rTMS Treatment of Spasticity in Children With Cerebral Palsy/ Hemiplegia Due to ABI - a RCT
Repetitive Transcranial Magnetic Stimulation (rTMS) for the Treatment of Spasticity in Children With Hemiplegic Cerebral Palsy/ Hemiplegia Due to Acquired Brain Injury - a Randomized Controlled Trial
The University of Hong Kong
20 participants
Jan 13, 2024
INTERVENTIONAL
Conditions
Summary
This RCT aims to investigate the effect of repetitive transcranial magnatic stimulation (rTMS) in treating children with hemiplegoc cerebral palsy. The study will measure any improvement in spasticity after using contra-lesional inhibitory rTMS follow by intensive limb training. Participants will attend a 10-day rTMS treatment sessions, follow by intensive training of the impaired limb. They will also undergo MRI scans before and after the treatment to investiagte the underlying neurophysiological mechanisms that lead to changes clinically by using TMS as well as MR-DKI. Researchers will compare the intervention group and the sham group to see if rTMS could result in improvement of participants' spasticity.
Eligibility
Inclusion Criteria4
- Patients aged between 7 years and 18 years
- Diagnosis of cerebral palsy with hemiplegia
- Upper limb spasticity ≥ 1
- IQ ≥ 50
Exclusion Criteria5
- Any contra-indications to rTMS
- Severe spasticity (score of 4 or more in Ashworth scale)
- Uncontrollable epilepsy
- History of Botulinum toxin A injection in previous 6 months
- Upper limb casting in previous 6 months
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Interventions
1 Hz rTMS treatment for 20 mins, follow by 30 mins intensive limb training
Sham Hz rTMS treatment for 20 mins, follow by 30 mins intensive limb training
Locations(1)
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NCT06128746