ClinicalTrials.gg
CompletedNCT07889921Updated Oct 22, 2026

TECAR and FES for Hand Function in Post-Stroke Spasticity

An interventional study of FES therapy and TECAR therapy and FES in Neuro: Cerebrovascular Accident, sponsored by October 6 University. Completed at 1 site in Jordan. Open to participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by October 6 University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Jun 2026, registered Oct 2026).
Updated Oct 22, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
40 Years to 60 Years
Sex
All
01

Study summary

Upper-limb spasticity and impaired hand function are experienced by up to 70% of stroke survivors, which significantly restricts their independence in fulfilling daily activities. This research aims to assess whether combining TECAR therapy with FES produces superior improvements in hand function compared to FES alone in stroke patients with upper-limb spasticity.

Read the detailed description

Even though both FES and TECAR therapy have been demonstrated to be effective on their own, no studies have investigated the potential synergistic effects of combining these modalities for upper limb rehabilitation in stroke patients. FES addresses the neurological component of motor impairment by promoting neuroplasticity and facilitating functional movements. TECAR, in contrast, targets the biomechanical component by improving tissue viscoelasticity, decreasing spasticity, and increasing blood flow to afflicted muscles and tendons. The justification for combining these therapies is quite compelling. It is possible that this combination could alleviate post-stroke motor impairment by addressing both neural and peripheral components.

So, this research aimed to assess whether the combination of TECAR therapy and FES produces superior improvements in hand function, spasticity reduction, and functional independence compared to FES alone in chronic stroke survivors with upper limb spasticity and flexor synergy.

02

Conditions studied

  • Neuro: Cerebrovascular Accident
03

In context

Lead sponsor

October 6 University is the lead sponsor of 142 studies on the registry; 28 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • chronic stroke survivors (≥ 6 months post-stroke)
  • age 40-60
  • upper limb hemiparesis with presence of flexor synergy pattern (Brunnstrom Stage 2-4)
  • Modified Ashworth Scale (MAS) score of 1-3 for wrist and finger flexors
  • Montreal Cognitive Assessment (MoCA) score ≥ 21

Exclusion criteria

Exclusion Criteria:

  • severe spasticity of wrist muscles (MAS > 3);
  • clinical evidence of shoulder subluxation (≥ one finger width)
  • botulinum toxin or antispastic medication treatment within 3 months before the study
  • any contraindication to TECAR or FES therapy: pacemaker or implanted electronic devices, osteosynthetic material, skin infections or dermatitis in the treatment area, inflammatory vascular diseases, acute inflammation, cancer
  • history of epilepsy or recent convulsions
  • previous history of wrist problems (arthritis, previous hemiplegia)
  • pregnancy
  • active reflex sympathetic dystrophy
  • co-morbid neurological disease (spinal cord injury, traumatic brain injury, multiple sclerosis, Parkinson's disease).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    FES group

    administrated FES therapy in addition to standard rehabilitation

    Device: FES therapy

  • Experimental
    Combined group

    received a combination of TECAR therapy and FES in addition to standard rehabilitation

    Device: FES therapy · Device: TECAR therapy and FES

Interventions

  • DeviceFES therapy

    FES device (MegaXP FES Machine, South Korea). Two bipolar surface electrodes (active and indifferent, diameter 1.5 inches) were placed over the wrist and finger extensors: Extensor Carpi Radialis Longus (ECRL), Extensor Carpi Radialis Brevis (ECRB), and Extensor Digitorum Communis (EDC). Electrodes were positioned to achieve balanced wrist extension without excessive radial or ulnar deviation.

  • DeviceTECAR therapy and FES

    The protocol started with TECAR in the resistive mode (110-140 W, 5 minutes) on the wrist and finger extensor muscles with slow, circular movements combined with functional massage. We continued with TECAR in the capacitive mode in the same region (180-200 VA, 4 minutes) with gentle gliding movements. We ended the TECAR session with the resistive mode on the dorsal hand, wrist joint, and finger extensor tendons (100-120 W, 3 minutes) with focal application on specific tendinous and joint structures

06

What researchers measure

Primary outcomes

  1. The Modified Ashworth Scale

    a 6-point clinical tool used to measure increased muscle tone (hypertonia) and resistance to passive movement in patients with central nervous system conditions. Scoring: grade 0 (normal), grade 1 and 1+ (mild spasticity), grade 2 and 3 (moderate spasticity), grade 4 (severe spasticity)

    Time frame: one month

  2. Action Research Arm Test

    a 19-item observational measure used by clinicians to evaluate upper-extremity coordination, dexterity, and functional performance in patients with neurological conditions such as stroke, traumatic brain injury (TBI), or multiple sclerosis. A 4-point rating system is used to evaluate task performance, with 0 representing no movement and 3 representing normal movement

    Time frame: one month

Secondary outcomes

  1. The upper extremity Fugl-Meyer Assessment

    A 3-point ordinal scale, with 0 representing "cannot perform," 1 representing "performs partially," and 2 representing "performs fully," is used to rate scale items based on the ability to complete them. 226 is the maximum possible score on the scale.

    Time frame: one month

  2. Functional Independence Measure (FIM) self-care component

    Self-care independence, sphincter control, transfers, mobility, communication, and social cognition are all evaluated. The degree of assistance needed determines the functional status, which ranges from entire assistance to complete independence. Higher scores indicate greater independence. The total score falls between 18 and 126.

    Time frame: one month

  3. Surface electromyography (sEMG)

    a safe, non-invasive technique that records the electrical activity of skeletal muscles using electrodes placed directly on the skin. Measurements: evaluate activation of extensor carpi radialis (ECR) and extensor digitorum communis (EDC).

    Time frame: one month

07

Study locations

1 site
  • Al-Ahliyya Amman University
    Amman, Amman Governorate 11954, Jordan
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2026 to primary completion in Jul 2026, 1 month.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 10, 2026
First posted
Oct 22, 2026
StartActual
Jun 20, 2026
Primary completionActual
Jul 20, 2026
CompletionActual
Aug 20, 2026
Last update
Oct 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07889921
Responsible party
Hosam Magdy Metwally (Assistant professor, October 6 University) — Principal investigator
First posted
Oct 22, 2026
Start date
Jun 20, 2026
Primary completion
Jul 20, 2026
Completion
Aug 20, 2026
Last update
Oct 22, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion