Stroke
Conditions
Interventions
tDCS + Reward-based Occupational Therapy Group :1.(tDCS) VC-8000F (), 1.5mA, 5cm×7cm, F3 F7 dlPFC ( 10-20 ),().. 1 , 20min, 15 , 3 . 2. OT brunnstrom ,41,3tDCS ,, 20 , 5 ,3 15 . 21 .3 21 ,.brunstr
Sham Stimulation + Reward-based Occupational Therapy (OT) Group :Sham Stimulation + Reward-based Occupational Therapy
Sham Stimulation + Routine Occupational Therapy (OT) Group :Sham Stimulation + Routine Occupational Therapy
Sponsors
Yueyang Hospital of Intergrated Tradition Chinese and Western Medicine Shanghai University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1 Patients diagnosed with stroke by clinical evaluation and comprehensive imaging examination 2. Age =18 and = 80 years old, gender is not limited, right-handed; 3. No cognitive impairment or communication disorder, with a score of 26 or more on the Mini-Mental State Examination (MMSE); First onset; Course of disease =6 months 4 Brunnstrom stage I-VI; 5. Can endure the evaluation process for half an hour to an hour; 6. The subject and his legal guardian understand and agree to participate in this study and jointly sign the informed consent form; 7. The subject's recovery motivation rating scale is below 25 points; 8. The score of the Subjective Indifference Assessment Scale - Clinical Clinician Version is =35 points.
Exclusion criteria
Exclusion criteria: 1. Patients with severe systemic diseases such as cardiopulmonary diseases who are unable to tolerate rehabilitation therapy 2. Patients with confirmed mental illness, severe depression (with suicidal tendencies), epilepsy, or a family history of mental illness or epilepsy 3. The presence of severe systemic diseases such as diabetes and uremia 4. Severe joint contracture 5. Suffering from consciousness disturbance caused by any reason 6. According to safety guidelines, there are contraindications for transcranial direct current/magnetic stimulation (TMS/tDCS) and functional magnetic resonance imaging (fMRI) examinations, such as metal foreign bodies or other implanted electronic devices in the body 7. Auditory or visual impairments that may affect assessment and treatment 8. Using drugs that alter cortical excitability (antiepileptic drugs, sedatives, hypnotics, etc.) 9. Significant pain, sleep disturbances, and mental disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rehabilitation Motivation Scale ; | — |
Secondary
| Measure | Time frame |
|---|---|
| Apathy Evaluation Scale, Clinician Version ;Active Rehabilitation Efficacy Ratio ;Fugl-Meyer upper limb assessment ;Function Independent Measure ;ICF-based Activities and Participation Assessment Scale ;fNIRS;fMRI ;STEF; | — |
Countries
China
Contacts
Public ContactDongsheng Xu; Wenxi Li
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai
Outcome results
None listed