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临床试验/NCT03753191
NCT03753191Unknown不适用

The Effects of Transcranial Direct Current Stimulation on Executive Function in People With Mild to Moderate Dementia

The Hong Kong Polytechnic University1 个研究点 分布在 1 个国家目标入组 80 人开始时间: 2019年6月1日最近更新:
适应症

试验速览

阶段
不适用
入组人数
80
试验地点
1
主要终点
Haemodynamic changes

研究概览

简要总结

To study the effects of transcranial direct current stimulation on executive function in people with mild to moderate dementia

详细描述

Extensive research had shown executive dysfunction in people with dementia (PWD) is associated with functional abnormalities in prefrontal regions such as the right inferior frontal gyrus (Right IFG) or the left dorsal lateral pre-frontal cortex (Left DLPFC) . Clinical studies suggest that tDCS may be a useful therapeutic tool. Post-tDCS improvements have also been shown in visuo-motor coordination of healthy controls and performance in working memory. The aim of this study is to investigate the effect of tDCS stimulation over left DLPFC or right IFG on attention, inhibition and working memory and their neural correlates in people with dementia (PWD) and healthy controls (HC).This study is planned as a double-blinded, randomized case-control interventional study with a duration of 30 months.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

盲法说明

double-blinded, with randomized case-control

入排标准

年龄范围
65 Years 至 90 Years(Older Adult)
性别
All
接受健康志愿者

入选标准

  • PWD must be aged at least 65 years or above when informed consent is obtained in the presence of his / her first degree relatives.
  • PWD must meet criteria of DSM-V for dementia as well as for historical diagnosis of dementia.
  • PWD must have a Chinese MoCA score > 19 (mild to moderate cognitive deficits) at screening.
  • Subjects (both PWD and HC) must be physically healthy, and must be able to understand and be willing to sign the informed consent document

排除标准

  • Subject with major neurological illness.
  • Subject with other diagnosed psychiatric disorders
  • Subjects reported with history of substance abuse, which including alcohol, drugs or any medication which is indicative of chronic abuse.
  • Failures to comply with the study protocol or to follow the instructions.
  • Self-reported with known skin diseases or skin allergy history.
  • Self-reported with metallic implants, dentures
  • Self-reported with history of claustrophobia. (This is excluded because subject needs to stay in a quiet room with the head-mounted fNIRS and tDCS, which may elicit their feeling of anxiety)

结局指标

主要结局

Haemodynamic changes

时间窗: baseline and 5 minutes after tDCS

Change in hemodynamic level in two region of interest of prefrontal cortical regions, that is DLPFC and IFG

Trail Making Test

时间窗: baseline and 5 minutes after tDCS

change in Trail Making Test

Behavior change

时间窗: baseline and 5 minutes after tDCS

Change in the Chinese Multiple Errands Test

N-back task

时间窗: baseline and 5 minutes after tDCS

Change in N-back task

Stop-signal task

时间窗: baseline and 5 minutes after tDCS

Change in Stop-signal task

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Dr Frank LAI

Assistant Professor

The Hong Kong Polytechnic University

研究点 (1)

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