Effects of Anodal Transcranial Direct Current Stimulation on Postural Stability in Sub-Acute Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Riphah International University
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Trunk impairment scale (TIS) for Stroke Patients
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Stroke patients experience weakening of muscles on the affected side. Damage to the motor cortex and the pyramidal tract due to a stroke leads to a motor control disorders and co-contraction of trunk muscles due to abnormal levels of abdominal muscle tension and voluntary movement.
Detailed Description
TDCS is known to modulate motor excitability in humans and motor performance is crucial in postural control. Studies reports that applying anodal TDCS to the ipsilesional motor cortex improved motor functioning in which the Transcranial Direct Current Stimulation may have stimulated preserved areas of the motor cortex to enhance synaptic efficiency along the corticospinal tract. Anodal TDCS has been shown to have immediate and short-term effects in stroke but its long-term effects in stroke are still unclear. Additionally, the available literature focuses on acute and chronic stages of stroke so we will target subacute stage of stroke. Therefore, this study is designed to investigate the short and long-term effects of Anodal Transcranial Direct Current Stimulation on postural stability in subacute stroke.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Ischemic stroke
- •Sub-acute stroke
- •Minimum score of 18 on PASS
Exclusion Criteria
- •Hearing and Visual loss/ deficit
- •Recurrent CVA
- •Neurological condition affects the cognition
- •Wound at skull
- •Presence of shunt and/or metallic implant at cranial region
- •Brain tumors
- •Musculoskeletal conditions/ surgery in the lower extremities
- •Cognitively compromised
Outcomes
Primary Outcomes
Trunk impairment scale (TIS) for Stroke Patients
Time Frame: 12th week
It evaluates motor impairment of the trunk after stroke. The TIS scores, on a range from 0 to 23, static and dynamic sitting trunkal stability as well as trunk coordination. It also score the quality of trunk movement and to be a guide for treatment. Number of items are 7, score of each item is 0-3.
Postural Assessment Scale for Stroke Patients (PASS)
Time Frame: 12th week
PASS evaluates the postural imbalance and functional abilities of patients with stroke in several conditions (lying on back, sitting, standing and while changing positions). This scale is composed of 12 items. Score can vary from 0 to 3, with 0 being the lowest level of functionality and 3 the highest; the total score be 36.
Secondary Outcomes
- Stroke Specific Quality of life Scale (SS-QoL)(12th week)
- Functional Reach Test (FRT)(12th week)
- Timed Up and Go Test (TUG)(12th week)