Stroke
Conditions
Interventions
C group:Conventional occupational therapy (Occupational Therapy, OT) combined with repetitive transcranial magnetic stimulation (rTMS) stimulation
D group:Conventional occupational therapy (OT), extracorporeal shock wave therapy (ESWT), and repetitive transcranial magnetic stimulation (rTMS) with sham stimulation
A group:Only conduct regular occupational therapy (Occupational Therapy, OT)
B group:Conventional occupational therapy (OT), extracorporeal shock wave therapy (ESWT), and repetitive transcranial magnetic stimulation (rTMS) stimulation
Sponsors
Beijing Haidian Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Meet the diagnostic criteria of the 2023 Chinese Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke; 2.First-ever stroke, with onset between 2 weeks and 6 months prior to enrollment, and unilateral limb hemiplegia; 3.Aged 18 to 80 years; 4.Stable vital signs; 5.Alert and conscious, with no severe cognitive impairment, able to cooperate with treatment; 6.Increased flexor elbow muscle tone, with a Modified Ashworth Scale (MAS) score of 1 to 3; 7.Provide written informed consent prior to treatment; 8.No other neurological diseases;
Exclusion criteria
Exclusion criteria: 1.Fracture or severe osteoporosis; 2.Severe bleeding tendency or coagulation disorders; 3.Presence of metallic implants or cardiac pacemaker; 4.Severe cognitive impairment or communication disorders preventing cooperation; 5.Receipt of botulinum toxin type A injection to the affected upper limb, and/or oral antispastic medication, and/or surgical intervention for spasticity within the past 6 months; 6.Skull defect; 7.Skin lesions on the affected upper limb; 8.Pregnancy, brain tumor, meningitis, epilepsy, or severe cardiac, hepatic, pulmonary, or renal insufficiency; 9.Allergy to electroencephalography (EEG) gel;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified Ashworth Scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Ultrasound elastography parameters;Modified Tardieu Scale;Fugl-Meyer Assessment of Upper Extremity;Modified Barthel Index;Visual Analogue Scale;36?Item Short?Form Health Survey (SF?36);Simultaneous EEG?EMG recording; | — |
Countries
China
Contacts
Public ContactGao Yang
Beijing Haidian Hospital
Outcome results
None listed