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Stroke clinical trials

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NCT ID: NCT02564328 Recruiting - Stroke Clinical Trials

Autologous Bone Marrow Mesenchymal Stem Cell Transplantation for Chronic Ischemic Stroke

Start date: November 2014
Phase: Phase 1
Study type: Interventional

Stroke is a frequently occurring and common diseases in nervous system,and most of the survivors will remain disorders of motor,sensory and cognition function.Stem cell transplantation provides a promising approach for rehabilitation. The main objective of this study is to evaluate the efficacy and safy of the transplantation of autologous bone marrow mesenchymal stem cells in patients with chronic stroke.

NCT ID: NCT02563886 Active, not recruiting - Clinical trials for Cerebrovascular Accident

Electrically Assisted Movement Therapy

EAMT
Start date: September 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to determine whether intensive, focused training of the affected upper extremity after stroke results in long-term functional gains in moderately-to-severely paralyzed patients, more than 6 months after their vascular accident. During the course of therapy, user's attempts to move and complete exercises are assisted by neuromuscular electrical stimulation.

NCT ID: NCT02563431 Completed - Stroke Clinical Trials

Multi-disciplinary Prevention Program

4P-ED
Start date: July 9, 2012
Phase: N/A
Study type: Interventional

About 70% of hemiplegic patients suffer from hemiplegic shoulder pain after stroke. This common occurrence is a cause for concern in the rehabilitation setting as it leads to impairment of functional outcomes induced by discomfort and delays in rehabilitation, important psycho-emotional repercussions as there is a correlation between upper arm pain and depression, a longer hospital stay. Poor management of hemiplegic shoulder pain can ultimately give rise to type 1 "complex regional pain syndrome" (CRPS I). There is no consensus on treatment, care pathways or useful devices for positioning acute stroke patients in the literature. Our objective is to compare the effectiveness of a new positioning procedure of the hemiplegic arm with conventional positioning (pillow and "shoulder-immobilisation" sling) in acute stroke patients. Patient's actions are focus in 4 points: - Positioning in bed, wheelchair and standing with specific materials (holds, sling in external rotation and abduction) - Be careful of shoulder's coaptation in care and functional activities (toilet, dressing, transfers) - A training of the patient and members of family on pathology, risk, use of material - Daily passive mobilisation of the upper member by a therapist.

NCT ID: NCT02560935 Completed - Stroke Clinical Trials

Primary Prevention of Stroke in Children With SCD in Sub-Saharan Africa II

SPRING
Start date: July 19, 2016
Phase: Phase 3
Study type: Interventional

The overall goal of this proposal is to conduct a partial double-blind randomized Phase III clinical trial for primary stroke prevention in children with sickle cell anemia (SCA) in sub-Saharan Africa.

NCT ID: NCT02559739 Completed - Stroke Clinical Trials

Sleep Deficiency and Stroke Outcome

Start date: July 2015
Phase:
Study type: Observational

Deficient sleep duration and sleep disturbances - such as insomnia, sleep disordered breathing (SDB) and restless legs syndrome (RLS)- are associated with hypertension and cardio-cerebrovascular morbidity and mortality. Several studies suggest that sleep disorders are frequent after stroke and detrimental for stroke outcome. However, more prospective studies in a large unselected sample of stroke survivors are needed to better investigate the short- and long-term consequences of sleep disturbances on mortality and occurrence of new cardio-cerebrovascular events. Also their pathophysiological mechanisms and their influence on stroke recovery should be better understood. Therefore, the aim of this study is to assess the impact of sleep deficiency and sleep fragmentation on the frequency of new cerebro- and cardiovascular events and death after stroke or transient ischemic attacks, and clinical outcome within one and two years after stroke. The working hypotheses are that stroke survivors with sleep deficiency and sleep fragmentation due to insomnia, sleep-disordered breathing or restless leg syndrome will present: (1) higher mortality from all causes and higher frequency of new cardio-/ cerebrovascular events; and (2) a less favorable clinical outcome. Outcomes will be compared between patients with and without sleep deficiency and fragmentation. Since current clinical practice in cerebrovascular patients does not sufficiently consider sleep disorders in patient's management, this study can help to bring attention to a still overlooked medical problem and change the current standard of management of stroke survivors.

NCT ID: NCT02559596 Withdrawn - Stroke Clinical Trials

Reactivation of Varicella Zoster Virus and Risk of Vascular Disease

Start date: June 2015
Phase:
Study type: Observational

The purpose of this study is to investigate whether there is an association between stroke or heart attack and reactivation of varicella zoster virus, measured by antibody levels, using linked data from the Health Survey for England and secondary care.

NCT ID: NCT02559232 Completed - Stroke Clinical Trials

An Observational Cross-sectional Study Evaluating the Use of Re-sources and the Sociodemographic and Clinical Characteristics of Patients Diagnosed With Non-valvular Atrial Fibrillation With a Risk of Stroke or Systemic Embolism on Anticoagulant Therapy and Treated in Primary Care Centers

BRONCE-AP
Start date: September 2015
Phase: N/A
Study type: Observational

This is a retrospective observational study to describe the sociodemographic and clinical characteristics of patients diagnosed with non-valvular atrial fibrillation (NVAF) at risk of stroke or systemic embolism, who at least three months ago changed their anticoagulant therapy, due to any clinical situation, and are currently on treatment with a direct oral anticoagulant (DOAC)

NCT ID: NCT02557737 Recruiting - Clinical trials for Cerebrovascular Accident

Botulinim Toxin Type A Injections by Different Guidance in Stroke Patients With Spasticity on Upper Extremities

Start date: September 2012
Phase: Phase 3
Study type: Interventional

The aims of this study were to compare the injection locations of key spastic muscles on upper extremity by three different guidance localization methods ( surface anatomy landmark, ultrasonography, electric stimulation) and the effectiveness.

NCT ID: NCT02557711 Not yet recruiting - Clinical trials for Cerebrovascular Accident

The Findings of Ultrasound Elastography and ARFI in Strokes Patients With Spastic Elbow Flexor

Start date: June 2016
Phase: N/A
Study type: Observational

The aim of this study: 1. To evaluate the correlation between the clinic tools and ultrasound elastography/ ARFI imaging in stroke patients. 2. To assess the reliability of elastography/ ARFI imaging in spasticity evaluation of stroke patients.

NCT ID: NCT02556385 Completed - Stroke Clinical Trials

Effects of rTMS Based on Brain Activation During Language Performance in Stroke Patients With Non-fluent Aphasia

Start date: October 2015
Phase: N/A
Study type: Interventional

The aim of this study is to assess the safety and clinical efficacy of high or low-frequency repetitive transcranial magnetic stimulation based on brain activation with functional near infrared spectroscopy in poststroke nonfluent aphasia patients.