Stroke Clinical Trial
Official title:
Movement Velocity Effect on Cortical Reorganization and Finger Function in Stroke
Aim 1. Determine whether higher-velocity finger tracking training improves hand function more
than slower velocity training. Working hypotheses: The higher-velocity training will have
significantly greater functional improvement compared to the lower-velocity training, as
measured by standardized upper extremity functional tests (Jebsen Taylor test, Box & Block
Test, and Finger extension force test)
Aim 2. Ascertain whether higher-velocity finger tracking training differentially induces
cortical reorganization as compared to lower-velocity finger tracking training.
Working hypotheses: The higher-velocity training will have significantly greater cortical
reorganization compared to the lower-velocity training, as measured by:
1. TMS - increased amplitude of motor evoked potentials (MEP) from paretic extensor
digitorum muscle in response to paired-pulse TMS to ipsilesional primary motor area
(M1).
2. fMRI - increased volume of activation, signal intensity, and laterality of ipsilesional
M1.
Aim 3. Explore whether the functional improvements correlate with the cortical
reorganization. Working hypotheses: The functional improvements will correlate with the
cortical reorganization.
n/a
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