Anodal Transcranial Direct Current Stimulation on Mobility and Balance in Post Stroke Patients.

Riphah International University

Status: Completed

Conditions: Stroke

Treatments: Other: Anodal Transcranial Direct Current Stimulation Group; Other: Conventional Training Exercises Group

Study type: Interventional

Funder types: Other

Identifiers

NCT04611360

Rec/00502 Sundus Akhtar

Details and patient eligibility

About

To determine the effects of anodal transcranial direct current stimulation on mobility and balance in post stroke patients.

Full description

Stroke is characterised as sudden onset of neurological dysfunction of central anxious framework that contain cerebral infarction, intra cranial haemorrhage & subarachnoid haemorrhage. Around the globe stroke is the chief cause of incapacity and passing.

The trans-cranial direct current stimulations (tDCS) could be a non-invasive,low cost and capable brain stimulator utilised within the treatment of brain disorders.Two modes of tDCS is utilised is stroke patients,anodal stimulation (increased in excitability) of the lesional half of the globe and cathodal stimulation (decreased in excitability) of the contralesional hemisphere. The transcranial direct current stimulation induced polarity-dependent changes in membrane excitability, with Anodal-tDCS causing depolarisation and cathodal-tDCS causing hyper polarization of membrane potential in neurons of the stimulated area.

The role of Trans-cranial Direct Current Stimulation as a catalyst of recovery in stroke population and found that it's a safe,portable,non invasive brain stimulation technique. T-DCS is able to modulate the excitability of specified brain areas by varying the neuronal membrane potentials that based on the polarity of the current transmitted through the scalp via sponge electrodes. Trans-cranial direct current stimulation is clinically potential for use in stroke recovery because of its ease of use, non invasive-ness and safety.

Enrollment: 40 patients

Sex: All

Ages: 35 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients presenting with both ischemic and hemorrhagic stroke
• Subacute and chronic stroke patients(onset of stroke from 3 months to 1 year)
• Ambulatory stroke survivors were included who met the criteria of Modified Rankin Scale between 1 and 3

Exclusion criteria

• Patients with Modified Rankin Scale of 0 and 4-6.
• Brain tumors
• Cognitive impaired
• Known case of seizures
• Metal implant, head injury etc and other disorders which contraindicate the application of anodal transcranial direct current stimulations.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Anodal Transcranial Direct Current Stimulation Group

Experimental group

Description:

Anodal Transcranial Direct Current Stimulation and Conventional training exercises

Treatment:

Other: Anodal Transcranial Direct Current Stimulation Group

Conventional Training Exercises Group

Active Comparator group

Description:

Conventional Training Exercises : Bridging,Sitting: weight-bearing, Standing: weight-bearing, Sit to stand, Squat exercises and Tandem walk

Treatment:

Other: Conventional Training Exercises Group