Stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age 18-80 years; 2) Ischemic stroke, hemorrhagic stroke, or traumatic brain injury causing limb paralysis occurring more than 3 months prior to enrollment, with stable vital signs and intracranial condition; 3) Presence or absence of impaired consciousness; 4) For conscious patients without significant limb muscle hypertonia: Upper limb FMA score 7, lower limb score 5; 5) For conscious patients without significant limb muscle hypertonia: Significant muscle strength reduction (not exceeding Grade 3 but >0) during movement in one or more joints of the affected limb; 6) For conscious or unconscious patients with significant limb muscle hypertonia, hyperreflexia, or muscle spasms: MAS score >= 2; 7) Informed consent obtained.
Exclusion criteria
Exclusion criteria: 1) Receiving anticoagulant, antispasmodic, antiepileptic, or similar medications during the entire study period; 2)Patients with impaired consciousness but no significant muscle hypertonia in the paralyzed limb (flaccid paralysis); 3) Presence of any medically implanted device in the body; 4) Any contraindications to spinal cord stimulation (SCS); 5) Suspected or confirmed pregnancy; 6) Inability to perform neurological function assessments; 7) Severe terminal illness or other serious medical conditions that may impair the ability to participate in the study; 8) Severe claustrophobia; 9) Researchers deem joint contractures too severe for study participation; 10) Other circumstances where researchers determine participation is not feasible; 11) Failure to obtain informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified Ashworth Scale, MAS;Muscle strength;Fugl-Meyer motor function assessment, FMA;Action Research Arm Test, ARAT;Composite Spasticity Scale, CSS;Coma Recovery Scale-Revised, CRS-R; | — |
Countries
China
Contacts
Beijing Tiantan Hospital Affiliated to Capital Medical University