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Effects of tDCS on Quadriceps Strength After Stroke

Not Applicable
Completed
Conditions
Stroke
Interventions
Device: transcranial Direct current stimulation
Registration Number
NCT02109796
Lead Sponsor
Centre d'Investigation Clinique et Technologique 805
Brief Summary

Previous studies show that one session of tDCS allow to improve muscle strength in hemiparetic patients in anodal condition. We test a new electrods configuration : a anodale stimulation opposite to the cortical representation area of the injured hemisphere and a simultaneous stimulation opposite to the homonyme the cortical representation area of the healthy hemisphere. This approach seems to be the best relevant electrods configuration in order to restore the inter-hemispheric balance.

We hypothesis that one session of tDCS with this electrods configuration allow to improve paretic quadriceps strength in hemiparetic patients after stroke.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
14
Inclusion Criteria
  • written consent
  • hemiparetic patient after stroke in chronic phase (> 6 months)
  • capacity to walk with or without technical assistance
  • following rehabilitation program for lower limbs
Exclusion Criteria
  • patient with bilateral brain lesion, cerebellar syndrom, and apraxia and/or aphasia
  • previous orthopedic surgery in paretic lower limb (<6 moths)
  • usual tDCS contraindications
  • pregnant woman

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
hemiplegic patienttranscranial Direct current stimulationanodal transcranial direct current stimulation
patient controltranscranial Direct current stimulationSham transcranial direct current stimulation
Primary Outcome Measures
NameTimeMethod
maximum voluntary isometric strength of knee extensors2 hours

The maximum voluntary isometric strength of paretic knee extensors will be evaluated with a isokinetic dynamometer, which measure peak torque.

Secondary Outcome Measures
NameTimeMethod
Resistive peak torque during passive knee flexion2h
Angle related to the resistive peak torque generation of the knee extensors2h
Amplitude of the interpolation twitch2h
EMG activation of the knee flexors and extensors during the strength evaluations (active and passive)2h
Functional evaluation of the gait performance and balance2h

Trial Locations

Locations (1)

Raymond Poincare Hospital

🇫🇷

Garches, France

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