Hemiplegic stroke patients with ischemic or hemorrhagic stroke Stroke, Cerebrovascular accident, Intermittent theta-burst stimulation (iTBS), Task-oriented training (TOT), Upper limb, Motor function
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. First-ever unilateral ischemic or hemorrhagic stroke in the territory of the middle cerebral artery documented by computed tomography (CT) or magnetic resonance imaging (MRI). 2. Patients who will present within 1 month and 6 months post-stroke will be enrolled. 3. Age 18-80 years 4. Both genders (i.e., male and female) 5. A National Institute of Health Stroke Scale (NIHSS) of 1 to 15 points at enrollment (Vanacker et al., 2016). 6. Ability to provide written informed consent and comprehend instructions.
Exclusion criteria
Exclusion criteria: 1. A large area of cerebral infarct or hemorrhage in the frontal or temporal lobe. 2. Major circulatory, respiratory disease, pregnancy, neurological disease/deficit other than stroke. 3. Severe limb orthopedic conditions. 4. Malignancy 5. Recent use of drugs that alter cortical excitability (e.g., sedatives, antidepressants) 6. History of seizure attack, dementia, cognitive impairment, or other neurodegenerative diseases. 7. Any contraindication to TMS or MRI (e.g., pacemakers in the heart or metallic objects in the head).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Motor function 4 week Fugl-Meyer Assessment Scale for Upper Extremity, Modified Barthel Index, National Institute of Health and Stroke Severity Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Motor function 4 week Fugl-Meyer Assessment Scale for Upper Extremity, Modified Barthel Index, National Institute of Health and Stroke Severity Scale | — |
Countries
China
Contacts
Chongqing Medical University