Mirror Therapy, Stroke, Transcranial Magnetic Stimulation
Conditions
Brief summary
Stroke patients often have long-term upper limb dysfunction. Currently, there is still no specific clinical treatment for nerve damage. After acute treatments of stroke, patients' motor ability can only improve by spontaneous recovery of brain and rehabilitation treatment. Transcranial magnetic stimulation uses a magnetic field pulse generated by a coil outside the skull to pass through the skull. It uses the principle that magnetic electricity can generate currents, which activates nearby brain areas or changing the relationship between the left and right brains. Transcranial magnetic stimulation is a non-invasive, safe treatment. Mirror therapy is an emerging rehabilitation method in recent years. As mirror therapy, therapists ask the patient to place the affected hand behind the mirror while looking at the image reflected by the unaffected upper limb. During mirror therapy, patients have to perform upper limb activities and imagine that the affected upper limb is performing the same action. As mentioned above, transcranial magnetic stimulation and mirror therapy improve the recovery of stroke patients by two different ways. Currently, there are no studies that combine these two treatments. Therefore, our study hopes to initially explore the efficacy of transcranial magnetic stimulation and the efficacy of transcranial magnetic stimulation combined with mirror therapy.
Interventions
DEVICEtranscranial magnetic stimulation
repetitive transcranial magnetic stimulation at both cerebral hemisphere
Sponsors
Cheng-Hsin General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* at least 1 month after stroke * manual muscle strength \< 5
Exclusion criteria
* history of epilepsy * has other central nervous system diseases * has electric medication pump * has implant at inner ear
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment (FMA) - upper extremity | week 0, week 6, week 12 | FMA would be recorded for evaluate patients' motor function of hand. |
| Nine-hole peg test | week 0, week 6, week 12 | Nine-hole peg test would be used to measure finger dexterity. |
| Action research arm test | week 0, week 6, week 12 | Action research arm test would be used to assess upper extremity performance including coordination, dexterity and functioning. |
| Box and block test | week 0, week 6, week 12 | Box and block test would be used to assess unilateral gross manual dexterity. |
| Functional independence measurement | week 0, week 6, week 12 | Functional independence measurement would be recorded to assess a patient's level of disability as well as a change in patient status in response to rehabilitation or medical intervention. |
Contacts
Primary ContactJou Yu Lin
Outcome results
None listed