Stroke
Conditions
Keywords
tDCS, Stroke, Force, Spasticity, Gait, EMG, Isokinetic
Brief summary
Previous studies show that one session of tDCS allow to improve muscle strength in hemiparetic patients in anodal condition. We test a new electrods configuration : a anodale stimulation opposite to the cortical representation area of the injured hemisphere and a simultaneous stimulation opposite to the homonyme the cortical representation area of the healthy hemisphere. This approach seems to be the best relevant electrods configuration in order to restore the inter-hemispheric balance. We hypothesis that one session of tDCS with this electrods configuration allow to improve paretic quadriceps strength in hemiparetic patients after stroke.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* written consent * hemiparetic patient after stroke in chronic phase (\> 6 months) * capacity to walk with or without technical assistance * following rehabilitation program for lower limbs
Exclusion criteria
* patient with bilateral brain lesion, cerebellar syndrom, and apraxia and/or aphasia * previous orthopedic surgery in paretic lower limb (\<6 moths) * usual tDCS contraindications * pregnant woman
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| maximum voluntary isometric strength of knee extensors | 2 hours | The maximum voluntary isometric strength of paretic knee extensors will be evaluated with a isokinetic dynamometer, which measure peak torque. |
Secondary
| Measure | Time frame |
|---|---|
| Resistive peak torque during passive knee flexion | 2h |
| Angle related to the resistive peak torque generation of the knee extensors | 2h |
| Amplitude of the interpolation twitch | 2h |
| EMG activation of the knee flexors and extensors during the strength evaluations (active and passive) | 2h |
| Functional evaluation of the gait performance and balance | 2h |
Countries
France