Stroke
Conditions
Keywords
Transcranial direct current stimulation, Stroke, Dual-task training, EEG
Brief summary
This study investigates whether electroencephalographic (EEG) measures of functional connectivity of the target network are associated with the response to different sets of transcranial direct current stimulation combined with dual-task training in post-stroke patients.
Detailed description
The present study seeks to compare the effects of conventional anodic tDCS (M1) with double-site/dual-site anodic tDCS (M1 + DLPFC) and simulated tDCS on functional connectivity, as assessed by EEG, in patients after staged stroke. chronic. The study is a randomized, double-blind, placebo-controlled, crossover clinical trial. Participants will be submitted to three sessions, each session consisting of a different condition, namely: anodic tDCS - participants who will receive real current over the primary motor area; Dualsite tDCS - participants who will receive real current over the primary motor area and over the dorsolateral prefrontal area (DLPFC) and simulated tDCS - participants who will receive simulated stimulation. Participants will receive 3 tDCS sessions, lasting 20 minutes, associated with a physical therapy protocol based on dual motor and cognitive tasks, on alternate days (3 times a week). On each intervention day, pre and post-intervention assessments will be carried out, the evaluated outcomes will be: functional connectivity (EEG), functional mobility (Timed Up and Go) and executive functions (Trail-making Test A and B, the Clock Drawing Test and Phonemic Verbal Fluency Test). Statistical performance will be performed using SPSS software (Version 20.0) and MATLAB 9.20 with a significance level of p\<0.05.
Interventions
DEVICETranscranial direct current stimulation
It is currently known that Transcranial Direct Current Stimulation (tDCS) can modulate cortical activity, being considered an important resource in the treatment of sequelae resulting from stroke. Cognitive motor dual-task training (CMDT) is a type of cognitive rehabilitation training at the same time as exercise rehabilitation therapy.
Sponsors
Federal University of Paraíba
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Post-stroke participants for more than 6 months * Individuals over 18 years of age; * Both sexes; * Patients with mild to moderate degree of injury severity (NIHHS \<17 points)
Exclusion criteria
* Patients with other associated pathologies that can influence motor activity (example: traumatic brain injury, brain tumor); * Habitual use of drugs or alcohol; * Use of drugs that modulate the activity of the Central Nervous System; * Gestation; * Use of metallic / electronic implants and / or cardiac pacemakers; * Participants unable to communicate verbally;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Microstates EEG | The evaluations will be carried out in pre-intervention | EEG data were processed according to the following steps and parameters: (1) downsampled to 256 Hz; (2) high-pass filter at 2 Hz and low-pass at 20 Hz; (3) visual inspection and artifact removal; (4) correction of eye movement using the independent component analysis; and (5) segmentation into two-second epochs with 10% overlap. The choice for the 2-20 Hz range frequency band. Data were submitted to processing: determination of global field power; clustering using k-means of topographic maps of global field power peaks; determination of the optimal number of topographic maps using a predetermined criterion of the four classic maps (A, B, C, and D); application of the topographic maps to the EEG signal using spatial correlation; and classification of EEG continuous data according to the topographic map with the most correlated sections. We calculated and extracted the global explained variance, coverage, occurrence, and duration from each topography. |
| Functional connectivity | Immediately after the intervention | EEG data were processed according to the following steps and parameters: (1) downsampled to 256 Hz; (2) high-pass filter at 2 Hz and low-pass at 20 Hz; (3) visual inspection and artifact removal; (4) correction of eye movement using the independent component analysis; and (5) segmentation into two-second epochs with 10% overlap. The choice for the 2-20 Hz range frequency band. Data were submitted to processing: determination of global field power; clustering using k-means of topographic maps of global field power peaks; determination of the optimal number of topographic maps using a predetermined criterion of the four classic maps (A, B, C, and D); application of the topographic maps to the EEG signal using spatial correlation; and classification of EEG continuous data according to the topographic map with the most correlated sections. We calculated and extracted the global explained variance, coverage, occurrence, and duration from each topography. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed up and Go test | The evaluations will be carried out in pre-intervention | Timed up and Go test |
| Executive Functions I | The evaluations will be carried out in pre-intervention | Trial-making Test A and B |
| Executive Functions II | The evaluations will be carried out in pre-intervention | the Clock Drawing Test |
| Executive Functions III | The evaluations will be carried out in pre-intervention | Phonemic Verbal Fluency Test |
Countries
Brazil
Contacts
Primary ContactSuellen Andrade
Outcome results
None listed