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.
- TDCS Device
Intervention Desc: Transcranial direct current stimulation (tDCS) ARM 1: Kind: Experimental Label: tDCS Description: Patients who will be treated with Transcranial direct-current stimulation (tDCS) in the ipsilesional motor cortex.
- TMS Device
Intervention Desc: Transcranial magnetic stimulation ARM 1: Kind: Experimental Label: rTMS Description: Patients who will be treated with Magnetic brain stimulation (rTMS) in the contralesional motor cortex.
- TDCS + TMS Device
Intervention Desc: Association between tDCS and TMS. ARM 1: Kind: Experimental Label: tDCS + rTMS Description: 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.
- Allocation: Randomized
- Masking: Single Blind (Investigator)
- Purpose: Treatment
- Endpoint: Efficacy Study
- Intervention: Parallel Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Motor Function by means of the Wolf Motor Function Test||change from pre to post (at least 10 days)||No|
|Secondary||Grip strength via hand dynamometer||change from pre to post (at least 10 days)||No|
|Secondary||Manual Dexterity by means of the Box and Block Test||change from pre to post (at least 10 days)||No|
|Secondary||Quality of Life by means of the Stroke Impact Scale||change from pre to post (at least 10 days)||No|