Transcranial Magnetic Stimulation + Language Therapy to Treat Subacute Aphasia

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-85
SponsorUniversity of Pennsylvania

About this trial

The goal of this clinical trial is to determine if Transcranial Magnetic Stimulation (TMS) combined with modified Constraint Induced Language Therapy (mCILT) is an effective treatment for aphasia when delivered in the subacute stage after stroke.

The main questions this study aims to answer are:

1. Can TMS combined with mCILT improve overall speech? 2. Can we identify specific behavioral and biological characteristics that would benefit most from the TMS and mCILT treatment?

Researchers will compare real TMS to sham (fake) TMS to see whether TMS can treat subacute aphasia.

Importantly, this trial will use electric field guided TMS to identify optimal and individualized stimulation intensity and site targeting.

Participants will:

* Complete a screening and medical intake to determine eligibility * Undergo MRI scans * Participate in 10 consecutive sessions (Monday-Friday) of TMS and mCILT treatment * Complete follow-up assessments immediately and 4 months after treatment

Eligibility criteria

Qualifiers

Left hemisphere stroke resulting in aphasia

The stroke must have occurred between 2 and 6 weeks prior to enrollment

Must be able to understand the nature of the study, and give informed consent

English proficiency

Disqualifiers

History of serious and/or ongoing issues with substance abuse

Previous head trauma with loss of consciousness for more than 5 minutes

History of major psychiatric illness

Dementia, or other neurological conditions

Trial design

Treatments tested in this trial

  • Transcranial Magnetic Stimulation (TMS)
  • Modified Constraint Induced Language Therapy (mCILT)

Treatment groups

63 Participants
are divided into 2 treatment groups

Sponsors and collaborators