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             Publication
Journal Publication
Title of Article Effects of transcranial direct current stimulation combined with physical therapy in chronic low back pain treatments, a randomized control pilot study 
Date of Acceptance 22 April 2021 
Journal
     Title of Journal จุฬาลงกรณ์เวชสาร (Chulalongkorn Medical Journal) 
     Standard OTHER () 
     Institute of Journal Faculty of medicine, Chulalongkorn Medical journal 
     ISBN/ISSN  
     Volume 66 
     Issue
     Month -
     Year of Publication 2022 
     Page
     Abstract Background: Chronic low back pain (CLBP) affects 80% of the population and reduces their quality of life (QOL). Searching for its most effective treatment has being a challenge in the health-care system. Although studies using transcranial direct current stimulation (tDCS) plus physical therapy (PT) that aim to relieve pain, an optimal intervention method and clinical effectiveness evaluations related to CLBP patient aspects have not been completely. Objectives: Comparing treatment effects between a combination of tDCS and PT (combined group) and PT alone (PT group) in pain intensity, gait speed, lumbar range of motion (LROM), QOL in CLBP patients. Besides, we examined the relationships between pain intensity and the remaining variables. Methods: Twenty CLBP patients participated in this study, randomly divided into PT group and combined group following a 1:1 ratio. Pain intensity, gait speed, LROM, QOL were evaluated before (Pre) and after treatment (Post) as well as a follow-up after 1 week (W1), 2 weeks (W2), 3 weeks (W3), and 4 weeks (W4). Results: The results showed a significant improvement in pain intensity, gait speed, LROM, QOL in 2 groups, but there were no statistically significant differences between groups for pain intensity, fast speed, lumbar bending the left (LBL), lumbar bending the right (LBR), and QOL. Furthermore, the combined group indicated a correlation: the larger the pain reduction, the larger the gait speed improvement. Conclusion. A combination between tDCS and PT may be a potentially physiologic method to promote therapeutic efficacy and improve gait speed for CLBP patients.  
     Keyword Chronic low back pain, tDCS, physical therapy, pain intensity, gait speed. 
Author
625090016-3 Mrs. PHAM THI MAI LOAN [Main Author]
Associated Medical Sciences Master's Degree

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