The Relationship Between Motor Cortex Oxygenation and Motor Function Recovery in Stroke Patients
Study Details
Study Description
Brief Summary
Stroke is the most common cause of motor function impairment. However, the functional impairment is not totally irreversible. Several mechanisms may involved in both the cortical and motor function recovery after onset of stroke, and most of them are related to changes of cortical perfusion and metabolism.
Motor function recovery after stroke (especially middle cerebral artery territory lesion) frequently follow stereotypic pattern (brunnström stage).
This study is designed to investigate the relationship between motor cortex oxygenation/metabolism and motor function recovery after stroke. To seek if there is similar stereotypic pattern of motor cortex oxygenation/metabolism change during the recover stage after stroke.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Participants receive evaluations (1/week for 3 months period) of
-
motor function (Include: MMSE, brunnström stage, Fugl-Meyer Assessment of Physical Performance, Box and Block Test of Manual Dexterity, Functional Independence Measure)
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cortical perfusion detection during performing limb movements (using NIRS)
Then use path analysis to investigate the relationship between motor cortex oxygenation/metabolism and motor function recovery after stroke.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Functional Electric Stimulation perform arm cranking with functional electrical stimulation |
Procedure: Functional Electric Stimulation
apply to the hemiplegia affected limbs, helping movement
|
Sham Comparator: traditional rehabilitation program Receive traditional rehabilitation programs |
Other: Rehabilitation programs
include occupational therapy and physical therapy
|
No Intervention: Health with no motor function impairment |
Outcome Measures
Primary Outcome Measures
- Cortical activation [weekly changes within 3 months]
Using Near-infrared spectroscopy to measure cortical activation changes weekly for 3 months
Secondary Outcome Measures
- motor function [weekly changes within 3 months]
assess motor function every week for 3 months
Other Outcome Measures
- Activity of daily living function [weekly changes within 3 months]
assess Activity of daily living function weekly for 3 months
Eligibility Criteria
Criteria
Inclusion Criteria:
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Ischemic stroke(unilateral, onset within 7 days, without previous stroke history)
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Vital sign stable
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Upper extremity motor function impairment(brunnström stage I~III)
Exclusion Criteria:
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with pacemakers
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Seizure history
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Serious dysrhythmias
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Poor cognition function(MMSE<13)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Kaohsiung Veterans General Hospital | Kaohsiung | Taiwan | 81362 |
Sponsors and Collaborators
- Kaohsiung Veterans General Hospital.
Investigators
- Principal Investigator: Zheng-Yu Hoe, Kaohsiung Veterans General Hospital.
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- VGHKS102-086
- VGHKS12-CT7-07