolescents with motor impairment.
Key words:tDCS ،Children, adolescense , , movement disorder, ،side effects.

کلیدواژه‌ها [English]

  • tDCS
  • children
  • adolescense
  • movement disorder
  • side effects
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