| Objective: To observe the effects of transcranial direct current stimulation (tDCS) combined with virtual scene interactive training on upper limb function and the ability of daily living (ADL) in hemiplegic patients with cerebral infarction. Methods: 125 patients with upper limb dysfunction following cerebral infarction hemiplegia were randomly divided into control group (42 cases), observation group A (41 cases) and observation group B (42 cases, 5 cases of final loss). All the three groups received routine drugs and rehabilitation treatment. The control group was treated with tDCS pseudo stimulation; the observation group A was treated with tDCS pseudo stimulation therapy and virtual scene interactive training; and the observation group B was treated with tDCS and virtual scene interactive training. Before and 4 weeks after treatment, the function of the affected upper limb and ADL of the patients were evaluated. The scale includes Modified Ashworth Scale (MAS), Fugl-Meyer Assessment Upper Extremities (FMA-UE), Action Research Arm Test (ARAT) and Modified Barthel index Scale (MBI). Results: Four weeks after treatment, there was significant difference in elbow flexor muscle tension grade, FMA-UE, ARAT and MBI in three groups before and after treatment (P<0.05, 0.01); There were significant differences in elbow flexor muscle tension grade, the above scores among all groups (P<0.05, 0.01). Four weeks after treatment, there were significant differences in elbow flexor muscle tension grade, the above scores between observation group B and observation group A (P<0.05). Conclusion: Conventional rehabilitation therapy, virtual scene interactive training and transcranial direct current stimulation can improve upper limb motor function and ADL of patients with cerebral infarction hemiplegia. The tDCS combined with virtual scene interactive training has more obvious effect than conventional rehabilitation treatment. As compared with virtual scene interactive training, the combined use of tDCS and virtual scene interactive training achieves the significant improvement of curative effects. |
