To study the effectiveness of the use of cerebrolysin in combination with physical methods of treatment (direct current stimulation, kinesitherapy, massage) in the rehabilitation of patients with cerebral stroke. Circulatory System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Ischemic stroke patients 2. Non-transient arm paresis 3. Aged 18-85 4. Intact cortico-spinal tract 5. Baseline NIHSS above 8.
Exclusion criteria
Exclusion criteria: 1. Progressive or unstable stroke 2. Preexisting or active major neurological or psychiatric disease 3. History of significant alcohol or drug abuse within the previous 3 years 4. Advanced liver, kidney, cardiac, or pulmonary disease 5. Terminal medical diagnosis with an expected survival of <l year 6. Substantial decrease in alertness at the time of randomization 7. Any condition that would represent a contraindication for cerebrolysin administration, including allergy 8. Pregnancy or lactation 9. Participation in another therapeutic study of stroke or stroke recovery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional activity of the upper limbs is measured using the Action Research Arm Test (ARAT) on the 14th day after the start of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcome measures are assessed on day 15: 1. The severity of neurological deficit measured using the NIH Stroke Scale/Score (NIHSS) scale 2. Daily life activity measured using the Barthel scale (and Rankin scale) 3. Cognitive functions measured using the Mini-Mental State Examination (MMSE) scale (or Functional Independence Measure (FIM), Montreal Cognitive Assessment (MoCA)) 4. Functional activity of the upper limbs measured using the ARAT 5. Electrical activity of the muscles measured using electromyography (EMG) | — |
Countries
Azerbaijan