Neurological Rehabilitation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subcortical or cortical Stroke (single event); Lower and/or upper limb paralysis; At least 3 months since the Stroke; Age between 18 and 80 years; Availability to use TMS equipment; Ability to understand and follow instructions
Exclusion criteria
Exclusion criteria: Absence of acute psychiatric or neurological condition other than stroke; Absence of cerebellar lesion or bilateral motor deficit; Not pregnant; Absence of claustrophobia; No epilepsy or use of epilepsy medication in the last 6 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected that chronic post-stroke patients in Group I will demonstrate a faster recovery of ipsilesional corticospinal tract integrity and motor function of the paralyzed limbs compared to patients in Group II, as verified through the application of the proposed protocol, which includes Functional Electrical Stimulation (FES) and neuromodulation techniques (tDCS, tACS, TMS) combined with BCI-controlled robotic devices, focusing on perilesional mu (µ, 8–12 Hz) and beta (ß, 13–30 Hz) rhythms. An increase in functional anisotropy and recovery of Motor Evoked Potentials (MEPs) in the paralyzed limbs is expected to be observed, along with direct evidence of modulation of mu and beta rhythms associated with the perilesional motor task in Group I compared to Group II (placebo), after a 4-week training period. | — |
Secondary
| Measure | Time frame |
|---|---|
| It is intended to invest in the development and implementation of future treatment protocols and to disseminate the results to the scientific community through the analysis of the primary outcomes obtained in this study. The study is expected to contribute to the development of new protocols and to accelerate the motor rehabilitation of post-stroke individuals with neuromotor dysfunctions affecting the upper and lower limbs, based on the elucidation of the functional role of brain oscillations related to the motor area. | — |
Countries
BR
Contacts
Universidade Federal do Espírito Santo