The Effects of Anodal and Cathodal tDCS Combined With Conventional Physical Therapy in Patients With Acute Stroke
Stroke, Acute
About this trial
This is an interventional treatment trial for Stroke, Acute
Eligibility Criteria
Inclusion Criteria:
- Acute ischemic stroke patients who have aged between 18 and 75 years
- Having a first ever-ischemic stroke that are confirmed by MRI/CT scan
- Post stroke onset 2-10 days
- Be able to follow command
- Be able to walk with or without assistive device (Modified Ranking Scale ≤ 4)
- Free of any neurological antecedent or unstable condition (such as epilepsy) or cancer.
- Be able to initiate the upper limb movement
Exclusion Criteria:
- Recurrent stroke
- National Institute of Health Stroke Scale ≥ 20 points
- Presence of intracranial metal implantation, cochlear implant, or cardiac pacemaker
- Having excessive pain in any joint of the lower limb (numerical pain rating score > 4/10)
- Having an open wound or wound infraction on scalp
- Having neglect or psychological diseases (such as schizophrenia, major depression)
Sites / Locations
- Faculty ofPhysical Therapy, Mahidol University
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Cathodal tDCS & PT
Anodal-tDCS & PT
Cathodal transcranial direct current stimulation (tDCS) will be applied for 20 mins before conventional physical therapy (about 1 hour). Cathode on the on the motor area (M1) of the affected hemisphere, anode on the supraorbital area of the unaffect hemisphere.Current intensity is fixed at 1.5 mA and current will flow continuously. Physical therapist will give an intervention program base on the same basic conventional physical therapy treatment. The scope of intervention is administered to improve motor functions and cerebral hemodynamic .
Anodal transcranial direct current stimulation (tDCS) will be applied for 20 mins before conventional physical therapy (about 1 hours). Anode on the motor are (M1) of the affected hemisphere, and cathodal on the supraorbital area of unaffected hemisphere. Current intensity is fixed at 1.5 mA and current will flow continuously. Physical therapist will give an intervention program base on the same basic conventional physical therapy treatment. The scope of intervention is administered to improve motor functions and cerebral hemodynamic .