Motor Evoked Potential in the Affected Upper Limb Predicts the Potential of Motor Recovery in Subacute Stroke Patients

Hospital Authority, Hong Kong

Status: Completed

Conditions: Stroke, Subacute

Treatments: Diagnostic Test: MEPs induced by TMS

Study type: Observational

Funder types: Other

Identifiers

NCT03243318

KHMEPsUL2017

Details and patient eligibility

About

Stroke is the third common cause of adult disability in dveloped countries. Early identification of the potential for motor recovery is important to avoid 'learned disuse' and to initiate appropriate therapy with achievable goals. The current cohort study focuses on those patients with SAFE <8 and using motor evoked potentials (MEPs) to improve on prognostication of upper limb motor recovery among subacute stroke patients in a local stroke population.

Enrollment: 32 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First stroke with hemiparesis or hemiplegia with SAFE <8

Exclusion criteria

• contra-indication to TMS or MRI, history of seizure, pregnancy and mentally unfit to understand the consent

Trial design

32 participants in 2 patient groups

Presence of motor evoked potentials

Description:

Those patients with Shoulder Abduction and Finger Extension (SAFE) score \<8/10 with the presence of motor evoked potentials elicited by TMS over the ipsilesional motor cortex

Treatment:

Diagnostic Test: MEPs induced by TMS

absence of motor evoked potentials

Description:

Those patients with Shoulder Abduction and Finger Extension (SAFE) score \<8/10 with the absence of motor evoked potentials elicited by TMS over the ipsilesional motor cortex

Treatment:

Diagnostic Test: MEPs induced by TMS