Stroke, Ischemic Clinical Trial
Official title:
Multicenter Study on the Efficacy of Transcranial Direct Current Stimulation (tDCS) in Post-stroke Motor Recovery
Several previous studies have used tDCS as a neuromodulation tool, showing improvements in
several diseases (Lefaucheur et al., 2017). Based on these observations, it is believed that
the use of tDCS in combination with specific motor training may provide the opportunity to
induce behavioral improvements in patients with motor deficits. As shown in previous reports
brain stimulation can, in fact, interact with the intrinsic ability of the brain to "repair"
damaged brain functions, increasing the involvement of compensatory functional networks and
thus inducing neuroplasticity. If these low-cost, easy-to-use stimulation techniques prove to
be useful in improving motor deficits with long-term effects, the current study would open up
new and interesting avenues in the field of neurorehabilitation. Given the potential
long-lasting effects of tDCS, there is currently a growing interest in the clinical sector
with the aim to reduce motor deficits in patients with brain injury. The most widely used
protocols in stroke patients include the application of either anodal on the hypsilesional
hemisphere or cathodal tDCS on the unaffected hemisphere (contralateral), so as to increase
and decrease the excitability of the motor cortex, respectively (Nitsche and Paulus, 2001).
The main objective of this study is to evaluate the effectiveness of transcranial direct
current stimulation in enhancing the functional recovery of the upper limb of stroke patients
after three weeks of neuromotor training and subsequent follow-up. The secondary objective is
to evaluate the treatment effects on balance, gait, motor dexterity and disability, besides
the functional recovery of the lower limb.
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