Priming constraint-induced movement therapy with intermittent theta burst stimulation to enhance upper extremity recovery in patients with stroke: protocol for a randomized controlled study

dc.authorid0000-0001-5118-4776
dc.contributor.authorKolbaşı, Esma Nur
dc.contributor.authorErsöz Hüseyinsinoğlu, Burcu
dc.contributor.authorÖzdemir, Zeynep
dc.contributor.authorBayraktaroğlu, Zübeyir
dc.contributor.authorSoysal, Aysun
dc.date.accessioned2024-06-13T10:29:46Z
dc.date.available2024-06-13T10:29:46Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Fizyoloji Ana Bilim Dalı
dc.description.abstractBackground: The treatments based on motor control and motor learning principles have gained popularity in the last 20 years, as well as non-invasive brain stimulations that enhance neuroplastic changes after stroke. However, the effect of intermittent theta burst stimulation (iTBS) in addition to evidence-based, intensive neurorehabilitation approaches such as modified constraint-induced movement therapy (mCIMT) is yet to be investigated. Aim: We aim to establish a protocol for a randomized controlled study investigating the efficiency of mCIMT primed with iTBS after stroke. Methods: In this randomized controlled, single-blind study, patients with stroke (N = 17) will be divided into 3 groups: (a) mCIMT + real iTBS, (b) mCIMT + sham iTBS, and (c) mCIMT alone. 600-pulse iTBS will be delivered to the primary motor cortex on the ipsilesional hemisphere, and then, patients will receive mCIMT for 1 h/session, 3 sessions/week for 5 weeks. Upper extremity recovery will be assessed with Fugl-Meyer Test-Upper Extremity and Wolf Motor Function Test. Electrophysiological assessments, such as Motor-Evoked Potentials, Resting Motor Threshold, Short-Intracortical Inhibition, and Intracortical Facilitation, will also be included. Conclusions: In this study, a protocol of an ongoing intervention study investigating the effectiveness of iTBS on ipsilesional M1 prior to the mCIMT in patients with stroke is proposed. This will be the first study to research priming mCIMT with iTBS and it may have the potential to reveal the true effect of the iTBS when it is added to the high-quality neurorehabilitation approaches. Trial registration: Trial registration number: NCT05308667.
dc.identifier.citationKolbaşı, E. N., Ersöz Hüseyinsinoğlu, B., Özdemir, Z., Bayraktaroğlu, Z. ve Soysal, A. (2024). Priming constraint-induced movement therapy with intermittent theta burst stimulation to enhance upper extremity recovery in patients with stroke: protocol for a randomized controlled study. Acta Neurologica Belgica, 124(3), 887-893. http://dx.doi.org/10.1007/s13760-024-02472-6
dc.identifier.doi10.1007/s13760-024-02472-6
dc.identifier.endpage893
dc.identifier.issn0300-9009
dc.identifier.issn2240-2993
dc.identifier.issue3
dc.identifier.pmid38329642
dc.identifier.scopus2-s2.0-85184415840
dc.identifier.scopusqualityQ2
dc.identifier.startpage887
dc.identifier.urihttp://dx.doi.org/10.1007/s13760-024-02472-6
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12639
dc.identifier.volume124
dc.identifier.wos001157595300001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBayraktaroğlu, Zübeyir
dc.language.isoen
dc.relation.ispartofActa Neurologica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCerebrovascular Accident
dc.subjectNeurological Rehabilitation
dc.subjectTranscranial Magnetic Stimulation
dc.subjectUpper Extremity
dc.titlePriming constraint-induced movement therapy with intermittent theta burst stimulation to enhance upper extremity recovery in patients with stroke: protocol for a randomized controlled study
dc.typeArticle

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