Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: The Immediate Effect of Electrical Stimulation Transcranial Direct Current (tDCS) Associated With the Use of FES, in Muscle Activity of the Tibialis Anterior Muscle, Balance and Plantar Pressure Distribution of Individuals With Hemiparesis Due to Stroke - Randomized, Double Blind
Brief Summary: Background: Transcranial direct current stimulation (tDCS) is currently considered a beneficial method for patients with neurological problems due to the modulation of cortex activity as well as the enhancement and prolongation of functional gains achieved during physical therapy. Purpose: The aim of the proposed study is to evaluate the immediate effects of a session of tDCS over the primary motor cortex combined with functional electrical simulation (FES) on electrical activity of the tibialis anterior muscle, balance and distribution of plantar pressure in individuals with hemiparesis stemming from a stroke. A further aim is to determine whether the effects of the combination of both stimulation methods are better than those achieved when each method is employed alone. Methods/design: A randomized, double-blind, crossover, cross-sectional study will be conducted involving 30 stroke survivors with hemiparesis who meet the eligibility criteria. Evaluations will involve an identification and screening chart, the classification of motor impairment using the Fugl-Meyer Scale, the determination of spasticity of the triceps surae muscle (modified Ashworth scale), electromyography of the tibialis anterior muscle, static balance and cognitive dual-task balance (stabilometry) and plantar pressure. After the initial evaluations, the participants will undergo four interventions: 1) anodal tDCS + placebo FES + active tibialis anterior contraction; 2) placebo tDCS + active FES + active tibialis anterior contraction; 3) anodal tDCS + active FES + active tibialis anterior contraction; and 4) placebo tDCS + placebo FES placebo + active tibialis anterior contraction. tDCS will be administered over the primary motor cortex and FES will be administered over the tibialis anterior muscle. The order of the different protocols will be randomized and both the evaluator and patients will be blinded to which protocol is being administered.


Options:
A: Intervention Type: DEVICE; Name: combined transcranial direct current stimulation and electrical peripheral nerve stimulation; Assigned to Arm(s): N/A
B: Arm Label: RBX + tDCS; Type: EXPERIMENTAL; Interventions: Drug: reboxetine, Device: tDCS verum | Arm Label: RBX + sham stimulation; Type: ACTIVE_COMPARATOR; Interventions: Drug: reboxetine, Device: tDCS sham | Arm Label: PLC + tDCS; Type: ACTIVE_COMPARATOR; Interventions: Drug: Placebo, Device: tDCS verum | Arm Label: PLC + sham stimulation; Type: SHAM_COMPARATOR; Interventions: Drug: Placebo, Device: tDCS sham | Intervention Type: DRUG; Name: reboxetine; Assigned to Arm(s): RBX + sham stimulation, RBX + tDCS | Intervention Type: DRUG; Name: Placebo; Assigned to Arm(s): PLC + sham stimulation, PLC + tDCS | Intervention Type: DEVICE; Name: tDCS verum; Assigned to Arm(s): PLC + tDCS, RBX + tDCS | Intervention Type: DEVICE; Name: tDCS sham; Assigned to Arm(s): PLC + sham stimulation, RBX + sham stimulation
C: Arm Label: Prism adaptation + anodal tDCS; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Prism Adaptation, Device: Anodal tDCS | Arm Label: Prism Adaptation + Sham tDCS; Type: PLACEBO_COMPARATOR; Interventions: Behavioral: Prism Adaptation, Device: Sham tDCS | Arm Label: Prism adaptation + no tDCS; Type: PLACEBO_COMPARATOR; Interventions: Behavioral: Prism Adaptation | Intervention Type: BEHAVIORAL; Name: Prism Adaptation; Assigned to Arm(s): Prism Adaptation + Sham tDCS, Prism adaptation + anodal tDCS, Prism adaptation + no tDCS | Intervention Type: DEVICE; Name: Anodal tDCS; Assigned to Arm(s): Prism adaptation + anodal tDCS | Intervention Type: DEVICE; Name: Sham tDCS; Assigned to Arm(s): Prism Adaptation + Sham tDCS
D: Arm Label: 1- tDCS 2--FES; Type: EXPERIMENTAL; Interventions: Device: Transcranial direct current stimulation (tDCS), Device: Functional electrical stimulation (FES), Device: Sham stimulation | Intervention Type: DEVICE; Name: Transcranial direct current stimulation (tDCS); Assigned to Arm(s): 1- tDCS 2--FES | Intervention Type: DEVICE; Name: Functional electrical stimulation (FES); Assigned to Arm(s): 1- tDCS 2--FES | Intervention Type: DEVICE; Name: Sham stimulation; Assigned to Arm(s): 1- tDCS 2--FES

Answer: D