Ataxia, Ataxia With Oculomotor Apraxia, CANVAS, Multiple System Atrophy, Spinocerebellar Ataxias
Conditions
Keywords
transcranial direct current stimulation, transcranial alternate current stimulation, spinocerebellar ataxia, cerebellar ataxia
Brief summary
The aim of the study is to evaluate the effects on motor and cognitive performance of transcranial alternating current stimulation (tACS) compared to transcranial direct current stimulation (tDCS) and placebo stimulation (sham) in patients with neurodegenerative ataxia to identify a possible rehabilitation protocol.
Interventions
Single session of Transcranial stimulation over the cerebellar hemispheres
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with a cerebellar syndrome and quantifiable cerebellar atrophy
Exclusion criteria
* Severe head trauma in the past * History of seizures * History of ischemic stroke or hemorrhage * Pacemaker * Metal implants in the head/neck region * Severe comorbidity * Intake of illegal drugs * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the International Cooperative Ataxia Rating Scale (ICARS) Score From Baseline | Baseline (immediately before the intervention) - Immediately after the intervention | International Cooperative Ataxia Rating Scale (ICARS): semi-quantitative 100-point scale, yielding a total score of 0 (no ataxia) to 100 (most severe ataxia). |
| Change in the Scale for the Assessment and Rating of Ataxia (SARA) Score From Baseline | Baseline (immediately before the intervention) - Immediately after the intervention | Scale for the Assessment and Rating of Ataxia (SARA): 8-item performance based scale, yielding a total score of 0 (no ataxia) to 40 (most severe ataxia). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Cerebellar Brain Inhibition (CBI) Measurements From Baseline | Baseline (immediately before the intervention) - Immediately after the intervention | Cerebellar brain inhibition (CBI) is expressed as motor evoked potential amplitude (average of 10 recordings). Lower values reflect higher inhibition and thus reduced impairment. |
| Change in Timed Up and Go Test Duration From Baseline | Baseline (immediately before the intervention) - Immediately after the intervention | Time (in seconds) that a person takes to rise from a chair, walk three meters, turn around 180 degrees, walk back to the chair, and sit down while turning 180 degrees, assessed with gait sensors. |
| Change in Walking Cadence From Baseline | Baseline (immediately before the intervention) - Immediately after the intervention | Average Left and Right Steps/Minute during a 60 seconds walk, assessed with gait sensors. |
| Change in 360° Turn From Baseline | Baseline (immediately before the intervention) - Immediately after the intervention | Velocity (Number of Degrees/sec) in making a 360° turn, assessed with gait sensors |
Countries
Italy