Individualized rTMS Protocol for Stroke Recovery
Development and Efficacy Evaluation of Individualized rTMS Protocol for Stroke Recovery
1 other identifier
interventional
170
1 country
1
Brief Summary
This study aims to develop individualized therapeutic protocol to improve stroke recovery and fits the scheme of Mechanisms, biomarkers, and treatment strategies for stroke, aging, and Parkinson's disease by advanced EEG analysis and transcranial magnetic stimulation technique.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable stroke
Started Apr 2016
Longer than P75 for not_applicable stroke
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 27, 2016
CompletedStudy Start
First participant enrolled
April 1, 2016
CompletedFirst Posted
Study publicly available on registry
February 4, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2019
CompletedFebruary 4, 2019
January 1, 2019
3.7 years
January 27, 2016
January 31, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
The changes of Fugl-Meyer Assessment of Physical Performance (FM)
a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia
upon recruitment, after 24 weeks of rehabilitation treatment
The changes of upper extremity performance evaluation test for the elderly (TEMPA)
a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia
upon recruitment, after 24 weeks of rehabilitation treatment
The changes of Wolf Motor Function Test (WMFT)
a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia
upon recruitment, after 24 weeks of rehabilitation treatment
Study Arms (2)
healthy control
EXPERIMENTALThis group does not undergo any treatment . Intervention : rTMS
stroke patient
EXPERIMENTALthis group undergoes rehabilitative therapy. It is a 24-week program and stroke patients practice the physical exercise for 1 hour each time. The intensity is three times a week. Intervention : rTMS
Interventions
Magnetic stimulation will be given using a hand-held figure-of-eight coil with an median winding diameter of 70 mm or a cone coil (Magstim Co., Whitland, Dyfed, UK) connected to one Magstim Rapid2 Package (Magstim Co., UK). The figure-of-eight coil will be placed tangentially to the scalp with the handle pointing backwards, which is thought to preferentially activate the corticospinal cells trans-synaptically (Kaneko et al., 1996), while the cone coil will be placed along the anterioposterior axis to induce a posterior-to-anterior current in the cortex.
Eligibility Criteria
You may qualify if:
- first-ever stroke
- in subacute stage (between 1-3 months after stroke onset)
- monohemispheric ischemic stroke
- able to follow the command of the shoulder flexion
- mild to moderate paresis in the upper limb (the motor arm score of National Institute of Health Stroke Scale (NIHSS) = 1 \& 2 out of 4, where 4 = no movement)
You may not qualify if:
- being less than 20 years or over 75 years of age
- history of seizures or epileptiform discharges on electroencephalogram (EEG)
- pregnancy
- aphasia, apraxia, and concomitant neurological diseases or other severe medical diseases (e.g., sepsis, malignancy, hepatic or renal failure).
- having a pacemaker, an implanted medication pump, a metal plate in the skull, or metal objects inside the eye or skull (for example after brain surgery or a shrapnel wound)
- taking tricyclic antidepressants, neuroleptic agents and other drugs that lower the seizure threshold
- Insulin dependent diabetes
- Thyroid disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ying-Zu Huang
Taoyuan District, 333, Taiwan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 27, 2016
First Posted
February 4, 2019
Study Start
April 1, 2016
Primary Completion
December 1, 2019
Study Completion
December 1, 2019
Last Updated
February 4, 2019
Record last verified: 2019-01