tDCS and Bi-manual Training in Cerebral Palsy

AI-Assisted Anodal tDCS Combined With Bimanual Motor Training in Children With Unilateral Spastic Cerebral Palsy: A Pilot Feasibility Study at Riphah Hospital

Unilateral spastic cerebral palsy (USCP) is the most common subtype of cerebral palsy and significantly limits upper limb function. Traditional therapies such as constraint-induced movement therapy (CIMT) and bimanual intensive training offer limited benefits. Pharmacologic treatments often produce behavioral side effects and do not address underlying neuro-plastic deficits. There is an unmet need for safe, effective, non-invasive interventions targeting motor recovery through cortical modulation.

Inclusion Criteria:

1. Children aged 6-17 years with unilateral spastic CP
2. Wrist extension ≥ 20°, MCP/PIP joints ≥ 10°

Exclusion Criteria:

1. Any other neurological disorders
2. An orthopedic condition affecting the participation in UE activities.
3. Unable to understand the command.