Stroke Clinical Trial
Official title:
Epidural Electrical Stimulation for Stroke Patients - Improve Motor and Sensory Function and Alleviate Pain
This study aims to verify whether epidural electrical stimulation (EES) of the cervical spinal cord can activate muscles of the upper limbs in people with hemiplegia following a stroke.
Status | Recruiting |
Enrollment | 20 |
Est. completion date | December 31, 2026 |
Est. primary completion date | December 31, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 70 Years |
Eligibility | Inclusion Criteria: - Between 20 and 70 years of age - First-ever clinical manifest stroke - Right or left hemiparesis - Scores higher than 7 and lower than 45 on the Fugl-Meyer scale. - Expected will undergo spinal cord stimulation surgery. - Able to comply with procedures and follow up. - Stable medical condition without cardiopulmonary disease or dysautonomia that would contraindicate participation in upper extremity rehabilitation or testing activities. Exclusion Criteria: - Pregnancy or breast feeding. - Have Major depressive disorder. - Had a mental illness within one year or been treated in the past. - Have significant cognitive impairment (MMSE<24) or serious disease that could affect the ability to participate in study activities. - Cardiovascular or musculoskeletal disease or injury that would prevent full participation in physical therapy intervention. - Receiving anticoagulant, anti-spasticity or anti-epileptic medications prior to or throughout the duration of the study. - Unable to read and/or comprehend the consent form. - Have concerns about this trial and do not sign consent. - Presence of joint contractures deemed by study clinician/investigator to be too severe to participate in study activities. |
Country | Name | City | State |
---|---|---|---|
Taiwan | Buddhist Tzu Chi Medical Foundation Hualien Tzu Chi Hospital | Hualien City |
Lead Sponsor | Collaborator |
---|---|
Buddhist Tzu Chi General Hospital |
Taiwan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in motor functioning and sensation as measured by the Fugl-Meyer Assessment (FMA) | The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based impairment index. It is main assesses motor functioning and sensation in patients with post-stroke hemiplegia. It is applied clinically and in research to determine disease severity, describe motor recovery, and plan and assess treatment. The upper extremity motor function score ranges from 0 to 66. | Time Frame: Baseline; at 1 - 4 - 7 - 13 - 19 - 25 months after the implantation | |
Primary | Change dexterity of the upper limb as measured by the Action Research Arm Test (ARAT) | Use the Action Research Arm Test (ARAT) assessment to quantify functional hand and arm dexterity. The score ranges from 0 to 57, with a higher value indicating better function. | Time Frame: Baseline; at 1 - 4 - 7 - 13 - 19 - 25 months after the implantation | |
Secondary | Change in Quality of Life (QOL) as measured by the World Health Organization Quality of Life (WHOQOL-BREF) | The WHOQOL-BREF is a self-administered questionnaire comprising 26 questions on the individual's perceptions of their health and well-being over the previous two weeks. Responses to questions are on a 1-5 Likert scale where 1 represents "disagree" or "not at all" and 5 represents "completely agree" or "extremely". , The higher the score, the better the quality of life | Baseline; at 1 - 4 - 7 - 13 - 19 - 25 months after implantation | |
Secondary | Change in spasticity as measured by the Modified Ashworth Scale (MAS) | Quantify spasticity scores using the Modified Ashworth Scale (MAS) for the shoulder, elbow, and wrist. The muscle tension is divided into 0-4 grades. The lower the score, the closer to normal. The higher the score, the more severe the spasticity. | Time Frame: Baseline; at 1 - 4 - 7 - 13 - 19 - 25 months after the implantation |
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