Use of Anodal tDCS to Enhance Upper Limb Recovery in Stroke

ConditionStroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-80
SponsorTan Tock Seng Hospital

About this trial

This will be a randomized, blinded, sham-controlled trial. The medical device used, Soterix Medical 1x1 tDCS stimulator, is capable of delivering either real or sham tDCS and has been used in many randomised controlled trials in stroke patients.

50 patients with subacute stroke and severe upper limb weakness within 8 weeks of stroke on transfer to TTSH stroke rehab wards will be recruited over a period of 10 months. Recruited patients will be randomized into the intervention and control arms in a 1:1 ratio.

Eligibility criteria

Qualifiers

First ever unilateral ischaemic or haemorrhagic stroke, as documented by CT or MRI scans

Age 21-80 years, both males and females

Within 8 weeks of stroke onset

Severe weakness of one upper limb, defined by a Shoulder Abduction and Finger Extension (SAFE) score < 5 (Medical Research Council grading)

Disqualifiers

Bilateral hemispheric or cerebellar strokes

Pre-existing arm pathology (e.g. contracture, severe pain, etc.) on the affected side

Presence of brain implants, and previous insertion of external ventricular drains.

Metallic implants at the level of the neck, mouth cavity and below are permitted (e.g. Cardiac stents, dental implants, pacemakers and other metallic objects)

Trial design

Treatments tested in this trial

  • Anodal tDCS
  • Sham tDCS

Treatment groups

50 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Tan Tock Seng Hospital

Lead sponsor

Ng Teng Fong Healthcare Innovation Programme

Collaborator