Actively Recruiting

Phase Not Applicable
Age: 55Years - 65Years
All Genders
NCT06388954

Plasticity Biomarkers,Interleukin-6 and Motor Performance in Response to Vagus Nerve Stimulation After Stroke

Led by Cairo University · Updated on 2025-05-13

80

Participants Needed

1

Research Sites

50 weeks

Total Duration

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AI-Summary

What this Trial Is About

Seventy-eight clinically verified Egyptian patients from both sexes with ischemic stroke that occurred at least 6 months to 2 years before inclusion will be randomly assigned into 2 groups, control group (GA) and the experimental group (GB). Patients will be randomly assigned into two equal groups: the control group (GA) and the experimental group (GB). Patients in the control group (GA) will be treated with sham Vagus nerve stimulation (taVNS) immediately before a selected physical therapy program, while in the experimental group (GB), patients will receive real transcutaneous auricular Vagus nerve stimulation (taVNS) followed by the same selected physical therapy program as (GA). Plasma level of Brain-Derived Neurotrophic Factors (BDNF) and Interleukin-6 (IL-6), Box and Blocks Test (BBT), and modified Ashworth scale (MAS) will be assessed at baseline and immediately post-treatment.

CONDITIONS

Official Title

Plasticity Biomarkers,Interleukin-6 and Motor Performance in Response to Vagus Nerve Stimulation After Stroke

Who Can Participate

Age: 55Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Hemiparetic patients with ischemic middle cerebral artery stroke
  • Stroke occurred at least 6 months and up to 2 years before inclusion
  • Age between 55 and 65 years
  • Unilateral upper limb motor impairment
  • Able to transfer at least one block in the Box and Blocks Test
  • Sufficient cognitive ability to understand and follow instructions
  • Upper limb spasticity grade between 1 and 2 on Modified Ashworth Scale
Not Eligible

You will not qualify if you...

  • Other neurological diseases affecting upper limb function (e.g., multiple sclerosis, peripheral neuropathy, Parkinsonism)
  • Hemorrhagic stroke
  • Visual or auditory impairments affecting test completion
  • Cognitive impairment
  • Cardiovascular, pulmonary, or kidney disorders
  • Musculoskeletal disorders such as scoliosis, kyphosis, or severe arthritis
  • Severe spasticity (Modified Ashworth Scale score 3 or higher)
  • Previous surgical intervention on the vagus nerve or taVNS contraindications
  • Low blood pressure (<100/60 mmHg) or low heart rate (<60 bpm) or high blood pressure (>220/130 mmHg)
  • Presence of pacemaker or other implanted electrical devices
  • Current or past cardiovascular disorders
  • Facial or ear pain
  • Recent ear trauma

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Faculty of Physical Therapy, Cairo University

Giza, Dokki, Egypt, 11432

Actively Recruiting

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Research Team

E

Engy B Saleh, PhD

CONTACT

M

Moshera H. Darwish, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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