Stroke Clinical Trial
Official title:
Pilot Study to Evaluate the Efficacy and Safety of rTMS Associated With Rehabilitation for the Improvement of the Functionality of the Upper Extremity in Stroke
The rehabilitation of the upper limb after a stroke is a challenge due to its complexity and
the important cerebral representation of it, particularly of the hand. Repetitive
transcranial magnetic stimulation (rTMS) is a tool that can broaden the effect of
rehabilitation and thus appears to be observed in different studies performed in patients in
chronic phase. However, there are little data on its usefulness before 6 months after the
stroke. The variability in the presentation, the fact that it is a phase where the motor
deficit of the upper limb coexists with other deficits and medical problems partly explain
the lack of specific studies.
The investigators present here a preliminary study on the efficacy of rTMS associated with
the rehabilitation program of the paretic upper extremity due to a stroke in comparison with
sham rTMS. Patients (with moderate to mild involvement) will be randomly distributed in the
two study groups and will be evaluated both clinically and neurophysiologically before and
after the sessions to try to demonstrate if there is a positive effect in a safe manner.
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