Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06088914

Behavioral and Neural Correlates of Post-Stroke Fatigue Using Anodal Transcranial Direct Current Stimulation

Led by Texas Woman's University · Updated on 2024-10-16

32

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

T

Texas Woman's University

Lead Sponsor

N

National Institutes of Health (NIH)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to understand the behavioral and brain-related effects of five daily sessions of transcranial direct current stimulation (tDCS) on fatigue experienced after a stroke. The study focuses on exploring how stimulating the primary motor cortex (M1) affects post-stroke fatigue (PSF) and the brain's activity. It will clarify the connections between brain excitability, brain network activity, and fatigue symptoms to guide future treatments. Participants will be randomly assigned to one of two groups: one receiving real anodal tDCS and the other receiving sham (placebo) stimulation. The tDCS is applied to the side of the brain affected by the stroke at 2 mA for 20 minutes over five consecutive days. The sham group receives a brief stimulation that quickly ramps down to mimic the experience without active treatment. During the study, fatigue and brain function will be assessed before treatment, immediately after the five-day intervention, and one month later. Assessments include clinical fatigue scales, behavioral tests, brain excitability measured by transcranial magnetic stimulation, and brain connectivity examined by resting-state functional MRI. These measures will help evaluate treatment effects and their relationship to brain changes over time.

CONDITIONS

Brief Title

Behavioral and Neural Correlates of Post-Stroke Fatigue

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Be at least 18 years old
  • Have a history of unilateral stroke at least 3 months before enrollment
  • Have an average score of 4 or higher on the Fatigue Severity Scale
  • Have some movement ability in the more affected arm (upper extremity Fugl-Meyer score 28 or higher)
  • Be able to follow three-step commands
Not Eligible

You will not qualify if you...

  • Have acute medical problems
  • Have any contraindications to tDCS, MRI, or transcranial magnetic stimulation
  • Have significant depression (score greater than 10 on Patient Health Questionnaire-9)
  • Have significant pain in the upper extremities that interferes with movement
  • Use medications that may affect fatigue levels

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 5 consecutive days

Participants receive five consecutive daily sessions of either anodal or sham transcranial direct current stimulation (tDCS) applied to the ipsilesional primary motor cortex to investigate its effects on post-stroke fatigue.

5 visits (in-person, daily)

Follow-up

Duration - Approximately 5 weeks from baseline

Participants complete assessments to evaluate the effects of treatment on fatigue and brain function approximately 5 weeks after the baseline.

1 visit (in-person)

Trial Site Locations

Total: 1 location

1

Texas Woman's University

Dallas, Texas, United States, 75235

Actively Recruiting

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Research Team

H

Hui-Ting Goh

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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