| Objective: To observe and assess the curative effect of occupational therapy (OT) on hand function of stroke patients during the post effect stage of transcranial direct current stimulation (tDCS). Methods: The 45 patients were randomly divided into three groups: control group (n=15), observation group 1 (n=15) and observation group 2 (n=15). All groups received systemic routine rehabilitation. Furthermore, control group received tDCS therapy, observation group 1 received OT before tDCS (OT + tDCS), and observation group 2 received OT immediately after tDCS (tDCS + OT). The efficacy in the three groups was assessed by Fugl-Meyer Assessment (FMA, for upper extremities), modified Barthel Index (MBI) and Jebsen-Taylor hand function test (JTT). The assessment was performed before and 4 weeks after treatment. Results: After 4-week systematic rehabilitation, the scores of each assessment in 3 groups were increased significantly as compared with pre-treatment (P<0.05). The scores in observation groups 1 and 2 were significantly higher than in the control group (P<0.05). After treatment, the scores in observation group 2 were significantly higher than those in observation group 1 (P<0.05). Conclusion: Hand function was effectively improved by rehabilitation therapy during post effect state of tDCS. |
