Status:

COMPLETED

Effect of Transcutaneous Vagus Nerve Stimulation on Upper Limb Function in Stroke Patients

Lead Sponsor:

Cairo University

Conditions:

Stroke, Ischemic

Eligibility:

All Genders

45-65 years

Phase:

NA

Brief Summary

The goal of this interventional study is to investigate the therapeutic efficacy of non-invasive vagus nerve stimulation on upper limb function in chronic stroke patients . The main question is: •Is ...

Detailed Description

Stroke causes several neurological deficits or impairments as hemiparesis, communication disorders, cognitive deficits or disorders in visuo-spatial perception. Approximately 60% of survivors after st...

Eligibility Criteria

Inclusion

  • Hemiparetic patients with ischemic middle cerebral artery stroke.
  • Duration of illness ranged from at least 6 months after stroke.
  • The patient's age ranged from 45 to 65 years.
  • Spasticity of upper limb muscles ranged from (grade 1:2) according to the Modified Ashworth scale.
  • The patients with unilateral upper limb motor function impairment.
  • Patients with sufficient cognitive abilities that enable them to understand and follow instructions.

Exclusion

  • Patients with neurological diseases that affect upper limb function other than stroke (e.g.: Multiple sclerosis, Peripheral neuropathy, Parkinsonism….etc.).
  • Hemorrhagic stroke patients.
  • Patients with previous surgical intervention on the vagus nerve.
  • Patients with pacemakers or other implanted electrical devices.
  • Patients with a history of significant alcohol or drug abuse.
  • Patients with musculoskeletal disorders such as severe arthritis, knee surgery, total hip joint replacement, lower limb fractures or contractures of fixed deformity, and leg length discrepancy after total hip replacement.
  • Patients with cardiovascular problems (unstable angina, recent myocardial infarction, congestive heart failure, significant heart valve dysfunction, or unstable hypertension) or pulmonary or kidney disorders.
  • Patients with visual or auditory impairment affecting their ability to complete the testing.
  • Patients with cognitive impairment.
  • Any current or past history of facial or ear pain, recent ear trauma, or metal implants above the level of the neck.

Key Trial Info

Start Date :

October 1 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 10 2024

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT06048055

Start Date

October 1 2023

End Date

April 10 2024

Last Update

April 30 2025

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1

Faculty of physical therapy labs at Cairo University

Giza, Egypt, 12612