بررسی بهبود متغیرهای کینتیک کنترل پاسچر ورزشکاران رزمی‌کارپس از اعمال تحریک tDCS

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد، یادگیری و کنترل حرکتی، گروه تربیت بدنی، دانشگاه آزاد اسلامی واحد تهران شرق، تهران، ایران

2 استادیار رفتار حرکتی، گروه تربیت بدنی، دانشگاه آزاد اسلامی واحد تهران شرق، تهران، ایران

چکیده

تحریک جریان مستقیم ترانسکرانیال (tDCS) یک تکنیک تعدیل عصبی است که جریان مستقیم با شدت پایین را به سلول‌های مغزی القا می‌کند که باعث تحریک یا مهار خودانگیختۀ فعالیت عصبی می‌شود. در دهه‌های اخیر استفاده از تحریک الکتریکی به‌عنوان روشی مؤثر در بهبود تعادل در افراد مختلف استفاده شده است. هدف از تحقیق حاضر بررسی بهبود متغیرهای کینتیک کنترل پاسچر ورزشکاران رزمی‌کار پس از اعمال تحریک tDCS بود. شرکت‌کننده‌ها 20 ورزشکار مرد رزمی‌کار 18 تا 25 سال بودند. 10 نفر گروه تجربی که تحت تحریک الکتریکی به مقدار 3 - 1 میلی‌آمپر به مدت 20-15 دقیقه قرار گرفتند و 10 نفر گروه کنترل، که تحت tDCS شم قرار گرفتند. سپس هر دو گروه تحت آزمون سازماندهی حسی دستگاه پاسچروگرافی تحت ارزیابی متغیرهای کینتیک کنترل پاسچر قرار گرفتند. در تحلیل داده‌های تحقیق از آزمون تحلیل کوواریانس به‌منظور بررسی تفاوت در تأثیر مداخلات تمرینی بر کنترل پاسچر شرکت‌کنندگان دو گروه استفاده شد (05/0P<).یافته‌های پژوهش نشان داد که تحریک الکتریکی مغز بر کنترل پاسچر ورزشکاران مرد رزمی‌کار بر سه شاخص پایداری در حالات حذف اطلاعات سیستم‌های حسی عمقی، حذف اطلاعات سیستم حسی – عمقی و بینایی و حذف اطلاعات سیستم حسی عمقی و ارائۀ آرایه‌های نامناسب سیستم بینایی، تأثیر معناداری دارد. در نهایت نتایج این تحقیق نشان داد که تحریک جریان مستقیم ترانسکرانیال می‌تواند موجب بهبود و ارتقای متغیرهای کینتیک کنترل پاسچر ورزشکاران رزمی ‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

Investigation of Improving Postural Control Kinetic Parameters in Martial Art Athletes after applying tDCS

نویسندگان [English]

  • mehran delfani 1
  • mahtab arabi 2
1 MSc of Motor Learning and Control, Department of Physical Education, Islamic Azad University, East Tehran Branch, Tehran, Iran
2 Assistant Professor of Motor Behavior, Department of Physical Education, Islamic Azad University, East Tehran Branch, Tehran, Iran
چکیده [English]

tDCS is a neuromodulatory technique that induces a low intensity direct current into brain cells that stimulates or inhibits spontaneous neural activity. In recent decades, electrical stimulation has been used as an effective method to improve balance in different individuals. The aim of this study was to investigate the improvement of postural control kinetic parameters in martial art athletes after applying tDCS. Participants were 20 male martial art athletes aged between 18 and 25. 10 subjects in the experimental group were exposed to electrical stimulation for 1-3 mA for 15-20 minutes and 10 subjects in the control group were exposed to sham tDCS. Then, both groups were evaluated by SOT postural control to exposed variables in sensory organizing test. Data were analyzed using covariance analysis test to differentiate the effect of training interventions on postural control of the two groups (P<0.05). The findings showed that tDCS had a significant effect on the postural control of male martial art athletes in 3 values of equilibrium: the exclusion of information in proprioceptive systems, the exclusion of information in proprioceptive and visual systems and the provision of incorrect visual inputs. Finally, this study showed that tDCS could improve and enhance postural control kinetic parameters in martial art athletes

کلیدواژه‌ها [English]

