Motor Disorder, Stroke
Conditions
Keywords
Motor Network, Resting-state fMRI, Repetitive Transcranial Magnetic Stimulation, Transcranial Direct Current Stimulation
Brief summary
Repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) has been used for the modulation of stroke patients' motor function by altering the cortical excitability. Recently, more challenging approaches, such as stimulation of two or more sites or use of dual modality have been studied in stroke patients. In this study, simultaneous stimulation using both rTMS and tDCS (dual-mode stimulation) over bilateral primary motor cortices (M1s) was investigated to compare its modulatory effects with single rTMS stimulation in subacute stroke patients.
Detailed description
Investigators assessed each patient's motor function using the Fugl-Meyer Assessment (FMA) score and acquired their resting-state fMRI (rs-fMRI) data at two times: prior to stimulation and 2 months after stimulation. Changes in rs-fMRI network measures were investigated between groups.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* First-ever stroke patients * Subacute stage (less than 4 weeks) * Total Fugl-Meyer Assessment (FMA) score under 84
Exclusion criteria
* Major active neurological disease or psychiatric disease * A history of seizure * Metallic implants in their brain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neuroimaging Assessment | Change from baseline resting-state brain network at 8 weeks after intervention | Resting-state fMRI |