[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Ancor Rebassa Cabrera\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":51},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":29,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":40,"lastUpdatePostDateStruct":41,"startDateStruct":44,"completionDateStruct":46,"leadSponsor":48,"locationsCount":5},"100653411","effects-of-high-frequency-rtms-on-cortical-motor-mapping-in-stroke-patients-with-severe-upper-limb-impairment-map2024sjd-100653411",false,"NCT07787793","Effects of High-Frequency rTMS on Cortical Motor Mapping in Stroke Patients With Severe Upper Limb Impairment (MAP2024SJD)","Effects of a Single Session of High-Frequency Repetitive Transcranial Magnetic Stimulation on Cortical Mapping of the Upper Limb in Stroke Patients With Severe Upper Limb Impairment","MAP2024SJD","Inclusion Criteria:\n\n* First-ever stroke confirmed by MRI or CT scan.\n* Inability to voluntarily activate the hand musculature:\n\nmanual muscle testing score of 1 or less in finger extension.\n\n* Time since stroke onset greater than 6 months.\n\nExclusion Criteria:\n\n* History of craniotomy or metallic implants in the skull.\n* Diagnosis of uncontrolled epilepsy.\n* Diagnosis of other neurological diseases (dementia, Parkinson's disease, neuropathies, multiple sclerosis, or similar conditions).\n* Low level of consciousness or significant cognitive impairment that prevents informed consent or study collaboration.\n* Diagnosis of rheumatic disease or presence of hand deformities.\n* Pregnancy.","ALL","18 Years",{"count":20,"type":21},54,"ESTIMATED","INTERVENTIONAL",[24],"NA","The goal of this clinical trial is to learn if a single session of high-frequency repetitive transcranial magnetic stimulation (rTMS) can increase cortical motor activity in stroke patients with severe upper limb impairment.\n\nThe main question it aims to answer is:\n\nDoes one session of high-frequency rTMS increase the number of motor evoked potential (MEP)-positive points in the cortical motor map of the affected hemisphere compared to sham stimulation?\n\nResearchers will compare high-frequency rTMS (10 Hz, 600 pulses) applied over the affected motor cortex to sham stimulation to see if rTMS increases detectable cortical motor responses in patients who have little or no voluntary hand movement after stroke.\n\nParticipants will:\n\nUndergo a cortical motor mapping assessment before the intervention. Receive either one session of real rTMS or sham stimulation, depending on their randomly assigned group.\n\nUndergo a second cortical motor mapping assessment immediately after the intervention.",[27,28],"Stroke","Upper Limb Paresis",[30,31,32,33,34,35,36,37,38],"stroke","transcranial magnetic stimulation","rtms","cortical motor mapping","motor evoked potential","neuroplasticity","upper limb rehabilitation","neurorrehabilitation","diaschisis","RECRUITING","2026-08-22",{"date":42,"type":43},"2026-08-26","ACTUAL",{"date":45,"type":21},"2026-09-15",{"date":47,"type":21},"2026-12",{"name":49,"class":50},"Ancor Rebassa Cabrera","OTHER",""]