Weakness on the upper limb function in individuals with subacute stroke Dual-mode brain stimulation, upper limb function, transcranial magnetic stimulation, Transcranial direct current stimulation/ Subacute stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Aged between 40-80 years; 2) First-ever subcortical ischemic or hemorrhagic stroke of the MCA within 1 to 6 months ; 3) Right-handedness ; 4)Mini-mental state examination scores (MMSE more than 23/30); 5) Independent sitting for at least an hour; 6) Able to reach-to-grasp at least once; 7) Able to communicate and follow the instructions
Exclusion criteria
Exclusion criteria: 1) Other diseases affecting on upper limb function (other neurological problems such as brain tumours and brain injury, and other musculoskeletal problems); 2) Contraindications of TMS and tDCS; 3) Pain during RTG ; 4) Visual disorders limiting the ability ; 5) Global aphasia; 6) Ideomotor apraxia; 7) Received tricyclic anti-depressants, neuroleptic agents, and other drugs that affected decreased seizure threshold; 8) History of receiving non-invasive brain stimulation within the washout period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Corticospinal excitability at baseline, intermediate, and follow-up 1 and 2 weeks after intervention Transcranial magnetic stimulation,kinematic reach-to-grasp movement at baseline, intermediate, and follow-up 1 and 2 weeks after intervention MotionMonitor system | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life at baseline, intermediate, and follow-up 1 and 2 weeks after intervention Stroke impact scale (SIS) | — |
Countries
Thailand
Contacts
Faculty of Physical Therapy, Mahidol University