Influence of individual genetic determination of the BDNF Val66Met polymorphism on plasticity-related sensorimotor recovery after ischemic stroke
- Conditions
- I63Cerebral infarction
- Registration Number
- DRKS00003515
- Lead Sponsor
- eurologischen Klinik und PoliklinikBG-Universitätsklinikum BergmannsheilRuhr-Universität Bochum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 75
Aged between 40 and 70 years;
Right-handedness before the infarction according to the Einburgh Inventory of Handedness;
Ischemic infarct (cortical/subcortical) in the coverage area of the middle cerebral artery, according to cranial CT or MRI;
Unilateral impairment of sensorimotor performance of upper extremities, i.e. an easy-to-moderate hemiparesis: Grade 3-5 according to MRC;
Ability to conduct subtest 1 and 2 of the Jebsen-Taylor Hand Function Test
Lack of knowledge of German language (subjective assessment of the experimenter);
Cognitive impairment in accordance DemTect (score <10; without the task 2 convert numbers);
Taking CNS-active drugs of any kind;
Residual symptoms of previous neurological diseases (including stroke, lesions, polyneuropathy);
Psychiatric disorders that might influence therapy;
Pacemaker (safety criterion for the electrical stimulation);
Increased muscle tone in the proximal or distal arm muscles (> 1 + according to MAS);
Excessive hand tremor (= 1 in subitem 20; 21 of the UPDRS);
Absolute loss of sensorimotor performance of upper extremities (hemi- or paraplegia) and severe paresis (MRC grade 0-2; inability to perform subtest 1 and 2 of the Jebsen-Taylor Hand Function Test);
Aphasia, preventing an informed consent;
Neglect;
Apraxia;
Perception threshold of electric stimulation of 20 mA / channel
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Assessment of sensorimotor performance before and after 10 days of standard rehabilitation (control group).<br>Assessment of sensorimotor performance before and after 10 days of standard rehabilitation and additional daily electrical hand stimulation (control group)
- Secondary Outcome Measures
Name Time Method Evaluation of the suitability for daily use of the electrical stimulation method (application, comfort). Evaluation of the subjective experience of the patient (performance improvements).