About this trial
Paired associative stimulation (PAS) is a non-invasive brain stimulation protocol, where two stimuli (a peripheral and a cortical one, the latter delivered with transcranial magnetic stimulation - TMS) are repeatedly associated to enhance plasticity in the brain. In the present study, a new cross-modal, visuo-motor PAS protocol - called "mirror-PAS"- will be tested as a possible non-invasive brain stimulation treatment in neurological rehabilitation to promote motor recovery and pain reduction.
Participants will perform the standard PAS targeting the motor system and the recently developed mirror-PAS in two separate sessions. The investigators will compare the possible effect of the protocols in terms of neurophysiological and behavioral outcomes to identify the optimal PAS method to enhance plasticity and promote sensory-motor function.
Eligibility criteria
Qualifiers
age from 18 to 85 years
single, unilateral, hemispheric stroke (cortical or sub-cortical areas)
stroke confirmed by neuroimaging (CT or MRI)
stroke at least 4 months before enrollment
Disqualifiers
contraindications to TMS (Rossi et all, 2021)
other neurological conditions (e.g., Parkinson's Disease, Multiple Sclerosis, ALS)
other orthopedic condition that affected the hand (e.g., carpal tunnel syndrome)
age from 18 to 90 years
Trial design
Treatments tested in this trial
- Transcranial Magnetic Stimulation