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Comparing Transcranial Direct Current Stimulation Montages in Stroke

Not Applicable
Conditions
Acute Stroke
Interventions
Device: Transcranial Direct Current Stimulation
Registration Number
NCT04340973
Lead Sponsor
University of Liege
Brief Summary

40 acute subjects will be split into 5 groups. Each group will receive one of the following tDCS montages : anodal, bilateral, cathodal, extracephalic or placebo.

Subjects will receive, in addition to conventional rehabilitation, 2mA for 20 mins of their attributed tDCS, 5 times a week.

Evaluations will take place before the first stimulation period (48h post stroke), after 1, 2, 3 and 4 weeks. Evaluations consist of the Wolf Motor Function Test, the Fugl Meyer, and the Semmes Weinstein Monofilament Test

Detailed Description

40 acute subjects will be randomized and split into 5 groups.

Each group will receive one of the following tDCS montages :

Anodal : Anode placer over the affected primary motor cortex, cathode over contralateral supra orbital area Bilateral : Anode placer over the affected primary motor cortex, cathode over unaffected motor cortex Cathodal : Cathode placer over the unaffected primary motor cortex, anode over contralateral supra orbital area Extracephalic : Anode placer over the affected primary motor cortex, cathode over right shoulder Placebo : anode montage but current is ramped up over 15 secondes, then ramped down.

Subjects will receive, in addition to conventional rehabilitation (±1.5h/weekday), 2mA for 20 mins of their attributed tDCS, 5 times a week.

Evaluations will take place before the first stimulation period (48h post stroke), after 1, 2, 3 and 4 weeks. Evaluations consist of the Wolf Motor Function Test, the Fugl Meyer, and the Semmes Weinstein Monofilament Test

All researchers, therapists, data analysis and patients are blinded by a code system implemented in the tDCS machine

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • First Ever Stroke
  • Motor or sensory deficit
  • Understands and follows orders
  • Signed inform consent
Exclusion Criteria
  • One Yes on the medium and high risk sections of the TSST (Bornheim et al.,2019)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboTranscranial Direct Current StimulationPlacebo : anode montage but current is ramped up over 15 secondes, then ramped down. 2 mA, 20min stimulation, 5 days a week for 4 weeks
CathodalTranscranial Direct Current StimulationCathodal : Cathode placer over the unaffected primary motor cortex, anode over contralateral supra orbital area. 2 mA, 20min stimulation, 5 days a week for 4 weeks
ExtracephalicTranscranial Direct Current StimulationExtracephalic : Anode placer over the affected primary motor cortex, cathode over right shoulder. 2 mA, 20min stimulation, 5 days a week for 4 weeks
BilateralTranscranial Direct Current StimulationBilateral : Anode placer over the affected primary motor cortex, cathode over unaffected motor cortex. 2 mA, 20min stimulation, 5 days a week for 4 weeks
AnodalTranscranial Direct Current StimulationAnodal tDCS: Anode placer over the affected primary motor cortex, cathode over contralateral supra orbital area. 2 mA, 20min stimulation, 5 days a week for 4 weeks
Primary Outcome Measures
NameTimeMethod
Change in Wolf Motor Function TestPre Stimulation (48 hours post stroke), Week 1, Week 2, Week 3, Week 4

Functional upper limb test, filmed and scored subjectively

Change in Fugl Meyer Motor AssessmentPre Stimulation (48 hours post stroke), Week 1, Week 2, Week 3, Week 4

Functional upper limb, lower limb and sensory test

Change in Semmes Weinstein Monofilament TestPre Stimulation (48 hours post stroke), Week 1, Week 2, Week 3, Week 4

11 Point Sensory test

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Liege Univeristy Hospital

🇧🇪

Liege, Belgium

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