Traumatic Brain Injury (TBI) with persistent executive dysfunction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18-70 years old; 2. 3-12 months after the occurrence of closed brain trauma; 3. Presence of persistent executive dysfunction with a score of <=14 on the Frontal Lobe Assessment Scale (FAB) and/or an Executive Index of <=4 on the Montreal Cognitive Assessment (MoCA); 4. Stable drug treatment regimen in the past 4 weeks (no addition, adjustment or discontinuation of related drugs); 5. Meet the conditions for magnetic resonance imaging (MRI) examination (no contraindications to MRI examination).
Exclusion criteria
Exclusion criteria: 1. History of epilepsy unrelated to traumatic brain injury within the past 1.6 months; 2. Skull defect in the frontal lobe target area; 3. Presence of implants in the body that are contraindicated for MRI (such as a pacemaker, metal foreign bodies, etc.); 4. Severe aphasia making it impossible to complete study-related tests and assessments; 5. Active major depression requiring adjustment of psychiatric medication treatment; 6. Meets the contraindications for rTMS treatment as defined by the International Federation of Clinical Neurophysiology (IFCN).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frontal Assessment Battery (FAB) Score; | — |
Secondary
| Measure | Time frame |
|---|---|
| MoCA Executive Index;Glasgow Outcome Scale–Extended (GOSE) Score;Trail-Making Test A/B (TMT-A/B);Patient-Reported Cognitive Difficulties Scale Score;TMS-EEG Evoked Potentials (N100/P200 Amplitude);fNIRS Oxyhemoglobin (HbO);rs-fMRI DLPFC–Frontoparietal Network (FPN) Connectivity; | — |
Countries
China
Contacts
Affiliated Cancer Hospital of Tianjin Medical University