Early Upper Limb Rehabilitation With EEG-Neurofeedback After Stroke

What this Trial Is About

This research aims to evaluate the effect of early rehabilitation using electroencephalographic (EEG) neurofeedback on upper limb motor function in adults who have recently had a stroke. The study compares two groups: one receiving EEG neurofeedback combined with traditional rehabilitation, and a control group receiving sham EEG neurofeedback alongside the same traditional rehabilitation. The trial focuses on improving motor function after ischemic or hemorrhagic stroke with upper limb deficits. Participants receive treatment in a quiet room where an EEG headset with 32 electrodes is placed. During sessions lasting 24 minutes, patients concentrate on their affected arm and imagine its movement without actual motion. The experimental group receives visual feedback of a virtual hand moving on a screen and haptic feedback through wrist vibrations based on brain activity, while the control group receives randomly generated feedback. Both groups continue traditional rehabilitation throughout the study. Participants are assessed using various motor function tests, including the Fugl-Meyer Assessment for upper extremity function at 28 days, along with range of motion, grip strength, arm use logs, and functional independence scales at 28 days and 3 months. Brain activity is monitored using EEG and fMRI scans to evaluate cerebral activation changes. Researchers also gather feedback on the acceptability of the neurofeedback protocol from healthcare professionals. The study is randomized and triple-blinded, with follow-up assessments lasting up to 3 months after treatment.

earlY Upper Limb Rehabilitation WIth EEG-Neurofeedback After Stroke