]>
IRCT20120910010806N8 IRCT 2019-06-15 Iran University of Medical Sciences the effect of the order of Transcranial direct current stimulation and Computer-based Cognitive Rehabilitation on Improving Cognitive Performance and Activities of Daily Living TDCs Comparison of the effect of the order of Transcranial direct current stimulation and Computer-based Cognitive Rehabilitation on Improving Cognitive Performance and Activities of Daily Living Patient with Stroke 2017-07-23 anticipated 40 Complete https://irct.ir/trial/31853 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Other design features: The fourth group of this study receives placebo electrical stimulation, As electrodes are first placed on the headAnd the flow is establishedAnd after 30 seconds, the stream fades out, Randomization description: By convenient method the records of inpatients and outpatients stroke patients who referred to the department of the neurology of hospitals of Iran University of Medical Sciences between 1 to 12 months ago were reviewed. Then simple randomize method used. The blind person to the aim of the study, divided the eligible patients into four groups by randomization digits table, Blinding description: In this study the assessment will be performed by trained assessors who are blind to the study. After completion of the treatment and completing the assessments, the data will be entered into the SPSS and analyzed by the blind person about the four treatment groups. N/A Condition 1: Cerebral Vascular Accident. Condition 2: Cerebral Vascular Accident. Intervention 1: Intervention group: Group 1: First tDCS session on c3 or c4, 2 mA currency for 20 minutes, then computer based cognitive rehabilitation for 30 to 40 minutes, weekly two sessions and ten sessions totally . Intervention 2: Intervention group: Group 2: First, computer based cognitive rehabilitation for 30 to 40 minutes, and then tDCS on c3 or c4, 2 mA currency for 20 minutes,weekly two sessions and ten sessions totally . Intervention 3: Intervention group: Group 3: Simultaneously computer based cognitive rehabilitation for 30 to 40 minutes and tDCS on c3 or c4, 2 mA currency for 20 minutes,weekly two sessions and ten sessions totally . Intervention 4: Control group: Group 4: Simultaneously sham tDCS in such a way that the electrical current is applied only for 30 seconds, and then the current is disconnected, and the device is placed somewhere away from the patient's vision and computer based cognitive rehabilitation for 30 to 40 minutes, weekly two sessionsand ten sessions totally . Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Susan Samani
No 33, East of Zoroaster, above Vali-e-Asr Square, Tehran
Tehran Iran (Islamic Republic of) 1413953461 +98 21 8880 2063 susan.samani@gmail.com Institute for Cognitive Science Studies scientific Malahat Akbarfahimi
Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Workers' Street, Shah Nazari Street, Mother's square, Mirdamad, Tehran
Tehran Iran (Islamic Republic of) 15459-13478 +98 21 2222 7124 rehab@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) schemic stroke in the anterior and medial cerebral arteries or one of the arteries. Neurologist by MRI No aphasia and associated neurological disorders (Parkinson's, MS, ALS, Alzheimer's disease) First stroke of the patient and one to twelve months after the stroke Admission Age Between 20 and 75 Years At least 9 successful grades literacy 20 years 75 years Both Not attending two consecutive treatment sessions Change the medication during the course of the intervention Create headaches G46.0 G46.1 Middle cerebral artery syndrome Anterior cerebral artery syndrome Rehabilitation Rehabilitation Rehabilitation Rehabilitation Intervention group: Group 1: First tDCS session on c3 or c4, 2 mA currency for 20 minutes, then computer based cognitive rehabilitation for 30 to 40 minutes, weekly two sessions and ten sessions totally . Intervention group: Group 2: First, computer based cognitive rehabilitation for 30 to 40 minutes, and then tDCS on c3 or c4, 2 mA currency for 20 minutes,weekly two sessions and ten sessions totally . Intervention group: Group 3: Simultaneously computer based cognitive rehabilitation for 30 to 40 minutes and tDCS on c3 or c4, 2 mA currency for 20 minutes,weekly two sessions and ten sessions totally . Control group: Group 4: Simultaneously sham tDCS in such a way that the electrical current is applied only for 30 seconds, and then the current is disconnected, and the device is placed somewhere away from the patient's vision and computer based cognitive rehabilitation for 30 to 40 minutes, weekly two sessionsand ten sessions totally . 1-Improvement of executive functions: Spatial Span - One Touch Stockings of Cambridge - latency to correct - mean choices to correct - problem solved on first choices - swtiching cost - Congruency cost - Stop Signal task - direction errors -Proportion of successful stop - reaction time. Timepoint: One day before the first intervention session and one week after the tenth intervention session. Method of measurement: Cambridge Neuropsychological Test Automated Battery (CANTAB) test. Activities of daily living: Those are the skills and tasks that a person pays for them throughout the day and forms the daily routines of the individual's life.These activities include dressing and dressing up, eating, brushing, bathing, going to toilet and dressing yourself. instrumental activities of daily living:These activities are self-care assignments that are usually taught in adolescence and require sophisticated thinking skills, such as the organization of skills.And include activities such as financial management, management of the use of vehicles, purchase of food preparation, traffic management and control how the drugs are. Timepoint: An initial assessment one day before the start of intervention and a secondary assessment is performed one week after the end of the tenth session of intervention. Method of measurement: The activities of daily living are assessed by the Barthel index.The instrumental activities of daily living are evaluated by the Lawton scale. Iran University of Medical Sciences Approved 2018-05-20 Ethics committee of Iran University of Medical Sciences Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran Tehran Tehran Iran (Islamic Republic of)