Dual Hemisphere rTMS for Rehabilitation of Post Stroke Aphasia

Assiut University

Status

Completed

Conditions

Non Fluent Aphasia in Subacute Stroke

Treatments

Procedure: repetitive transcranial magnetic stimulation

Study type

Interventional

Funder types

Other

Identifiers

NCT01850836

rTMS in Rehab of aphasia

Details and patient eligibility

About

To investigate the therapeutic effect of dual hemisphere repetitive transcranial magnetic stimulation (rTMS) on post-stroke non fluent aphasia.

Full description

Thirty patients with subacute post-stroke non-fluent aphasia were randomly allocated with a ratio 2:1 to receive real (n = 20) or sham (n = 10) rTMS of the affected motor cortex. Each patient received 1000 rTMS pulses (1 Hertz at 110% of resting motor threshold) over the unaffected Broca's area and 1000 pulses (20 Hertz at 100% resting motor threshold) over affected left Broca's area for 10 consecutive days. LANGUAGE section of hemispheric stroke scale, Stroke Aphasic Depression Questionnaire Hospital Version (SADQ-H) and NIH stroke scale were assessed before, post sessions, 1 and 2 months after the last session . Motor threshold was assessed before and after the end of last session.

Enrollment

29 patients

Sex

All

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

acute hemiplegia with non-fluent aphasia, single thromboembolic non-haemorrhagic infarction documented by computerized tomography (CT) in the distribution of middle cerebral artery.

Exclusion criteria

head injury or neurological disease other than stroke,
Unstable cardiac dysrhythmia,
Fever,
Infection,
Hyperglycaemia
Prior administration of tranquilizer
Patients with no motor evoked response recorded from first dorsal interosseus (FDI) muscle of the affected hand