Stroke
Conditions
Brief summary
The aim of this study is to determine whether noninvasive brain stimulation in form of active transcranial direct current stimulation (tDCS) combined with constraint induced movement therapy (CIMT) offers an additional benefit as compared with sham tDCS combined with CIMT in patients with stroke. Furthermore the purpose is to highlight changes in GABA activity more than 3 months after stroke and its importance for effect of tDCS and CIMT combined with tDCS.
Interventions
Anodal transcranial Direct Current Stimulation 1.5 mA in 30 minutes with CIMT
sham transcranial Direct Current Stimulation 30 min with CIMT
2 weeks of CIMT
Sponsors
Study design
Eligibility
Inclusion criteria
* stroke onset \>3 months prior to study enrollment * subject has at least 10 degrees mobility over wrist, thumb and fingers on the affected side * subject can move, stand up and stand firmly with constrained healthy hand * subject can perform training 6 hours daily in 2 weeks * subject is able to understand instructions and be able to cooperate
Exclusion criteria
* pregnancy * contraindications to MRI of brain * epilepsy, major psychiatric disease * excessive pain that prevents training * history of other diseases resulting decreased mobility of affected upper limb
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Upper Limb function | Baseline and posttest (an average of 2 weeks from baseline) | The motor function assessment will be done with: Wolf Motor Function Test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| GABA (gamma-aminobutyric acid) activity | Baseline | Assessment of GABA activity using MRI spectroscopy. Measurements will be compared between patients undergoing CIMT and healthy subjects. |
Countries
Denmark