title: Transcranial Direct Current Stimulation Combined with Treadmill Gait Training in Delayed Neuro-psychomotor Development.
abstract: [Purpose] The aim of the present study was to describe the results of transcranial direct current stimulation combined with treadmill training in a child with delayed neuro-psychomotor development. [Subject and Methods] Transcranial direct current stimulation (intensity: 1 mA) was applied over the primary motor cortex for 20 minutes during simultaneous treadmill training (2.5 km/h) in ten sessions. [Results] Clinically significant improvement was found in motor development (fine motor subscale, 23 to 25; gross motor subscale, 32 to 41). Reductions in mean oscillation of the center of pressure were found in the anteroposterior (239.2 to 146.5 mm) and mediolateral (177.4 to 149.2 mm) directions. Increases occurred in cadence (106 to 123 steps/minute), step length (0.16 to 0.23 m), step width (0.09 to 0.14 m) and gait velocity with support (0.3 to 0.7 m/s). [Conclusion] After treatment, the child was able to initiate the standing position for the first time and walk without support.
authors.affiliation: Rehabilitation Sciences, University Nove de Julho, Pediatric Neurosurgical Center (CENEPE), Brazil.
authors.forename: Luanda André Collange
authors.initials: LA
authors.lastname: Grecco
authors.affiliation: Neurosciences and Behavior, Psychology Institute, University of São Paulo, Brazil.
authors.forename: Mariana
authors.initials: M
authors.lastname: E Mendonça
authors.affiliation: Rehabilitation Sciences, University Nove de Julho, Brazil.
authors.forename: Natália A C
authors.initials: NA
authors.lastname: Duarte
authors.affiliation: Pediatric Neurosurgery, University Federal de São Paulo, Brazil.
authors.forename: Nelci
authors.initials: N
authors.lastname: Zanon
authors.affiliation: Neurosciences and Behavior, Psychology Institute, University of São Paulo, Brazil ; Rehabilitation Sciences, University Nove de Julho, Brazil ; Pediatric Neurosurgery, University Federal de São Paulo, Brazil ; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, USA.
authors.forename: Felipe
authors.initials: F
authors.lastname: Fregni
authors.affiliation: Rehabilitation Sciences, University Nove de Julho, Brazil.
authors.forename: Claudia Santos
authors.initials: CS
authors.lastname: Oliveira
keywords: Child; Electrical stimulation; Gait; Motor cortex