Unique ID issued by UMIN | UMIN000041184 |
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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 |
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
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
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
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
Japan |
Stroke hemiplegia
Neurology |
Others
NO
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.
Safety
Fugl-Meyer assessment
Wolf Motor Function Test
Motor Activity Log
FIM,BI
Interventional
Parallel
Randomized
Individual
Single blind -investigator(s) and assessor(s) are blinded
Placebo
2
Treatment
Device,equipment |
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.
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.
Not applicable |
Not applicable |
Male and Female
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.
Patients with contraindication of rTMS
40
1st name | Yousuke |
Middle name | |
Last name | Nagano |
Kyushu Rosai Hospital Moji Medical Center
Central rehabilitation department
801-0853
3-1 Higashiminato-cho, Moji-ku, Kitakyushu City, Fukuoka Prefecture
09074442673
terasama74@gmail.com
1st name | Naoki |
Middle name | |
Last name | Matsumura |
Kyushu Rosai Hospital Moji Medical Center
Central rehabilitation department
801-0853
3-1 Higashiminato-cho, Moji-ku, Kitakyushu City, Fukuoka Prefecture
093-331-3461
terasama74@gmail.com
Incorporated Administrative Agency Workers Health and Safety Organization Kyushu Rosai Hospital Moji Medical Center
Incorporated Administrative Agency Workers Health and Safety Organization Kyushu Rosai Hospital Moji Medical Center
Other
Incorporated Administrative Agency Workers Health and Safety Organization Kyushu Rosai Hospital Moji Medical Center
3-1 Higashiminato-cho, Moji-ku, Kitakyushu City, Fukuoka Prefecture
093-331-3461
terasama74@gmail.com
NO
2020 | Year | 07 | Month | 21 | Day |
Unpublished
Open public recruiting
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2023 | Year | 02 | Month | 20 | Day |
2020 | Year | 07 | Month | 21 | Day |
2020 | Year | 07 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047025
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