Status:

COMPLETED

Repetitive Transcranial Magnetic Stimulation in Post Stroke Upper Limb Spasticity

Lead Sponsor:

Izmir Katip Celebi University

Conditions:

Spasticity as Sequela of Stroke

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The reticulospinal pathway (RSP) is at the center of spasticity mechanism. The RSP indirectly synapses with motor neurons via interneurons in the ventromedial intermediate zone in both halves of the s...

Detailed Description

Spasticity is a disorder characterized by increase in velocity-related muscle tone as a part of upper motor neuron syndrome. Although the mechanisms underlying stroke-related spasticity have not been ...

Eligibility Criteria

Inclusion

  • ≥ 18 years
  • Stroke history ≥ 1 year
  • Having a first stroke
  • Grade 2 or 3 muscle tone according to the Modified Ashworth Scale (MAS) assessment in at least one of the elbow, wrist and finger flexors
  • Signed consent to participate in the study

Exclusion

  • To have a clinical condition (metallic implant, cardiac pace, pregnancy, breastfeeding, claustrophobia, epilepsy, head trauma, cranial operation history) that will constitute a contraindication to transcranial magnetic stimulation
  • Presence of malignancy
  • Pregnancy or breastfeeding
  • Non-stroke disease or lesion affecting the sensorimotor system
  • Presence of pump/shunt
  • Advanced cognitive impairment
  • To have been rehabilitated in the last 3 months
  • Botulinum toxin injection in the last 3 months
  • Taking systemic antispastic drugs (Patients taking these drugs may be included in the study after a period of at least 3 times the half-life of the drug used if they agree to quit)
  • Previously treated with TMS

Key Trial Info

Start Date :

September 9 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 27 2021

Estimated Enrollment :

37 Patients enrolled

Trial Details

Trial ID

NCT04063995

Start Date

September 9 2019

End Date

June 27 2021

Last Update

April 1 2022

Active Locations (1)

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1

İlker Şengül

Izmir, Turkey (Türkiye), 35360