The Effects of rTMS and tDCS Combined With Robotic Rehabilitation In Patients With Spinal Cord Injury

The Effect of rTMS and tDCS Treatments Combined With Robotic Rehabilitation on Gait and Motor Recovery in Partial Chronic Spinal Cord Injury

The purpose of this study is to assess the effect of rTMS and tDCS combined with robotic therapy on motor functional recovery and gait parameters

After being informed about study and potential risks, all patient giving written informed consent will undergo screening period determine eligibility for study entry. The patients who meet the eligibility requirements will be randomized into four groups in a 1:1 ratio to active rTMS, sham rTMS, active tDCS and sham tDCS.

Inclusion Criteria:

• Having traumatic SCI
• Between 6 months and 2 years after SCI
• 18-65 years old
• Signing an informed consent form showing his/her consent to participate in the study.
• Motor incomplete cervical or thoracic SCI
• Spasticity in the lower extremity ≤2 according to the Modified Ashworth Scale

Exclusion Criteria:

• History of epilepsy
• A cardiac pacemaker
• Pregnancy
• Neurological diseases other than SCI
• Metallic implant in brain or scalp (including cochlear implant)
• Previous brain surgery
• Orthopedic disease that prevents lower extremity movements
• Diagnosis of malignancy
• Receiving robotic /TMS/tDCS treatments in the last 6 months