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Cerebrovascular accident (CVA) is a cerebrovascular disease with high incidence and morbidity in the Brazilian population, and is considered a major cause of disability in adults. Brain damage caused by stroke generates a maladaptive pattern of neural activity and modulation between the cerebral hemispheres, unbalancing in the inter-hemispheric inhibition. This condition affects patient's functional recovery.
The aim of this study is to verify the effectiveness of repetitive transcranial magnetic stimulation Association (rTMS) in the cortex motor contralesional, Transcranial Direct Current Stimulation (tDCS) in the motor cortex ipsilesional and the association between these two types of brain stimulations on the upper limb recovery after stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| tDCS | Active Comparator | Patients who will be treated with Transcranial direct-current stimulation (tDCS) in the ipsilesional motor cortex. |
|
| rTMS | Active Comparator | Patients who will be treated with Magnetic brain stimulation (rTMS) in the contralesional motor cortex. |
|
| tDCS + rTMS | Experimental | Patients who will be treated with the association between Transcranial direct-current stimulation (tDCS) and magnetic brain stimulation (rTMS), in the ipsilesional and contralesional motor cortex, respectively. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tDCS | Device | Transcranial direct current stimulation (tDCS) |
| |
| TMS |
| Measure | Description | Time Frame |
|---|---|---|
| Motor Function by means of the Wolf Motor Function Test | change from pre to post (at least 10 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Grip strength via hand dynamometer | change from pre to post (at least 10 days) | |
| Manual Dexterity by means of the Box and Block Test | change from pre to post (at least 10 days) | |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Federal University of Health Sciences of Porto Alegre | Porto Alegre | Rio Grande do Sul | Brazil |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D065908 | Transcranial Direct Current Stimulation |
| D050781 | Transcranial Magnetic Stimulation |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D003295 | Convulsive Therapy |
| D013000 | Psychiatric Somatic Therapies |
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| Device |
Transcranial magnetic stimulation |
|
| tDCS + TMS | Device | Association between tDCS and TMS. |
|
| Quality of Life by means of the Stroke Impact Scale |
| change from pre to post (at least 10 days) |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D004191 | Behavioral Disciplines and Activities |
| D004597 | Electroshock |
| D011580 | Psychological Techniques |
| D055909 | Magnetic Field Therapy |