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. 2016 Mar 21;2016(3):CD009645. doi: 10.1002/14651858.CD009645.pub3

ACTRN12613000109707.

Trial name or title A pilot investigation of the effect of cathodal transcranial direct current stimulation (ctDCS) plus standard upper limb rehabilitation to augment motor recovery post acute stroke
Methods RCT with blinded outcome assessor
ITT analysis: yes
Participants 37 to 40 people between 18 and 80 years of age with acute first‐ever ischaemic stroke (in the first week) and moderate to severe hemiparesis (UE‐FM ≤ 52) with MEPs detectable by TMS, stable blood pressure parameters and MMSE > 24
Exclusion criteria: pre‐existing upper limb impairment causing functional limitation, hemiplegic shoulder pain, metallic implants (pacemaker or artificial cochlea), history of seizure or another unstable medical condition, pregnancy, severe language disturbance, English as a second language, severe neglect (score < 44 out of 54 points on the Star Cancellation test), history of depression, alcohol or drug abuse, coexistent neurological or psychiatric disease, current treatment with antidepressants, antipsychotics or benzodiazepines or current treatment with Na+ or Ca2+ Channel blockers or NMDA receptor antagonists
Interventions 10 rehabilitation sessions (30 minutes each) to the affected arm over a period of 2 weeks (i.e. 5 days of treatment, 2 days rest, 5 days of treatment) + 1 of the following interventions:
  1. Experimental: C‐tDCS to the non‐lesioned hemisphere

  2. Sham comparator: sham tDCS to the non‐lesioned hemisphere

Outcomes All assessments are to be completed at baseline and at 1 day, 2 weeks and 3 months after the end of the intervention
Primary outcome measure: UE‐FM change scores
Secondary outcome measures: MEP as measured by TMS, NIHSS, Tardieu Spasticity Assessment, FIM, PostStroke Depression Scale
Starting date 4 February 2013
Contact information Ms Jimena Garcia‐Vega, jimena.garcia‐vega@health.wa.gov.au
Notes