Status:

COMPLETED

Effects of Priming Intermittent Theta Burst Stimulation on Upper Limb Motor Recovery After Stroke: A Randomized Controlled Trial

Lead Sponsor:

The Hong Kong Polytechnic University

Conditions:

Stroke

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

The aim of this study is to investigate the effects of intermittent theta burst stimulation primed with continous theta burst stimulation (cTBS), on top of a standard robot-assisted training (RAT) on ...

Detailed Description

Intermittent theta burst stimulation (iTBS) delivered to the affected primary motor cortex (M1) appears to enhance the brain response to rehabilitative intervention in patients with stroke. However, i...

Eligibility Criteria

Inclusion

  • with a diagnosis of a unilateral ischemic or hemorrhagic stroke;
  • with stroke onset more than 6 months;
  • from 18 to 75 years old;
  • with mild to moderate impairment of upper limb functions due to stroke, measured using the Hong Kong Version of the Functional Test for the Hemiplegic Upper Extremity (FTHUE-HK) from level 2 to level 7;
  • be able to understand verbal instruction and follow one-step commands;
  • be able to give informed consent to participate;

Exclusion

  • any contraindications to rTMS/TBS, such as unstable medical condition, history of epileptic seizures, metal implants in vivo (eg, pacemaker, artificial cochlear, and implant brain stimulator), and a history of receiving craniotomy;
  • previous diagnosis of any neurological disease excluding stroke;
  • presence of any sign of cognitive problems (Abbreviated mental test Hong Kong version \< 6/10);
  • patients with extreme spasticity in any hemiplegic upper limb joint (Modified Ashworth score \> 2) or severe pain that hinder the upper limb motor training;
  • with other notable impairment of the upper limb affected by stroke, eg, recent fracture, severe osteoarthritis, congenital upper limb deformity
  • any sign of anxiety or depression, as assessed by the Hospital Anxiety and Depression Scale.
  • concurrent participation in an upper limb rehabilitation program or a medicine trial.

Key Trial Info

Start Date :

September 9 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 1 2021

Estimated Enrollment :

42 Patients enrolled

Trial Details

Trial ID

NCT04034069

Start Date

September 9 2019

End Date

August 1 2021

Last Update

August 30 2021

Active Locations (1)

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The Hong Kong Polytechnic University, Department of Rehabilitation Sciences

Hong Kong, Hong Kong