Multisite High-definition Transcranial Direct Current Stimulation Targeting Sensorimotor Network Navigated by Task-based fMRI to Facilitate Motor Activation and Reorganization for Stroke

Status: Recruiting
Location: See location...
Intervention Type: Device
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Transcranial direct current stimulation (tDCS) has been applied to facilitate cortical excitability in stroke populations, as increasing evidence suggests that clinical recovery from stroke is attributed to neuroplastic reorganization. However, recovery from stroke following this kind of non-invasive neuromodulation remains divergent across stroke patients due to variations in their etiologies, lesion profiles and post-stroke duration. A novel multisite high definition tDCS (HD-tDCS) in healthy people showed that such network-targeted stimulation could enhance motor excitability beyond conventional stimulation which targeting only one region. The electrode placements could be determined by the montage optimization, which targets individual motor network activation navigated by task-based fMRI using computation algorithms. By targeting motor network, the new multisite electrode montage may provide a potential to facilitate better cortical activation than conventional tDCS montage.

Eligibility
Participation Requirements
Sex: All
Healthy Volunteers: t
View:

• first-ever stroke, the duration after stroke exceeds 12 months;

• mild to moderate upper extremity motor function deficit, determined by the Fugl-meyer assessment of upper extremity (FMAUE) scores between 15 and 53;

• could voluntarily perform grasping hand movement.

• sufficient cognitive function to follow the assessment and experiment instructions.

Locations
Other Locations
Hong Kong Special Administrative Region
Department of Biomedical Engineering, The Chinese University of Hong Kong
RECRUITING
Hong Kong
Contact Information
Primary
Raymond Kai-yu Tong, PhD
kytong@cuhk.edu.hk
+852 3943 8454
Time Frame
Start Date: 2022-08-13
Estimated Completion Date: 2024-12-31
Participants
Target number of participants: 30
Treatments
Experimental: Multisite HD-tDCS group
Device:~Constant current will be applied for 20min and the electrodes will be placed over the target area
Sham_comparator: Sham stimulation group
The stimulator will be applied for 20 minutes with only 30s ramp-up and ramp-down stimulation delivered. The patients will feel the initial itching sensation at the beginning in order to evaluate the placebo effect.
Active_comparator: Conventional tDCS Group
Constant current (2mA) will be applied for 20min and the anode will be placed over the standard C3/C4 position.
Related Therapeutic Areas
Sponsors
Leads: Chinese University of Hong Kong

This content was sourced from clinicaltrials.gov