Stroke and spinal cord injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Stroke group: 1) Age: 18-65 years old; 2) The patient was diagnosed by CT or MRI as having a convalescent stroke (left brain injury, right brain injury), and the disease duration was =6 months; 3) Can understand coordination instructions, mild cognitive impairment (26=MMSE=21); 4) Brunnstrom grade II to III of the affected upper limb; 5) Stable vital signs, ignoring hearing disorders, clear consciousness; 6) The assessed subjects had certain motor imagination ability. Spinal cord injury group: 1) Meet the International Standard for the Neurological Classification of Spinal Cord Injury revised by the American Spinal Injury Board, and have clinical manifestations of spinal cord injury, as well as imaging support such as CT or MRI; 2) SCI patients who meet the neurological and functional classification of Spinal cord Injury proposed by the American Spinal Injury Association (ASIA) as B-D; 3) Age 18-65; 4) The course of disease is more than 6 months; 5) Good or corrected vision; 6) Good mental state, conscious, with certain cognitive ability to understand instructions; 7) Voluntarily participate in the study and sign the informed consent; 8) After assessment of the Kinesthetic and Visualimagery Questionnaire (KVIQ), the subjects had certain kinesthetic and visual imagery ability.
Exclusion criteria
Exclusion criteria: Stroke group: 1) Severely impaired cognitive ability or inability to notice and understand screen information; 2) Severe upper extremity pain or spasms, unable to perform normal hand training; 3) Poor compliance, can not cooperate with the completion of the experiment; 4) Have serious cardiovascular or respiratory diseases; 5) Unable to adhere to the study; 6) Unwilling to participate in research and sign informed consent. Spinal cord injury group: 1) Hearing impairment, unable to communicate; 2) Extreme agitation or moderate to severe cognitive impairment can not cooperate; 3) are using drugs that affect the central nervous system or receiving other neuroregulatory treatments; 4) Visual impairment, unilateral neglect, etc. can not see the computer screen; 5) Serious complications, cardiopulmonary diseases, uncontrolled hypertension, severe physical deformities, multiple organ injuries or major organ dysfunction, severe spasms, etc.; 6) For patients with craniocerebral trauma and wound recovery after craniocerebral surgery, electrodes cannot be placed or infected patients may be caused by brain electrode placement; Skull defect or skull repair with metal material; The inner body has metal, such as heart pacemaker; 7) Patients with upper limb or hand fracture that has not healed; 8) Those who do not want to sign the informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl-Meyer wrist-hand score(stroke group);Graded Redefined Assessment of Sensation, Strength and Prehension(spinal cord injury group); | — |
Secondary
| Measure | Time frame |
|---|---|
| Fugl Meyer assessment scale upper limb(stroke group);modified Ashworth scale(stroke group);Modified Barthel index(stroke group);Cognitive function assessment(stroke group);Brain function assessment(stroke group);Assessment of muscle tension(spinal cord injury group);Range of motion(spinal cord injury group);Brain function assessment(spinal cord injury group);spinal cord independence measure III(spinal cord injury group);Muscle thickness assessment(spinal cord injury group);Muscle cross-sectional area assessment(spinal cord injury group); | — |
Countries
China
Contacts
China Rehabilitation Research Center