Transcranial Magnetic Stimulation + Language Therapy to Treat Subacute Aphasia

Description

The goal of this clinical trial is to determine if Transcranial Magnetic Stimulation (TMS) combined with modified Constraint Induced Language Therapy (mCILT) is an effective treatment for aphasia when delivered in the subacute stage after stroke. The main questions this study aims to answer are: 1. Can TMS combined with mCILT improve overall speech? 2. Can we identify specific behavioral and biological characteristics that would benefit most from the TMS and mCILT treatment? Researchers will compare real TMS to sham (fake) TMS to see whether TMS can treat subacute aphasia. Importantly, this trial will use electric field guided TMS to identify optimal and individualized stimulation intensity and site targeting. Participants will: * Complete a screening and medical intake to determine eligibility * Undergo MRI scans * Participate in 10 consecutive sessions (Monday-Friday) of TMS and mCILT treatment * Complete follow-up assessments immediately and 4 months after treatment

Conditions

Stroke, Aphasia, Aphasia Following Cerebral Infarction

Study Overview

Study Details

Study overview

The goal of this clinical trial is to determine if Transcranial Magnetic Stimulation (TMS) combined with modified Constraint Induced Language Therapy (mCILT) is an effective treatment for aphasia when delivered in the subacute stage after stroke. The main questions this study aims to answer are: 1. Can TMS combined with mCILT improve overall speech? 2. Can we identify specific behavioral and biological characteristics that would benefit most from the TMS and mCILT treatment? Researchers will compare real TMS to sham (fake) TMS to see whether TMS can treat subacute aphasia. Importantly, this trial will use electric field guided TMS to identify optimal and individualized stimulation intensity and site targeting. Participants will: * Complete a screening and medical intake to determine eligibility * Undergo MRI scans * Participate in 10 consecutive sessions (Monday-Friday) of TMS and mCILT treatment * Complete follow-up assessments immediately and 4 months after treatment

Electrical Field Guided Transcranial Magnetic Stimulation to Treat Subacute Post-stroke Aphasia

Transcranial Magnetic Stimulation + Language Therapy to Treat Subacute Aphasia

Condition
Stroke
Intervention / Treatment

-

Contacts and Locations

Philadelphia

University of Pennsylvania, Philadelphia, Pennsylvania, United States, 19014

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Left hemisphere stroke resulting in aphasia
  • * The stroke must have occurred between 2 and 6 weeks prior to enrollment
  • * Must be able to understand the nature of the study, and give informed consent
  • * English proficiency
  • * Right-handed
  • * History of serious and/or ongoing issues with substance abuse
  • * Previous head trauma with loss of consciousness for more than 5 minutes
  • * History of major psychiatric illness
  • * Dementia, or other neurological conditions
  • * Epilepsy, or seizure after the stroke event
  • * Pacemaker
  • * Diagnosis of tinnitus
  • * Pregnancy

Ages Eligible for Study

18 Years to 85 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Pennsylvania,

H. Branch Coslett, MD, PRINCIPAL_INVESTIGATOR, University of Pennsylvania

Study Record Dates

2029-07-31