Health Condition 1: G819- Hemiplegia, unspecified
Conditions
Interventions
Intervention1: repetitive Transcranial Magnetic Stimulation: Machine: The rTMS machine used will be NeuroSoft MS-D.
Coil: Flat or Curved Circular Coil with a diameter of 15cm will be used.
Physical Th
Sponsors
Investigator initiated
Eligibility
Inclusion criteria
Inclusion criteria: 1. First episode of acute hemispheric stroke (infarct or bleed) as established on neuroimaging 2. Age 18 - 80 years 3. Day 3 â?? 15 from onset of stroke symptoms, 4. NIH arm motor score >1 5. Stable GCS greater than or equal to 8 and off ventilator for 48 hours
Exclusion criteria
Exclusion criteria: 1 Patients with major cognitive deficits/spasticity / contracture/limb deformities interfering with study participation. 2. Epilepsy, psychosis, delirium. 3. Patients who received Intravenous or Intra-arterial tissue plasminogen activator or thrombectomy 4. Concomitant acute Myocardial Infarction, pulmonary embolism or Deep Venous Thrombosis 5. Hemodynamic instability 6. Major cardiac, renal, hepatic or pulmonary dysfunction 7. Uncontrolled sepsis 8. Trauma-orthopedic injury that limits the range of motion of the upper limb 9. Contraindications to TMS like intracranial metallic implants, cardiac implants, pacemakers 10. Pregnancy or likely to become pregnant during the study period. 11. Patients with stroke associated with CNS infections, HIV, malignancy, haemopoetic disorders 12. Premorbid MRS score- greater than 2 13. Not willing to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in FMA-UE(Fugl Meyer Assessment-Upper extremity) scoreTimepoint: 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| MAS (modified ashworth score), ARAT (action research arm test) and MRS (modified rankin scores)Timepoint: 3 months | — |
Countries
India
Contacts
Public ContactDr Pawan Ojha
Grant Medical College, JJ Group of Hospitals
Outcome results
None listed