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Direct Measurement of Motor Cortical Responses to tDCS

Not Applicable
Conditions
Parkinson Disease
Chronic Stroke
Interventions
Device: transcranial direct current stimulation (noninvasive recording)
Device: sham transcranial direct current stimulation (noninvasive recording)
Device: transcranial direct current stimulation (invasive recording)
Registration Number
NCT04759898
Lead Sponsor
Medical University of South Carolina
Brief Summary

Transcranial direct current stimulation (tDCS) has shown the potential to improve symptoms in patients with movement deficits, such as Parkinson's disease and chronic stroke. However, the effects of tDCS have so far not been proven on a wider scale due to lack of knowledge regarding exactly how tDCS works. This has limited the adoption of this potentially useful therapy for patients with Parkinson's disease, chronic stroke and other conditions affecting movement. The investigators hypothesize that by studying the effects of tDCS in subjects performing a motor task, the brain signals mediating improvements in motor control will be identified. The investigators will use both noninvasive and invasive methods to explore this hypothesis. The investigators expect this combined approach to broaden understanding of tDCS application in conditions affecting movement and possibly lead to therapeutic advances in these populations.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Age 18 or older
  • Previous consent to be contacted regarding potential participation in a research study at Medical University of South Carolina
Exclusion Criteria
  • Subjects unable to actively participate in the consent process physically and/or cognitively
  • Pregnancy
  • Presence of scalp injury or disease
  • Prior history of seizures
  • Metal implants in head or neck
  • Prior intracranial surgery
  • Prior brain radiotherapy
  • Prior history of intracranial tumor, intracranial infection or cerebrovascular malformation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Stimulation (noninvasive recording)transcranial direct current stimulation (noninvasive recording)Patients with Parkinson's disease or chronic stroke will be assigned to undergo EEG recording and transcranial direct current stimulation.
Sham (noninvasive recording)sham transcranial direct current stimulation (noninvasive recording)Patients with Parkinson's disease or chronic stroke will be assigned to undergo EEG recording and sham transcranial direct current stimulation.
Stimulation (invasive recording)transcranial direct current stimulation (invasive recording)Patients with Parkinson's disease undergoing surgery for deep brain stimulation will be studied using electrocorticography combined with transcranial direct current stimulation
Primary Outcome Measures
NameTimeMethod
Change in primary motor cortical (PriMC) beta oscillations during arm flexion in relation to anodal tDCS activationSubjects will undergo baseline ECoG recording 5 min before tDCS starts, during tDCS (5 min after stimulation starts) and 5 min after tDCS stimulation ends. Measurements will be made similarly during sham stimulation.

ECoG is used to track beta spectral power during an arm flexion task in conjuction with transcranial direct current stimulation

Change in primary motor cortical (PriMC) beta oscillations during cued arm reaching in relation to anodal tDCS activationSubjects will undergo baseline EEG recording 5 min before tDCS starts, during tDCS (5 min after stimulation starts) and 5 min after tDCS stimulation ends. Measurements will be made similarly during sham stimulation.

EEG is used to track beta spectral power during a cued motor task in conjuction with transcranial direct current stimulation or sham

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

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