Dual-site Cross-frequency Coupled Transcranial Electrical Stimulation Modulates Working Memory of Patients With Post-stroke Cognitive Impairment
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: occupational therapy, real tACS, sham tACS.
- Who it may be relevant to
- Registry conditions: Stroke, Cognition Disorders. Basic parameters: 30 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This clinical trial aims to explore the effect of dual-site theta-gamma cross-frequency coupled transcranial alternating current stimulation in the frontal and parietal region on the working memory ability of patients with cognitive impairment after stroke, and to evaluate the safety of this protocol. The main purpose is to answer the following question: Can dual-site cross-frequency coupled tACS in the frontal parietal region improve the performance of working memory and cognitive-motor dual tasks in stroke patients? What is its mechanism of action? Researchers will compare the effects of real cross-frequency coupled stimuli and sham stimuli to see if the real stimuli can bring better results to patients. Participants will receive 40 minutes of real or sham electrical stimulation once a day for 5 consecutive days. Clinical evaluations (cognitive scales) and fNIRS were conducted respectively before and after stimulation to record the relevant brain activities at rest and during cognitive tasks
Interventions
- Behavioral occupational therapy
occupational therapy (especially cognitive therapy) 40min a day for 5 days - Other real tACS
real theta-gamma CFC tACS for 40min a day for 5 days during cognitive therapy - Other sham tACS
sham theta-gamma CFC tACS for 40min a day for 5 days during cognitive therapy
Primary outcome measures
- n-back task accuracy rate [Time frame: Baseline and 5-days]
- n-back task reaction time [Time frame: Baseline and 5-days]
- function connectivity during n-back task [Time frame: Baseline and 5-days]
- Verbal fluency test(VFT)accuracy rate [Time frame: Baseline and 5-days]
- Verbal fluency test(VFT)reaction time [Time frame: Baseline and 5-days]
- function connectivity during Verbal fluency test(VFT) [Time frame: Baseline and 5-days]
Secondary outcome measures (1)
- Montreal Cognitive Assessment(MoCA) [Time frame: Baseline and 5-days]
Eligibility criteria
Inclusion criteria
- Meeting the diagnostic criteria for hemorrhagic or ischemic stroke in the Chinese Guidelines for the Prevention and Treatment of Cerebrovascular Diseases(2nd edition), with the first onset, single hemisphere stroke, and confirmed by CT or MRI,course of diease 1-6 months;
- Age ranging from 30 to 80 years old;
- Native language is Mandarin or Cantonese;
- Right-handed;
- Diagnosed with PSCI by the MoCA scale;
- Able to cooperate in completing the speech repetition test;
- Normal hearing.
Exclusion criteria
- Currently receiving non-invasive brain stimulation treatment;
- Lesions involving the left DLPFC brain regions;
- History of epilepsy, mental illness,or other neurological or mental disorders;
- Any contraindications for transcranial electrical stimulation.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Treatment
Study locations
China · 1 center
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen Universi — Guangzhou
Identifiers
NCT: NCT07573501 · Nos.82302848b