The effect of rTMS combined with other neurorehabilitation therapies is increasing area of research interest. The effects on walking speed and balance which are crucial for independent ambulation in chronic stroke patients are still inconclusive. non-invasive neuromodulation, stroke, walking speed, balance, transcranial magnetic stimulation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. First diagnosis of right hemiparesis secondary to stroke with right-handedness 2. Chronic stroke having an onset time longer than 6 months 3. Able to walk independently with or without devices 4. Montreal Cognitive Assessment score >10 (good to moderate cognitive impairment) 5. Electroencephalogram is no evidence of epileptic discharge 6. Participants should improve gait. 7. Age more than 18 years old
Exclusion criteria
Exclusion criteria: 1. Metal implants in the brain 2. Unstable medical condition 3. History of other disease known to interfere with study participation 4. History of seizure 5. No current use of antiepileptic medications for prevention of seizure 6. Severe communication problem
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| walking speed before pre-test, post-test and at 1-month follow-up. The GAITRite Electronic Walkway | — |
Secondary
| Measure | Time frame |
|---|---|
| Balance before pre-test, post-test and at 1-month follow-up. Berg balance test,walking cadence before pre-test, post-test and at 1-month follow-up. The GAITRite Electronic Walkway ,Cognitive before pre-test, post-test and at 1-month follow-up. Montreal Cognitive Assessment,Double support before pre-test, post-test and at 1-month follow-up. The GAITRite Electronic Walkway,Spatial asymmetry ratio before pre-test, post-test and at 1-month follow-up. The GAITRite Electronic Walkway,Temporal asymmetry ratio before pre-test, post-test and at 1-month follow-up. The GAITRite Electronic Walkway | — |
Countries
Thailand
Contacts
Navamindradhiraj University