Tests brain stimulation with arm training after stroke
Tests brain stimulation combined with arm training in adults with stroke-related arm weakness.
Plain-language title generated from the registry record
Registry title: Neurophysiological and Behavioral Effects of Combining Transcranial Direct Current Stimulation (tDCS) and Modified-Constraint Induced Movement Therapy (mCIMT)
Key facts
- Where
- Riyadh, Saudi ArabiaSee the site
Where in Saudi Arabia
- King Saud University Medical CityRiyadh, Saudi ArabiaTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- King Saud University
- Trial code
- NCT06786000
- Record updated
- 22 January 2025
- Original description
This clinical trial aims to evaluate the effect of different types of tDCS modulation with mCIMT in improving affected upper-limb motor function for stroke patients. The main question it seeks to answer:Read full original descriptionShow less
Neurophysiological and Behavioral Effects of Combining Transcranial Direct Current Stimulation (tDCS) and Modified-Constraint Induced Movement Therapy (mCIMT) on Upper Limb Function Recovery in Patients with Stroke
This clinical trial aims to evaluate the effect of different types of tDCS modulation with mCIMT in improving affected upper-limb motor function for stroke patients. The main question it seeks to answer:
Which type of tDCS (bi-hemispheric, anodal, or cathodal) combined with the mCIMT program leads to greater improvement in affected upper-limb function in patients with stroke? Researchers will compare these three types of tDCS to a sham tDCS. To see which kind of tDCS protocol combined with the mCIMT program will be more effective in improving affected upper-limb function for stroke patients.
Participants will:
1. Participants will receive 12 sessions of mCIMT combined with tDCS or mCIMT alone. 2. Visit the clinic three times a week for four weeks. 3. Participants will do fMRI and TMS before and after the program and three times of assessment before and after two weeks after the program.
Inclusion: Adult participants clinically diagnosed and confirmed by imaging of ischemic or hemorrhagic cerebrovascular accident (Dahl et al., 2008; Jin et al., 2019); Participant's age older than 18 years (Baltar et al., 2020); Stroke onset more than 3 months with unilateral motor deficits (Lin et al., 2010); Adequate cognitive function is required to follow instructions. The Arabic version of the Mini Mental State Examination (MMSE) should be ≥24 (Kim, 2021); 10° of active extension to the metacarpophalangeal and interphalangeal joints and 20° at wrist will be assessed by manual goniometer (Dahl et al., 2008); Fugl-Meyer assessment (FMA) scores between 19 and 58, indicating moderate to mild impairments; Not participating in other clinical, or research studies at the same time.
Exclusion: Other neurologic or orthopedic conditions that may affect hand function; Unstable medical conditions; Severe muscle spasticity at the affected limb at all joints (the Modified Ashworth Scale scores > 3) (Baltar et al., 2020); Contraindications to NIBS (Bornheim et al., 2019); Unilateral neglect (Dahl et al., 2008).