PT  - JOURNAL ARTICLE
AU  - Abualait, Turki S.
AU  - Ibrahim, Alaa I.
TI  - Spinal direct current stimulation with locomotor training in chronic spinal cord injury
AID  - 10.15537/smj.2020.1.24818
DP  - 2020 Jan 01
TA  - Saudi Medical Journal
PG  - 88--93
VI  - 41
IP  - 1
4099  - http://smj.org.sa/content/41/1/88.short
4100  - http://smj.org.sa/content/41/1/88.full
SO  - Saudi Med J2020 Jan 01; 41
AB  - Transcutaneous spinal direct current stimulation (tsDCS) is a non-invasive method of stimulating spinal circuits that can modulate and induce changes in corticospinal excitability (CE) in incomplete spinal cord injury (SCI). A double-blinded sham controlled study of 2 male patients (A and B) with SCI was carried out. Patient A received sham and cathodal tsDCS, while Patient B received sham and anodal tsDCS. Four baselines were recorded prior to each arm of stimulation. Outcomes were then measured post each arm of stimulation; 10-meter walk test, modified ashworth scale, berg balance scale, manual muscle testing, and spinal cord independence measure-III. Transcranial magnetic stimulation, assessed motor evoked potentials. Cathodal tsDCS increased the scores in few of the outcome measures and decreased others. Anodal stimulation increased scores in all measures. Motor evoked potentials increased in post-cathode and deteriorated in post-anode. In conclusion, tsDCS modulated gait parameters, spasticity, and CE in incomplete SCI.