Feasibility of tDCS as an Adjunct to Outpatient Physiotherapy in Children With ABI

Inclusion Criteria: * Stroke or moderate to severe traumatic brain injury, diagnosed with imaging (e.g., MRI, CT scan); * 5-18 years of age inclusive (at time of study enrolment); * In the outpatient stage of rehabilitiation * Followed by a physician through ABI medical follow-up clinic at Holland Bloorview OR previously admitted to the inpatient ABI program at Holland Bloorview; * Medically stable, as determined by their ABI physician; * Walks a minimum of 10m with or without assistance; * Stands independently for 10s; * Balances for less than 20s on most affected leg; * Hemiplegia, identified by decreased selective motor control at one ankle compared to the other (i.e., decreased ability to isolate ankle plantar flexion and dorsiflexion on the more affected ankle); * Available to attend twice weekly appointments for five weeks, as well as a two-hour baseline and post-treatment assessment; * Tolerates 2 hours of physiotherapy assessment (with short breaks as needed); * Tolerates 45 minutes of physiotherapy treatment; * Capable of participating in standardized physiotherapy assessment, from a cognitive and behavioural perspective; and * Can communicate discomfort either verbally or non-verbally * Follows directions provided in English * Parent/legal guardian can read and speak English Exclusion Criteria: * Admitted to acute care or inpatient rehabilitation hospital * Seizure(s) in the last 6 months; * Planned medication changes during study (i.e., any medication that affec…