UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041184
Receipt number R000047025
Scientific Title A study on the clinical effect of intensive intensive therapy and recurrent transcranial magnetic stimulation for upper limb dysfunction in patients with chronic stroke hemiplegia
Date of disclosure of the study information 2020/07/21
Last modified on 2020/07/21 20:28:42

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

A study on the clinical effect of intensive intensive therapy and recurrent transcranial magnetic stimulation for upper limb dysfunction in patients with chronic stroke hemiplegia

Acronym

A study on the clinical effect of intensive intensive therapy and recurrent transcranial magnetic stimulation for upper limb dysfunction in patients with chronic stroke hemiplegia

Scientific Title

A study on the clinical effect of intensive intensive therapy and recurrent transcranial magnetic stimulation for upper limb dysfunction in patients with chronic stroke hemiplegia

Scientific Title:Acronym

A study on the clinical effect of intensive intensive therapy and recurrent transcranial magnetic stimulation for upper limb dysfunction in patients with chronic stroke hemiplegia

Region

Japan


Condition

Condition

Stroke hemiplegia

Classification by specialty

Neurology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Although the safety and usefulness of repetitive transcranial magnetic stimulation (rTMS) for stroke hemiplegia have been established, the clinical effects of combination therapy have not been sufficiently investigated. In this study, 40 patients with chronic hemiplegia including the elderly were treated with 90% stimulation of rTMS threshold and 10% with the purpose of clarifying the synergistic effect, the duration of the effect, and the usefulness in the elderly. Randomly assign to stimulation groups, perform intensive intensification therapy and prescribed rTMS to verify clinical effect.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Fugl-Meyer assessment
Wolf Motor Function Test
Motor Activity Log
FIM,BI

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

The subject is admitted to the hospital, and 90% of the rTMS motor threshold is stimulated in the healthy motor area using the Magstim Super Rapid with 1,200 1Hz rTMS at a given stimulus intensity. Immediately perform intensive reinforcement training (20 minutes for robot-assisted training for upper limbs using MA2, 40 minutes for goal-oriented repetitive training by an occupational therapist, and 60 minutes for self-training instructed by OT). During the other hours, 60 minutes of voluntary physical therapy (walking training to suspend the trunk by using a suspended walker to prevent falls and continuous extension of the ankles) is performed. These interventions will be conducted for 10 days on weekdays, and will be instructed to perform only voluntary training on weekends and festivals.

Interventions/Control_2

The subject is admitted to the hospital, and 10% rTMS motor threshold stimulation is applied to the motor area on the unaffected side using Magstim Super Rapid with 1,200 1Hz rTMS at a predetermined stimulation intensity. Immediately perform intensive reinforcement training (20 minutes for robot-assisted training for upper limbs using MA2, 40 minutes for goal-oriented repetitive training by an occupational therapist, and 60 minutes for self-training instructed by OT). During the other hours, 60 minutes of voluntary physical therapy (walking training to suspend the trunk by using a suspended walker to prevent falls and continuous extension of the ankles) is performed. These interventions will be conducted for 10 days on weekdays, and will be instructed to perform only voluntary training on weekends and festivals.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with chronic stroke hemiplegia who have mild to moderate paralysis in the upper limbs, who wish to improve upper limb paralysis, have no history of epileptic seizures, and have no epileptic discharge on EEG.

Key exclusion criteria

Patients with contraindication of rTMS

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Yousuke
Middle name
Last name Nagano

Organization

Kyushu Rosai Hospital Moji Medical Center

Division name

Central rehabilitation department

Zip code

801-0853

Address

3-1 Higashiminato-cho, Moji-ku, Kitakyushu City, Fukuoka Prefecture

TEL

09074442673

Email

terasama74@gmail.com


Public contact

Name of contact person

1st name Naoki
Middle name
Last name Matsumura

Organization

Kyushu Rosai Hospital Moji Medical Center

Division name

Central rehabilitation department

Zip code

801-0853

Address

3-1 Higashiminato-cho, Moji-ku, Kitakyushu City, Fukuoka Prefecture

TEL

093-331-3461

Homepage URL


Email

terasama74@gmail.com


Sponsor or person

Institute

Incorporated Administrative Agency Workers Health and Safety Organization Kyushu Rosai Hospital Moji Medical Center

Institute

Department

Personal name



Funding Source

Organization

Incorporated Administrative Agency Workers Health and Safety Organization Kyushu Rosai Hospital Moji Medical Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Incorporated Administrative Agency Workers Health and Safety Organization Kyushu Rosai Hospital Moji Medical Center

Address

3-1 Higashiminato-cho, Moji-ku, Kitakyushu City, Fukuoka Prefecture

Tel

093-331-3461

Email

terasama74@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 07 Month 21 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2020 Year 02 Month 20 Day

Date of IRB

2020 Year 03 Month 04 Day

Anticipated trial start date

2020 Year 03 Month 04 Day

Last follow-up date

2023 Year 02 Month 20 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 07 Month 21 Day

Last modified on

2020 Year 07 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047025


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name