Navigated Transcranial Magnetic Stimulation in Monitoring Stroke Recovery
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 20 - 80 |
| Updated: | 5/3/2014 |
| Start Date: | October 2009 |
| Contact: | Kari Dunning, PhD,PT |
| Email: | DUNNINKK@UCMAIL.UC.EDU |
| Phone: | 513-703-8000 |
Acute Longitudinal Transcranial Magnetic Stimulation (TMS) After Stroke
The past 10 years of research in persons more than 6 months post stroke have shown certain
types of rehabilitation can help "re-wire" the brain. Transcranial magnetic stimulation
(TMS) can be used to monitor this re-wiring by mapping the brain's function (measuring brain
activity). Recent research suggests that TMS can be used for both prognosis (determining
future function) and to determine what type of rehabilitation therapy will work best after
stroke. The purposes of this research study are to: 1) determine changes in brain activity
during the first 6 months after stroke (to determine how the brain "re-wires"); 2) compare
changes in recovery of motor function with changes in brain re-wiring; 3) determine the
ability of TMS to "predict" functional outcome in the first 6 months after stroke.
The primary hypotheses are: 1) functional recovery will be correlated with TMS changes (as
measure motor threshold (MT), motor evoked potentials (MEPs) and recruitment curves; 2)
baseline TMS will predict future functional outcomes at 3 and 6 months.
types of rehabilitation can help "re-wire" the brain. Transcranial magnetic stimulation
(TMS) can be used to monitor this re-wiring by mapping the brain's function (measuring brain
activity). Recent research suggests that TMS can be used for both prognosis (determining
future function) and to determine what type of rehabilitation therapy will work best after
stroke. The purposes of this research study are to: 1) determine changes in brain activity
during the first 6 months after stroke (to determine how the brain "re-wires"); 2) compare
changes in recovery of motor function with changes in brain re-wiring; 3) determine the
ability of TMS to "predict" functional outcome in the first 6 months after stroke.
The primary hypotheses are: 1) functional recovery will be correlated with TMS changes (as
measure motor threshold (MT), motor evoked potentials (MEPs) and recruitment curves; 2)
baseline TMS will predict future functional outcomes at 3 and 6 months.
Inclusion Criteria:
- one sided ischemic stroke confirmed by radiology
- 20-80 years old
Exclusion Criteria:
- hemorrhagic stroke
- brainstem stroke
- cerebellar stroke
- thalamic stroke
- seizure with the recent stroke
- any history of uncontrolled seizure
- history of epilepsy
- pregnancy or planning on getting pregnant during the next year
- MRI incompatibility (e.g. metal implants in body)
- recent history (past year) of alcohol and drug abuse (due to lack of follow up)
Other criteria include TMS exclusions: aneurysm clips, previous surgery over motor cortex,
open craniotomy
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