DYNAMICS OF ELECTROENCEPHALOGRAPHIC PARAMETERS IN PATIENTS WITH CEREBRAL PALSY AFTER COMBINED TREATMENT WITH TRANSCRANIAL DIRECT CURRENT STIMULATION.
DOI:
https://doi.org/10.11603/1811-2471.2017.v0.i2.7696Keywords:
cerebral palsy, electroencephalography, transcranial direct current stimulation.Abstract
Introduction. Direct current stimulation (DCS) is of interest for the treatment of various neurological disorders, including cerebral palsy (CP). DCS is a noninvasive and safe therapeutic method which modifies the functional status of various parts of the CNS under the influence of small direct current.
The aim of the study was to determine the therapeutic efficacy of DCS in combined treatment of children with CP using electroencephalography.
Materials and methods. 33 patients with various forms of CP were examined and treated. 12 children were included in comparison group who underwent basic treatment, and 21 children – in the main group who underwent basic treatment and DCS. Transcranial DCS was performed according to individual treatment regimens based on the location of pathology. The dynamics of bioelectric activity of brain was evaluated twice using EEG – before treatment and 3 months after the therapeutic course.
Results. Analysis of electroencephalograms of children with CP before treatment showed the disruption of neural activity in a local brain region of varying degrees of severity. After the treatment the positive dynamics of background electrical activity of the brain was observed in 76.2% of patients in the main group, compared with 25.0% of children in the comparison group. General changes concerned the age stabilization of central and alpha rhythms precursors and the tendency of reduction of structural disorganization and diffuse slowing of the EEG with the absence of paroxysmal activity and interhemispheric asymmetry was observed.
Conclusions. The data indicate that the addition of DCS in the treatment of patients with CP increases the effectiveness of treatment and may also positively influences on the course of the disease.
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