Stroke Clinical Trial
Official title:
Efficacy of Repetitive Transcranial Magnetic Stimulation of the Somatosensory Cortex on Motor Learning
The purpose of this study is to know the efficacy about the application of repetitive transcranial magnetic stimulation (rTMS) on the somatosensory cortex (S1) to enhance motor function in people with stroke.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | December 1, 2024 |
Est. primary completion date | December 1, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 90 Years |
Eligibility | Inclusion Criteria: - Having suffered an ischaemic or haemorrhagic stroke with more than 3 months of evolution - Presenting a score >21 points on the Mini-mental State Examination scale. Exclusion Criteria: - Severe impairment of upper limb motor function (<15 points on the Fugl-Meyer Assessment Upper Extremity scale) - Any contraindications to rTMS, such as metal implants, history of epileptic seizures or taking medication that lowers the seizure threshold - Previous history of neurological pathology. |
Country | Name | City | State |
---|---|---|---|
Spain | Neuron Chamberí | Madrid | |
Spain | Neuron Madrid Rio | Madrid |
Lead Sponsor | Collaborator |
---|---|
Neuron, Spain | Centro Superior de Estudios Universitarios La Salle |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in electroencephalographic activity | The electrical signal evoked by the motor cortex when realizing a movement. It will be measured with an electroencephalograph | Change from Baseline in electroencephalographic activity at 4 weeks | |
Secondary | Changes in Resting Motor Treshold | Electrophysilogic response of the motor cortex after a sensory stimulation. By placing the stimulator coil over the subject's motor cortex, an electrical pulse is passed to activate the upper motor neurons, generating a motor response that is recorded by electromyography in the subject's interosseous musculature. In this way, the excitability of the corticospinal tract can be measured by observing the latency recorded by electromyography. | Change from Baseline in Resting Motor Treshold at 4 weeks | |
Secondary | Changes in Motor learning | Ability to learn or demonstrate the ability to acquire, maintain, modify and control voluntary postures and movement patterns with a goal framed motor behaviour.One way to measure this in neurologically affected subjects is through motor dexterity, as it is a variable derived from motor learning that is more useful in the clinical setting. Because of this, Action Research Arm Test (ARAT) will be used. This test asses the motor dexterity of the patient by 4 subtest based on functional movements (grasping, holding, clamping and gross movement) | Change from Baseline in Motor learning at 4 weeks | |
Secondary | Changes in Sensitivity | It refers to the integration of information received by sensory receptors. It will be measured by the 2 points discrimination test, the Semmes-Weinstein monofilaments and the pinprick test, all of them applyed on tenar eminence of the subject. using an esthesiometer | Change from Baseline in Sensitivity at 4 weeks | |
Secondary | Changes in Esterognosia | It refers to the three-dimensional perception and recognition of an object through active touch. To assess sterognosia, the patient, with eyes closed, must recognise a set of objects presented randomly from the ulnar side of the hand and between the fingers and thumb. The objects used for the test are a pencil, a paper clip, a safety pin, a coin, a button, a pill, a rubber band, a string, a spoon, a bucket and a marble, andthe protocol by Van Heest, House and Putnam, 1993 will be used. | Change from Baseline in esterognosia at 4 weeks |
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