Transcranial cerebellar direct current stimulation in Paralympic powerlifters
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1 UNIVERSIDADE FEDERAL DO RIO GRANDE DO NORTE CENTRO DE CIÊNCIAS DA SAÚDE DEPARTAMENTO DE EDUCAÇÃO FÍSICA Transcranial cerebellar direct current stimulation in Paralympic powerlifters Jeferson TP Rêgo WL Santos, DA Furtado, RR Barboza, RD Andrade, RG Silva, JA Medeiros, HF Miranda, SS Santos, PM Silva Dantas
2 Paralympic sport Mello; Winckler (2012)
3 Paralympic sport Mello; Winckler (2012)
4
5 Powerlifting Eight eligible physical impairments (impaired muscle power, impaired passive range of movement, limb deficiency, leg length difference, short stature, hypertonia, ataxia, and athetosis) All eligible athletes compete in one sport class
6 Training
7 Transcranial Direct Current Stimulation (tdcs) Non-invasive tool that can modulate the excitability of specific regions of the cerebral cortex. Cerebellum Ergogenic resource Nitsche et al., 2008; Boggio et al., 2006; Hummel et al., 2006; Cogiamanian et al., 2007; Tanaka et al., 2011; Okano et al., 2013
8 Objective The purpose of this study was to evaluate the effect of tdcs applied to the cerebellum on movement control in Paralympic powerlifters. Also, taking in consideration the disabilities.
9 8 elite powerlifters (3 amputees, 5 les autres) Methods Table 1. Characteristics of participants (n = 8). Mean ± Standard Dev. Age 28,5 ± 9,38 Body Weight (kg) 79,78 ± 24,37 Arm span (cm) 159,57 ± 28,11 Practice time (years) 4,44 ± 3,61 Study approved by local ethics committee
10 Methods Randomization Anodal tdcs Sham
11 Methods Cerebellar tdcs 2 ma 20 min Ferrucci et al. (2013)
12 Methods Motion capture OptiTrack V100:R2 NaturalPoint
13 Methods Motion capture
14 Methods Data analysis Initial unevenness
15 Methods Data analysis Final unevenness
16 Methods Data analysis Maximum unevenness in the eccentric phase
17 Methods Data analysis Maximum unevenness in the concentric phase
18 Methods Statistical analysis Wilcoxon Mann-Whitney P < 0,05 SPSS 20.0
19 Initial unevenness Results Positive effect of tdcs in reducing the initial unevenness of the first movement. 1,01 x 1,51cm P=0,049
20 Results Initial unevenness Les autres and Amputees
21 Results Unevenness in eccentric phase Strength Eccentric > Concentric Fleck; Kraemer (2006)
22 Results Unevenness in eccentric phase Les autres and Amputees Strength Eccentric > Concentric Fleck; Kraemer (2006)
23 Results Unevenness in concentric phase Sticking point (Madsen; McLaughlin, 1984; Newton et al., 1997) Sticking period (Van Den Tillaar; Ettema, 2010)
24 Results Unevenness in concentric phase Les autres and Amputees Beneficial result for amputees -2,55cm P=0,036
25 Final unevenness Results
26 Results Final unevenness Les autres and Amputees Beneficial result for amputees -2,82cm P=0,036
27 Results Greater modification in Mov 01 tdcs effects duration Pronounced effect in amputees (Galea et al., 2009; Liebetanz et al., 2002; Nietsche; Paulus, 2000)
28 Conclusion Anodal cerebellar tdcs acts selectively Effect on movement control is more pronounced in amputees Individual characteristics Potential ergogenic resource
29 Future directions Duration of the effects of tdcs applied over the cerebellum Electrodes placement Cortical reorganization after amputation
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33 Thanks! Jeferson TP Rêgo
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