Combined tDCS+PNS After Acute Stroke
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Purpose
Recent work showed that application of peripheral nerve and cortical stimulation independently can induce 10-15 % improvement in motor performance in patients with chronic stroke.
The purpose of this study was to compare in post-stroke hemiplegic patients the effect on motor recovery of one session of anodal transcranial direct current stimulation to the ipsilesional primary motor cortex (M1) combined with a peripheral radial nerve electrical stimulation (rEPNS) to the paretic hand repeated 5 successive days with the effect of the same peripheral nerve stimulation combined with sham tDCS.
Design: randomized, double-blind, parallel controlled clinical trial. Patients eligible for the study: Acute ischaemic stroke Primary outcome measure: Jebsen Taylor test Secondary outcome measures Nine peg hole test Hand tapping grip and wrist force Cortical excitability of Ipsilesional M1(TMS) Follow-up: 30 days
| Condition | Intervention | Phase |
|---|---|---|
|
Acute Ischaemic Stroke |
Device: combined transcranial direct current stimulation and electrical peripheral nerve stimulation |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effect of Combined Anodal tDCS and Peripheral Nerve Stimulation on Motor Recovery in Acute Stroke |
- Jebsen Taylor test [ Time Frame: 5-15-30 days ] [ Designated as safety issue: No ]
- Grip and wrist force Nine peg hole Cortical excitability ofIpsilesional M1 (TMS) [ Time Frame: 5-15-30 days ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 20 |
| Study Start Date: | September 2010 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
-
Device: combined transcranial direct current stimulation and electrical peripheral nerve stimulation
Eligibility| Ages Eligible for Study: | 35 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- first -ever ischemic stroke within 5-30 days a paresis of the arm/hand with NIHSS <15 age 35-85 years
Exclusion Criteria:
Pregnancy psychiatric disease patients with history of alcohol or drug abuse or severe depression patients with a severe language disturbances, particularly of receptive nature patients with increased intracranial pressure or serious cardiac disease patients with contraindication to TMS
Contacts and Locations| Contact: Marion SIMONETTA-MOREAU, MD PhD | simonetta.m@chu-toulouse.fr |
| France | |
| Centre d' Investigation Clinique de Toulouse et Hopitaux de Toulouse ( Purpan) | Recruiting |
| Toulouse, France, 31059 | |
| Contact: Fabienne Calvas, MD 0033561772407 fabienne.calvas@inserm.fr | |
| Principal Investigator: Marion SIMONETTA-MOREAU, MDPhD | |
| Sub-Investigator: Claire THALAMAS, MD | |
| Sub-Investigator: Angélique GERDELAT-MAS, MD | |
| Sub-Investigator: Fabienne CALVAS, MD | |
| Sub-Investigator: François CHOLLET, MDPhD | |
| Sub-Investigator: Jean-François ALBUCHER, MD | |
| Sub-Investigator: Nicolas RAPOSO, MD | |
| Sub-Investigator: Isabelle Loubinoux, PhD | |
| Study Director: | Marion SIMONETTA-MOREAU, MDPhD | Inserm; Imagerie cerebrale et handicaps neurologiques UMR 825; F-31059 Toulouse, France |
| Principal Investigator: | François CHOLLET, MDPhD | Centre Hospitalier Universitaire de Toulouse; Pole Neurosciences; CHU Purpan, Place du Dr Baylac, F-31059 Toulouse Cedex 9, France |
More Information
Additional Information:
Publications:
| Responsible Party: | Institut National de la Santé Et de la Recherche Médicale, France |
| ClinicalTrials.gov Identifier: | NCT01207336 History of Changes |
| Other Study ID Numbers: | C09-27, 2009-A01153-54 |
| Study First Received: | September 21, 2010 |
| Last Updated: | April 5, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by Institut National de la Santé Et de la Recherche Médicale, France:
|
stroke rehabilitation transcranial direct current stimulation nerve stimulation |
Additional relevant MeSH terms:
|
Stroke Cerebral Infarction Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases |
Nervous System Diseases Vascular Diseases Cardiovascular Diseases Brain Infarction Brain Ischemia |
ClinicalTrials.gov processed this record on May 19, 2013