Dual-task Training Combined With tDCS on Cognitive-motor Performance and Brain Activity in Stroke Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50+
SponsorThe Hong Kong Polytechnic University

About this trial

The purpose of this study is to evaluate tDCS combined with cognitive-motor training on dual-task interference during dual-task walking, dual-task foot pedaling and the corresponding alterations of brain activity.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

a diagnosis of stroke, stroke onset of more than 6 months,

aged 50 or more,

capable of following verbal and visual instructions,

having a Montreal Cognitive Assessment score ≥ 22,

Disqualifiers

neurological disorders, gait-precluding pain or comorbidity,

receiving any formal rehabilitation training,

contraindications to exercise (e.g., unstable angina),

contraindications to fNIRS, MRI, and tDCS (e.g., brain skin injury, pacemaker, metal implants in the brain),

Trial design

Design model

Parallel

Treatments tested in this trial

  • active tDCS with dual-task training

    Other intervention

    participants receive three 20-minute active tDCS treatment and three 60-minute COGMOTION dual-task exercise sessions per week for four consecutive weeks.

  • sham tDCS with dual-task training

    Other intervention

    participants receive three 20-minute sham tDCS treatment and three 60-minute COGMOTION dual-task exercise sessions per week for four consecutive weeks.

Treatment groups

72 Participants
are divided into 2 treatment groups
Group A: active tDCS combined with dual-task groupExperimental treatment 1 intervention
Group B: sham tDCS combined with dual-task groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Dual-task gait speed

Gait speed under dual-task condition will be recorded

Time frame
Through study completion, an average of 1 year
2

Dual-task cognitive performance

Number of correct responses will be measured during dual-task conditions

Time frame
Through study completion, an average of 1 year

Secondary outcomes

1

Oxyhemoglobin concentration changes of the brain

Oxyhemoglobin concentration changes will be measured using functional near infra-red spectroscopy during dual-task walking

Time frame
Through study completion, an average of 1 year
2

Dual-task gait performance 1

Gait cadence will be measured during dual-task walking

Time frame
Through study completion, an average of 1 year
3

Dual-task gait performance 2

Gait cycle duration will be measured during dual-task walking

Time frame
Through study completion, an average of 1 year
4

Dual-task gait performance 3

Stride length will be measured during dual-task walking

Time frame
Through study completion, an average of 1 year

Other outcomes

1

Dual-task peak angular velocity

Peak angular (dorsi-plantar flexion) velocity under dual-task foot pedaling will be recorded

Time frame
Through study completion, an average of 1 year
2

Dual-task cognitive performance 3

Correct reaction time under dual-task foot pedaling will be recorded

Time frame
Through study completion, an average of 1 year
3

Single-task walking speed

10-meter walking test will be used to assess single-task walking speed in meters per second

Time frame
Through study completion, an average of 1 year
4

Balance 1

Mini Balance Evaluation Systems Test will be used to assess postural control, with total points from 0-28. Higher points indicate better performance.

Time frame
Through study completion, an average of 1 year

Sponsors and contacts

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