Occupational Therapy Clinical Trial
Official title:
The Effects of Combining Transcranial Direct Current Stimulation (tDCS) With VR-based Motor Training in Hemiparetic Stroke Patients
Stroke represents one of the main causes of adult disability and will be one of the main
contributors to the burden of disease in 2030. However, our healthcare systems do not have
enough resources to cover the current demand let alone its future increase. There is a need
to deploy new approaches that advance the current rehabilitation methods and enhance their
efficiency.
One of the latest approaches used for the rehabilitation of a wide range of deficits of the
nervous system is based on virtual reality (VR) applications, which combine training
scenarios with dedicated interface devices. On the other hand, recent studies have shown the
potential of transcranial direct current stimulation (tDCS) to restore motor function in
hemiparetic stroke patients. It must be emphasized, however, that so far little work exists
on the quantitative assessment of the clinical impact of VR based approaches in combination
with tDCS protocols. We hypothesize that the combination of VR-based motor rehabilitation
protocols with concurrent anodal tDCS can boost functional recovery, and may achieve superior
effects when compared to 3 alternative treatments: 1) VR without tDCS, 2) occupational
therapy with tDCS, and 3) occupational therapy without tDCS.
The findings derived from this study will contribute to establish a novel and superior
neurorehabilitation paradigm that can accelerates the recovery of hemiparetic stroke
patients. Besides the clinical impact, such achievement could have relevant socioeconomic
impact.
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