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Impact of cognitive behavioral training paradigm on cortical reorganization in patients with stroke

Not Applicable
Conditions
Nervous System Diseases
Registration Number
PACTR202401884919252
Lead Sponsor
Faculty of Physical therapy Cairo University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Other
Sex
All
Target Recruitment
30
Inclusion Criteria

•hemi paretic patients with ischemic stroke.
•Patient's age ranged from 40 to 60 years old from both genders.
•Duration of illness not more than 24 months.
•All patients had mild cognitive deficits in domains (memory, attention, orientation, perception and executive skills) according to montreal cognitive assessment.
•Spasticity ranged from (one, one plus) according to the modified ashworth scale.
•Degree of weakness in paretic limb muscles wasn’t less than (grade 2) according to group muscle test.
•Medically and psychologically stable patients

Exclusion Criteria

•Patient with recurrent stroke or hemi paretic due to other neurological causes rather than stroke.
•Patients with non-removable metal in their heads.
•Patients that use a cardiac pacemaker.
•Medically unstable or uncooperative patients

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rehacom is a software package that helps to assess and train different cognitive deficits: RehaCom software (Hasomed, Magdeburg, Germany) is an intensive cognitive rehabilitation test that includes 32 assessment tasks for attention, memory and executive function. ;EEG mapping:<br> The EEG was recorded with a resolution of 12 bits, 0.5 and 35 Hz filters and 200 samples per second, using the Braintech 3.0 equipment (EMSA Equipamentos Médicos). Impedance was maintained below 10 K . The electrodes were placed according to the International 10–20 System, with the use of an additional two electrodes placed 1 cm below (left side) and above (right side) the external angle of the eyelid, with the objective of evaluating eye movements
Secondary Outcome Measures
NameTimeMethod
Montreal cognitive assessment:<br> Screening assessment used for cognitive assessment. It is widely used design for assessment of mild cognitive impairments. It takes approximately 10 min to complete.30-point cognitive screening instrument. It purports to assess different cognitive domains (short term memory, visuospatial ability, executive function, attention, concentration, working memory, language and orientation to time and place).<br>
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