Chronic Stroke with severe upper limb paresis
Conditions
Interventions
OT combined with Beta-tACS with the intensity of 1.1mA, for 20 min followed by OT single treatment for 40 min
In the control, only ramp up-down current will be applied through the same setting
Sponsors
Dept, Rehabilitation Medicine, Kyorin university school of medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Gait and ADL independent 2. No remarkable cognitive problem 3. age between 20-80 4. chronic stage more than 6 month (180 days) 5. first-ever stroke presenting with hemi-paresis 6. SIAS finger score more than 1b 7. SIAS UE proximal score more than 2 8. No severe contracture 9. Outpatient rehab program possible
Exclusion criteria
Exclusion criteria: 1. Cortical lesion 2. Post operative at brain or spinal cord 3. severe skin trouble 4. metal implant 5. Seizure 6. Medication that affect brain function 7. pregnancy 8. Adverse effect to tACS, tDCS or TMS 9. Severe internal organ issue 10. physical treatment impossible dues to inflammation or orthopaedic issue 11. severe cognitive problem
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Questionnaire Muscular output during sessions POMS2 Heart rate variability | — |
Secondary
| Measure | Time frame |
|---|---|
| Stroke impairment/functional assessments: SIAS, FMA, MAL-14, MAS, sensory assessments (SWMT, thumb localizing, 2-pt discrimination, tuning-fork) Neurophysiology: EEG-change, Muscular output(detailed assessment with surface EMG), H-reflex and reciprocal inhibition, SEP | — |
Countries
Japan
Contacts
Public ContactSyoichi Tashiro
same same
Outcome results
None listed