The Effects of Transcranial Direct Current Stimulation on Executive Function in People With Mild to Moderate Dementia
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
- 是
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
Dr Frank LAI
Assistant Professor
The Hong Kong Polytechnic University
