Clinical Study on the Effect of High-Definition Transcranial Direct Current Stimulation Combined with Motor Therapy Based on the Theory of 'Form and Spirit Integration' on Upper Limb Function After Stroke
Abstract：Objective: To investigate the effect of high-definition transcranial direct current stimulation (HD-tDCS) combined with motor therapy based on the theory of 'form and spirit integration' in traditional Chinese medicine on upper limb motor function in patients after stroke. Methods: A total of 60 patients with right upper limb motor dysfunction after stroke were selected from Jiangxi Rongjun Welfare Hospital between August 2024 and April 2025. They were randomly divided into a control group and an observation group, with 30 patients in each group. All patients received basic drug treatment and conventional rehabilitation therapy. The observation group received synchronous intervention with real HD-tDCS combined with motor therapy based on the theory of 'form and spirit integration', while the control group received sham HD-tDCS combined with motor therapy. The upper limb motor function, hand function, and activities of daily living were compared before and after treatment. Results: After 4 weeks of treatment, the scores of the Action Research Arm Test (ARAT), Modified Barthel Index (MBI), and Fugl-Meyer Assessment of Upper Extremity (FMA-UE) were higher than those before treatment and after 2 weeks of treatment in both groups, and the observation group showed higher scores than the control group, with statistically significant differences (P < 0.05). Conclusion: Synchronous intervention with HD-tDCS combined with motor therapy based on the theory of 'form and spirit integration' can accelerate the recovery of upper limb and hand function in patients after stroke and enhance their ability to perform daily activities, especially showing significant effects in improving fine hand movements.
Keywords：StrokeUpper limb dysfunctionHigh-definition transcranial direct current stimulationForm and spirit integration
Publication Date：2025-10-15
Online Publishing Date：2025-12-29(First online date of this platform, not the publication date of the document)
Pages：5( 40-44 )