Evaluating the Effect of Methylphenidate on Intracortical Inhibition in Methamphetamine Abusers Comorbid With Attention Deficit Disorder With Hyperactivity(ADHD) in TMS Unit, Neurcognitive Lab, Iranian National Center for Addiction Studies (INCAS), in 2012. A Randomized, Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Conners ADHD Rating Scale
研究概览
简要总结
Previous studies using transcranial magnetic stimulation (TMS) with paired pulse protocols have shown that a conditioning TMS pulse applied to the human motor cortex changes the excitability of motor pathways from the motor cortex to spinal motorneurons. These effects depended on the stimulus intensity of both conditioning and test pulse and also the ISI). A characteristical sequence of inhibition (short interval cortical inhibition [SICI], GABA-Aerg), facilitation (intracortical facilitation [ICF]), and inhibition again (long interval cortical inhibition [LICI], GABA-Berg) is thought to be physiologically involved in motor control. Previous studies have also shown that neuronal inhibitory motor circuits are also disturbed in ADHD which will be restored by using methylphenidate. In this study the investigators sought to investigate if methamphetamine abuse (from the same chemical class of medications) will alter such effects of methylphenidate.
详细描述
Design:
Prospective, randomized, -controlled (1:1 randomization), duration-2 single sessions one week apart
Setting:
University psychiatric hospitals in Tehran including Roozbeh Hospital, Rasool Hospital and Imam Hossein General Hospital will refer clients to Iranian National Center for Addiction Studies, Tehran University of Medical Sciences.
Patients:
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •DSM-IV diagnosis of Methamphetamine abuse co morbid with ADHD
- •Right handedness
排除标准
- •Other current Axis I disorders (except simple phobia and nicotine addiction)
- •Personal or close family history of seizure disorder
- •Ferromagnetic material in body or close to head
- •Neurologic disorder
- •Pregnancy
- •Taking medications known to lower seizure threshold (eg, theophylline)
结局指标
主要结局
Conners ADHD Rating Scale
时间窗: 1 week
The primary outcome measure for the study is Conners which measure clinical improvement on ADHD symptoms
次要结局
- Change of Motor Evoked Potential (MEP)(1 week)
研究者
Zahra Khazaeipour
M.D., MPH.
Tehran University of Medical Sciences
