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The Effect of Non-invasive Brian Stimulation on Language Production in Healthy Older Adults

Not Applicable
Completed
Conditions
Language Disorders
Stroke
Aphasia
Interventions
Device: Transcranial direct-current stimulation (tDCS)
Registration Number
NCT04260815
Lead Sponsor
King's College London
Brief Summary

The use of non-invasive brain stimulation techniques like transcranial direct-current stimulation (tDCS) for rehabilitation of language is a growing field that needs further studies to determine how best it can be used to enhance treatment outcomes. It has been shown that tDCS can improve language performance in healthy and brain-injured individuals such as increased naming accuracy.

However, at present, it is not known what effect tDCS has on higher-level language skills like discourse production (i.e. story telling, giving instructions) in healthy, older speakers. Therefore, the aim of this study is to investigate in healthy older adults, the effect of tDCS on discourse production as well as the ideal tDCS electrode placement for improving language at the discourse level. It is hypothesised that tDCS will result in greater language changes and improvements during discourse production compared to no stimulation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
14
Inclusion Criteria
  • At least 65 years of age
  • Native English speakers
  • Right handed
  • Normal aided or unaided visual acuity
  • At least secondary school level of education
Exclusion Criteria
  • History of neurological disease or cognitive impairment
  • Any contraindication of tDCS (i.e. history of seizures, metal implants)

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
anodal tDCS on the left inferior frontal gyrus (IFG)Transcranial direct-current stimulation (tDCS)-
sham tDCSTranscranial direct-current stimulation (tDCS)-
anodal tDCS on the right IFGTranscranial direct-current stimulation (tDCS)-
Primary Outcome Measures
NameTimeMethod
Change in percent of Correct Information Unitspre-intervention and immediately after the intervention

The percent of accurately produced words that provide information relevant to the language task

Change in word totalpre-intervention and immediately after the intervention

total number of words in a language sample

Change in utterance totalpre-intervention and immediately after the intervention

total number of utterances (complete sentences including a predicate and argument) in a language sample

Change in verb totalpre-intervention and immediately after the intervention

total number of verbs in a language sample

Secondary Outcome Measures
NameTimeMethod
Hospital Anxiety and Depression Scale (HADS)7 days

HADS is a 14-item scale which assesses non-somatic anxiety and depression symptoms experienced in the past week. Scores range from 0 to 21 for each sub-scale with a score ≥8 proposed for the identification of caseness, for both depression and anxiety.

EPIC Physical Activity Questionnaire (EPAQ2)12 months

The EPAQ2 is a self completed questionnaire which collects information on a person's physical activity levels at home, work and recreation. Based on total activity hours in the last 12 months, the physical activity index categorises levels of physical activity into 'active', 'moderately inactive', 'moderately active' or 'active'.

The Keele Assessment of Participation (KAP)4 weeks

The KAP is a short questionnaire that measures participation levels in various activities such as activities of daily living, social activities and work in the last 4 weeks. A score of 0 indicates no restriction in participation whereas scores from 1-11 indicate a restriction in participation in at least one activity ( the higher the score the greater the restriction).

Trial Locations

Locations (1)

King's College London

🇬🇧

London, United Kingdom

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