TENS for Limb Function in Stroke: Design and Rationale for a Randomized Trial
Comparative Effects of 2Hz Versus 100Hz Transcutaneous Electrical Nerve Stimulation on Upper Limb Motor Function Post-Stroke: Design and Rationale for a Randomized Trial
1 other identifier
interventional
156
1 country
1
Brief Summary
This study tests whether slow or fast electrical nerve stimulation (TENS) works better to improve arm movement in people recovering from a stroke. Participants will receive TENS on their weak arm three times a week for eight weeks. The results will help find the best TENS setting to support stroke recovery.
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 Oct 2025
Typical duration 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
May 21, 2025
CompletedFirst Posted
Study publicly available on registry
May 30, 2025
CompletedStudy Start
First participant enrolled
October 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2028
August 28, 2025
August 1, 2025
2 years
May 21, 2025
August 22, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Fugl-Meyer Assessment for Upper Extremity (FMA-UE)
Assesses upper limb motor function in stroke patients, including shoulder, elbow, wrist, and hand movements. Scores range from 0 to 66, with higher scores indicating better motor function.
Baseline, Week 4, Week 8, 1-month follow-up, and 3-month follow-up
Secondary Outcomes (4)
Manual Muscle Testing (MMT) for Wrist Flexion and Extension
Baseline, Week 4, Week 8, 1-month follow-up, 3-month follow-up
Modified Ashworth Scale (MAS) for Wrist Flexor Spasticity
Baseline, Week 4, Week 8, 1-month follow-up, 3-month follow-up
Lindmark Motor Score - Grasp Function Subscale
Baseline, Week 4, Week 8, 1-month follow-up, 3-month follow-up
Barthel Index
Baseline, Week 4, Week 8, 1-month follow-up, 3-month follow-up
Study Arms (4)
2Hz TENS Group
EXPERIMENTAL100Hz TENS Group
EXPERIMENTALPlacebo TENS Group
PLACEBO COMPARATORNo-treatment Control Group
NO INTERVENTIONInterventions
Participants receive transcutaneous electrical nerve stimulation (TENS) at a frequency of 2Hz. The stimulation is delivered using surface electrodes placed on the affected upper limb. Each session lasts 30 minutes and is conducted three times per week for a total of 8 weeks. Intensity is gradually increased from 1 mA to 3 mA during each session.
Participants receive TENS at a frequency of 100Hz using the same electrode placement and schedule as the 2Hz group. Sessions last 30 minutes, three times weekly for 8 weeks, with intensity increasing from 1 mA to 3 mA across the session. This group represents high-frequency stimulation.
Participants use a TENS device identical in appearance to the active treatment units. The power light is on, but no electrical stimulation is delivered due to internal circuit disconnection. Sessions follow the same schedule and duration as the active groups.
Eligibility Criteria
You may qualify if:
- Age 18 to 85 years
- Clinical diagnosis of stroke (ischemic or hemorrhagic) within the past 10 days to 2 months
- Presence of voluntary movement in the non-paretic arm and at least minimal antigravity movement in the paretic shoulder
- At least 5 degrees of active wrist extension on the paretic side
- Able to provide informed consent
You may not qualify if:
- Uncontrolled medical, cardiovascular, or orthopedic conditions
- Contraindications to TENS (e.g., implanted cardiac pacemaker, skin allergies)
- Receptive aphasia preventing informed consent or cooperation
- Significant peripheral neuropathy affecting upper limbs
- Current participation in another clinical trial or drug study
- Severe contractures in the shoulder, elbow, wrist, or fingers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- CHENGNING Songlead
Study Sites (1)
Fuyong People's Hospital, Bao'an District, Shenzhen
Shenzhen, Guangdong, 529000, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Doctor
Study Record Dates
First Submitted
May 21, 2025
First Posted
May 30, 2025
Study Start
October 1, 2025
Primary Completion (Estimated)
September 30, 2027
Study Completion (Estimated)
September 30, 2028
Last Updated
August 28, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL