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Transcranial and Rapid Magnetic Stimulation for Gait Apraxia Due to Normal Pressure Hydrocephalus and Cerebral Ischemia

This study is currently recruiting participants.
Study NCT00494689.   Last updated on June 28, 2007.   Information provided by Devathasan Neurology Practice Pte Ltd

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Descriptive Information Fields
Brief Title  Transcranial and Rapid Magnetic Stimulation for Gait Apraxia Due to Normal Pressure Hydrocephalus and Cerebral Ischemia
Official Title 
Brief Summary

The investigator(neurologist) has published a study in International Congress Series, in the 15th International Conference of Biomagnetism Vancouver Proceedings 2006,and Science Direct website, of 15 patients with brain ischemia and dilated ventricles who improve when treated with transcranial monitoring or low ultrasound wave intensity (milliwatts) and with rapid magnetic stimulation which is also a diagnostic tool routinely used by many neurophysiologists. Before, these patients will progress and may need a brain shunt called Ventriculo-peritoneal shunt. He and collaborators now would like to do a double study as this appears to be a cheap and effective alternative treatment and help patients to walk again.

Detailed Description

The transcranial monitoring intensity would be equivalent to the well known CLOTBUST study (<300mw/sq cm)for one hour, using two probes.

All will be treated as an outpatient and there is no form of infusion or interventional treatment.

The rapid magnetic stimulation is at about 50a/us, 15Hz, 1000 pulses with 10 sec pause for ten days along the skull vault. Informed consent will be obtained. 30 patients will be recruited and sham treatment would be just applying probe without power for transcranial and for magnetic stimulation coil will be angled away. Data will be compiled by a separate blinded investigator and so with the statistics. VP shunt failure patients, which is common, will be included. Barthel's daily living index and standard cognitive tests will be used to assess results.

Study Phase
Study Type  Observational
Study Design  Psychosocial, Longitudinal, Case Control, Prospective Study
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Walking
Cognitive Function
Intervention 
MEDLINE PMIDs
Links clotbust trial This link exits the ClinicalTrials.gov site
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  30
Start Date  January 2002
Completion Date June 2007
Eligibility Criteria 

Inclusion Criteria:

  • cerebral ischemia with our without hydrocephalus and gait apraxia

Exclusion Criteria:

  • all other conditions which contribute to walking difficulty e.g. bad knees; or spondylosis; parkinson's or paralytic strokes
Gender Both
Ages
Accepts Healthy Volunteers No
Contacts ††
Contact: Devathasan Gobinathan, FRCP,MD     65-67330311     devathasan@msn.com    
Contact: Weng Kiong Ow Yong, Bsc     65-97970966     gdeva@yahoo.com    
Location Countries  Singapore
Administrative Information Fields
NCT ID  NCT00494689
Organization ID 02
Secondary IDs ††
Study Sponsor  Devathasan Neurology Practice Pte Ltd
Collaborators ††
Investigators 
Study Chair:     Weng Kiong Aw Yong, Bsc (QUT)     Freelancer Computer Programmer and data control    
Information Provided By Devathasan Neurology Practice Pte Ltd
Verification Date June 2007
First Received Date  June 28, 2007
Last Updated Date June 28, 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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