  • Brain Electrical Stimulation
  • Postural control
  • Premotor Cortex
1.   Zhao H, Qiao L, Fan D, Zhang S, Turel O, Li Y, Li J, Xue G, Chen A, He Q. Modulation of brain activity with noninvasive transcranial direct current stimulation (tDCS): clinical applications and safety concerns. Front Psychol. 2017;8:685.
2.   Fresnoza S, Christova M, Feil T, Gallasch E, Körner C, Zimmer U, Ischebeck A. The effects of transcranial alternating current stimulation (tACS) at individual alpha peak frequency (iAPF) on motor cortex excitability in young and elderly adults. Exp brain Res. 2018;236(10):2573–88.
3.   Hesse S, Werner C, Schonhardt EM, Bardeleben A, Jenrich W, Kirker SGB. Combined transcranial direct current stimulation and robot-assisted arm training in subacute stroke patients: a pilot study. Restor Neurol Neurosci. 2007;25(1):9–15.
4.   Greenwood PM, Blumberg EJ, Scheldrup MR. Hypothesis for cognitive effects of transcranial direct current stimulation: Externally-and internally-directed cognition. Neurosci Biobehav Rev. 2018;86:226–38.
5.   Nitsche MA, Paulus W. Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation. J Physiol. 2000;527(3):633–9.
6.   Nitsche MA, Paulus W. Sustained excitability elevations induced by transcranial DC motor cortex stimulation in humans. Neurology. 2001;57(10):1899–901.
7.   Hans J, Lammens M, Wesseling P, Hori A. Development and developmental disorders of the human cerebellum. In: Clinical neuroembryology. Springer; 2014. p. 371–420.
8.   Gomez Palacio Schjetnan A, Faraji J, Metz GA, Tatsuno M, Luczak A. Transcranial direct current stimulation in stroke rehabilitation: a review of recent advancements. Stroke Res Treat. 2013;2013.
9.   Brunoni AR, Nitsche MA, Bolognini N, Bikson M, Wagner T, Merabet L, Edwards DJ, Valero-Cabre A, Rotenberg A, Pascual-Leone A. Clinical research with transcranial direct current stimulation (tDCS): challenges and future directions. Brain Stimul. 2012;5(3) :175–95.
10.           Bastani A, Jaberzadeh S. Within-session repeated a-tDCS: The effects of repetition rate and inter-stimulus interval on corticospinal excitability and motor performance. Clin Neurophysiol. 2014;125(9):1809–18.
11.           Park SW, Lee KJ, Shin DC, Shin SH, Lee MM, Song CH. The Effect of Underwater Gait Training on Balance Ability of Stroke Patients. J Phys Ther Sci. 2014;26(6):899–903.
12.           De Almeida Carvalho Duarte N, Grecco LAC, Galli M, Fregni F, Santos Oliveira C. Effect of transcranial direct-current stimulation combined with treadmill training on balance and functional performance in children with cerebral palsy: A double-blind randomized controlled trial. Byrne BJ, editor. PLoS One. 2014 Aug 29;9(8):e105777.
13.           Kaminski E, Steele CJ, Hoff M, Gundlach C, Rjosk V, Sehm B, Villringer A, Ragert P. Transcranial direct current stimulation (tDCS) over primary motor cortex leg area promotes dynamic balance task performance. Clin Neurophysiol [Internet]. 2016 [cited 2019 Feb 3];127(6):2455–62. Available from: https://www.sciencedirect.com/science/ article/pii/S1388245716001115
14.           Tanaka S, Takeda K, Otaka Y, Kita K, Osu R, Honda M, Sadato N, Hanakawa T, Watanabe K. Single session of transcranial direct current stimulation transiently increases knee extensor force in patients with hemiparetic stroke. Neurorehabil Neural Repair. 2011 Jul 24;25(6):565–9.
15.           Craig CE, Doumas M. Anodal transcranial direct current stimulation shows minimal, measure-specific effects on dynamic postural control in young and older adults: A double blind, sham-controlled study. Antal A, editor. PLoS One. 2017 Jan 18;12(1):e0170331.
16.           Shumway-Cook, A., & Woollacott MH. Motor control: translating research into clinical practice: Lippincott. 2007.
17.           Yim-Chiplis PK, Talbot LA. Defining and Measuring Balance in Adults. Biol Res Nurs. 2000 Apr;1(4):321–31.
