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KMID : 1151220220280030079
Journal of Korean Academy of Orthopedic Manual Therapy
2022 Volume.28 No. 3 p.79 ~ p.87
The Effect of Transcranial Direct Current Stimulation on Pain and Balance of Total Knee Arthroplasty Patients
Lee Jae-Hong

Min Dong-Ki
Lee Sang-Jae
Abstract
Background: The purpose of this study was to examine the effect of transcranial direct current stimulation (tDCS) on the pain and balance of patients who receive total knee arthroplasty (TKA).

Methods: This study subjects were 24 patients in Hospital T, located in Daegu, South Korea who received TKA after being diagnosed with degenerative arthritis. The subjects were randomly divided into and experimental group and a control group, with each group including 12 patients. Both group received superfical thermal therapy, interferential current therapy (ICT), and continue passive motion (CPM), which are conventional knee therapy on the knee joint. The experimental group received the tDCS treatment three times a week for three weeks, from October 1st to October 20th. The visual analogue scale and Wii Balance Board system were used to measure the pain and balancing ability, respectively, of both groups. In the statistical result analysis, to compare about pre and post test difference in each groups was accomplished. Statistical analysis of independent t-test and paired t-test were conducted using SPSS version 23.0.

Results: After three weeks of intervation, there were significantly difference in balance ability in pre and post test in the tDCS group. VAS decreased significantly in both groups(p<.05), There was a significantly difference in pain, balance ability in the tDCS group compared to the sham group.

Conclusion: These results indicate that applying tDCS together with conventional knee joint therapy for TKA patients is effective in promoting the patients¡¯ recovery.
KEYWORD
Balance, Pain, Total Knee Arthroplasty, Transcranial Direct Current Stimulation(tDCS)
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