Neurorehabilitation After Traumatic Brain Injury: Functional Magnetic Resonance Imaging Study

NCT ID: NCT02698449

Last Updated: 2023-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-24

Study Completion Date

2023-12-31

Brief Summary

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The current study aims to better understand cerebral plasticity mechanisms to optimize non-pharmacological rehabilitation approaches for patients with traumatic brain injury.

Detailed Description

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Cognitive impairment following moderate to severe traumatic brain injury are usual. To date, cognitive rehabilitation effects on cerebral plasticity and quality of life remain unproven essentially because of methodological biases. Transcranial Direct Current Stimulation is an innovative technique of noninvasive brain stimulation that showed efficacy in literature. The current study want to better understand cerebral plasticity mechanisms to optimize non-pharmacological rehabilitation approaches for patients with traumatic brain injury. The aim in the present study is to assess the effect of rehabilitation combined with Transcranial Direct Current Stimulation provided to traumatic brain injury patients with cognitive impairment on cerebral plasticity using functional magnetic resonance imaging. Effects of rehabilitation and Transcranial Direct Current Stimulation will be observed on functional magnetic resonance imaging activation maps acquired. Relationship between attentional outcomes measured in the neuropsychological assessment and activation extend will be explored.

Conditions

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Traumatic Brain Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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cognitive rehabilitation + transcranial stimulation

specific cognitive rehabilitation combined to transcranial direct current stimulation

Group Type EXPERIMENTAL

transcranial direct current stimulation

Intervention Type PROCEDURE

intensity provided will be 2 milliampere during 20 minutes using 2 electrodes (7x5cm). Anode electrode will be located on the right prefrontal dorsolateral area; cathode electrode will be located on the left supraorbital area.

Specific cognitive rehabilitation

Intervention Type PROCEDURE

Specific cognitive rehabilitation will be personalized regarding the cognitive complaint and will include a training part and an ecological part.

functional Magnetic Resonance Imaging n-back task

Intervention Type RADIATION

the n-back cognitive task was developed : 3 runs will be provided (0-back, 1-back and 2-back), each will be composed of 8 activation blocks and 8 resting blocks alternatively presented.

cognitive rehabilitation + stimulation sham

specific cognitive rehabilitation combined to transcranial direct current stimulation sham

Group Type EXPERIMENTAL

Specific cognitive rehabilitation

Intervention Type PROCEDURE

Specific cognitive rehabilitation will be personalized regarding the cognitive complaint and will include a training part and an ecological part.

transcranial direct current stimulation sham

Intervention Type PROCEDURE

the same operation that transcranial direct current stimulating but it is a sham surgery

functional Magnetic Resonance Imaging n-back task

Intervention Type RADIATION

the n-back cognitive task was developed : 3 runs will be provided (0-back, 1-back and 2-back), each will be composed of 8 activation blocks and 8 resting blocks alternatively presented.

placebo rehab + transcranial stimulation

nonspecific cognitive rehabilitation (placebo rehab) combined to transcranial direct current stimulation

Group Type EXPERIMENTAL

transcranial direct current stimulation

Intervention Type PROCEDURE

intensity provided will be 2 milliampere during 20 minutes using 2 electrodes (7x5cm). Anode electrode will be located on the right prefrontal dorsolateral area; cathode electrode will be located on the left supraorbital area.

Nonspecific cognitive rehabilitation

Intervention Type PROCEDURE

Nonspecific cognitive rehabilitation will be focused on representation of body in space.

functional Magnetic Resonance Imaging n-back task

Intervention Type RADIATION

the n-back cognitive task was developed : 3 runs will be provided (0-back, 1-back and 2-back), each will be composed of 8 activation blocks and 8 resting blocks alternatively presented.

placebo rehab + stimulation sham

nonspecific cognitive rehabilitation (placebo rehab) combined to transcranial direct current stimulation sham

Group Type EXPERIMENTAL

Nonspecific cognitive rehabilitation

Intervention Type PROCEDURE

Nonspecific cognitive rehabilitation will be focused on representation of body in space.

transcranial direct current stimulation sham

Intervention Type PROCEDURE

the same operation that transcranial direct current stimulating but it is a sham surgery

functional Magnetic Resonance Imaging n-back task

Intervention Type RADIATION

the n-back cognitive task was developed : 3 runs will be provided (0-back, 1-back and 2-back), each will be composed of 8 activation blocks and 8 resting blocks alternatively presented.

Interventions

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transcranial direct current stimulation

intensity provided will be 2 milliampere during 20 minutes using 2 electrodes (7x5cm). Anode electrode will be located on the right prefrontal dorsolateral area; cathode electrode will be located on the left supraorbital area.

Intervention Type PROCEDURE

Specific cognitive rehabilitation

Specific cognitive rehabilitation will be personalized regarding the cognitive complaint and will include a training part and an ecological part.

Intervention Type PROCEDURE

Nonspecific cognitive rehabilitation

Nonspecific cognitive rehabilitation will be focused on representation of body in space.

Intervention Type PROCEDURE

transcranial direct current stimulation sham

the same operation that transcranial direct current stimulating but it is a sham surgery

Intervention Type PROCEDURE

functional Magnetic Resonance Imaging n-back task

the n-back cognitive task was developed : 3 runs will be provided (0-back, 1-back and 2-back), each will be composed of 8 activation blocks and 8 resting blocks alternatively presented.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Moderate to severe traumatic brain injury
* more than 3 months since the onset
* Attentional disorders (PASAT test (score ≤ centile 10) and/or CANTAB test (≤ -2 standard deviation)
* Women having contraceptive treatment (for the magnetic resonance imaging exam)

Exclusion Criteria

* inability to undergo magnetic resonance imaging scan
* No attentional impairment (PASAT ≥ centile10)
* Severe depression
* Neurological disease
* Major cognitive impairment (aphasia, neglect)
* Drugs addiction
* Pregnant women and women having no contraceptive treatment
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondation de l'Avenir

OTHER

Sponsor Role collaborator

University Hospital, Toulouse

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jérémie Pariente, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Toulouse

Locations

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CHU Toulouse

Toulouse, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Jérémie Pariente, PhD

Role: CONTACT

(0)5.61.77.95.02 ext. 33

Emilie Rigal, MD

Role: CONTACT

(0)5.61.77.57.25 ext. 33

Facility Contacts

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Jérémie Pariente, PhD

Role: primary

0(5).61.77.95.02 ext. 33

Emilie Rigal, MD

Role: backup

(0)5.61.77.57.25 ext. 33

Other Identifiers

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RC31/14/7328

Identifier Type: -

Identifier Source: org_study_id

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