18.           SEYEDI M, SEIDI F, RAHIMI A, MINOONEJAD H. An Investigation of the efficiency of sensory systems involved in postural control in deaf athletes and non-athletes. 2015;
19.           Feizolahi F, Azarbayjani M. Comparison of static and dynamic balance in amateur male athletes. J Rehabil Med. 2015;3(4):89–98.
20.           Cuisinier R, Olivier I, Vaugoyeau M, Nougier V, Assaiante C. Reweighting of sensory inputs to control quiet standing in children from 7 to 11 and in adults. Gribble PL, editor. PLoS One. 2011 May 9;6(5):e19697.
21.           Hirabayashi S ichi, Iwasaki Y. Developmental perspective of sensory organization on postural control. Brain Dev. 1995;17(2):111–3.
22.           Tesio L, Rota V, Longo S, Grzeda MT. Measuring standing balance in adults: Reliability and minimal real difference of 14 instrumental measures. Int J Rehabil Res. 2013;36(4):362–74.
23.           Roceanu A, Capris G, Of OB-RJ, 2014 U. Balance assessment using computerized static posturography. researchgate.net.
24.           Grecco LAC, E Mendonça M, Duarte NAC, Zanon N, Fregni F, Oliveira CS. Transcranial Direct Current Stimulation Combined with Treadmill Gait Training in Delayed Neuro-psychomotor Development. J Phys Ther Sci. 2014;26(6):945–50.
25.           Angius L, Hopker J, Mauger AR. The ergogenic effects of transcranial direct current stimulation on exercise performance. Vol. 8, Frontiers in Physiology. 2017.
26.           Saberi Nafiseh, Khalkhali Zavieh Minoo, Tonkaboni Seyed Hassan, Akbarzadeh Baghban Alireza. 2016. Effects and side effects of tDCS in movement disorders of children and adolescents. J Rehab Med. 5(3): 165-174.
27.           Ohn S, Park C, Yoo W, Ko M, Choi K, … GK-, 2008 U. Time-dependent effect of transcranial direct current stimulation on the enhancement of working memory. Neuroreport. 2008;19(1):43–7.
28.           F.C. H, L.G. C. Non-invasive brain stimulation: a new strategy to improve neurorehabilitation after stroke? Vol. 5, Lancet Neurology. 2006. p. 708–12.
29.           Kaski D, Quadir S, Patel M, Yousif N, Bronstein AM. Enhanced locomotor adaptation aftereffect in the “broken escalator” phenomenon using anodal tDCS. J Neurophysiol. 2012 May;107(9):2493–505.
30.           Sohn M, Jee S, Rehabilitation YK-A of, 2013 U. Effect of transcranial direct current stimulation on postural stability and lower extremity strength in hemiplegic stroke patients. synapse.koreamed.org.
31.           Borgheresi A, Giovannelli F, Cozzi S, Antoniella L, Vanni P, Piccini C, Vannucchi L, Pasquariello F, Furlan T, Cioffi M, Rosso V, Toscani L, Zaccara G, Bandinelli S, Viggiano MP, Baccini M, Cincotta M. Effects of a short physical therapy program combined with transcranial direct current stimulation (tDCS) on freezing of gait in Parkinson’s disease: Preliminary data from a randomized, sham-controlled study. Clin Neurophysiol. 2013;124(11):e200.
32.           Tahtis V Seemungal BM KD. The effect of single session bi-cephalic tDCS on gait performance in sub-acute stroke: A pilot study. Restor Neurol Neurosci. 2014;32(4):527–32.
33.           Grimaldi G, Argyropoulos GP, Bastian A, Cortes M, Davis NJ, Edwards DJ, Ferrucci R, Fregni F, Galea JM, Hamada M, Manto M, Miall RC, Morales-Quezada L, Pope PA, Priori A, Rothwell J, Tomlinson SP, Celnik P. Cerebellar Transcranial Direct Current Stimulation (ctDCS): A Novel Approach to Understanding Cerebellar Function in Health and Disease. Vol. 22, Neuroscientist. 2016. p. 83–97.
34.           Di Lazzaro V, Manganelli F, Dileone M, Notturno F, Esposito M, Capasso M, Dubbioso R, Pace M, Ranieri F, Minicuci G, Santoro L, Uncini A. The effects of prolonged cathodal direct current stimulation on the excitatory and inhibitory circuits of the ipsilateral and contralateral motor cortex. J Neural Transm. 2012 Dec 19;119(12):1499–506.