tDCS and Musical Performance in Young Orchestra Musicians

NCT ID: NCT06958081

Last Updated: 2025-05-08

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2025-12-31

Brief Summary

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The goal of this clinical trial is to learn if transcranial direct current stimulation (tDCS) can improve the technical, expressive, and stage aspects of musical performance in young orchestra musicians aged 18 to 30 years. The main questions it aims to answer are:

* Does active tDCS improve musical performance compared to sham stimulation?
* Does active tDCS reduce music performance anxiety and increase musical self-efficacy? Researchers will compare the active tDCS group to the sham stimulation group to see if active stimulation has positive effects on musical performance and psychological factors.

Participants will:

* Receive either active or sham tDCS stimulation
* Perform a musical piece before and after stimulation
* Complete questionnaires about anxiety and musical self-confidence

Detailed Description

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This randomized pilot study aims to investigate the acute effects of transcranial direct current stimulation (tDCS) on the technical, expressive, and stage aspects of musical performance in young orchestra instrumentalists.

A total of 24 musicians, aged 18 to 30 years, with at least three years of orchestral experience, will be randomly assigned to either an active tDCS group or a sham stimulation group. The stimulation will target the supplementary motor area (SMA) using a 2.0 mA anodal current for 30 minutes, with the cathode placed over Fp2. The sham group will undergo the same electrode placement, but the current will be turned off after 30 seconds.

The study will adopt a double-blind design, where neither participants, care providers, investigators, nor outcome assessors will know the group allocations. Each participant will perform a standardized musical piece before and after the intervention, and after a 2-hour interval post-intervention. Performances will be recorded and evaluated by independent expert judges using the Rubric for the Assessment of Music Performance Achievement.

Psychometric evaluations will be conducted using the Mazzarolo Music Performance Anxiety Scale (M-MPAS) and the General Musical Self-Efficacy Scale. Self-assessments of performance and sensations during stimulation will also be collected. Data analysis will compare changes in musical performance, anxiety, and self-efficacy between groups.

This study seeks to provide preliminary evidence on the potential of tDCS to enhance musical performance and psychological factors such as performance anxiety and self-confidence among young musicians. Safety and feasibility of the intervention will also be monitored throughout the study.

Conditions

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Musical Performance Neuromodulation Performance Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned to either an active tDCS group or a sham stimulation group.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Participants, investigators, and outcome assessors will be blinded to group assignment until the end of data collection.

Study Groups

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Active tDCS

Participants will receive active transcranial direct current stimulation (tDCS) with a 2.0 mA anodal current applied over the supplementary motor area (FCz) and cathodal electrode over Fp2 for 30 minutes.

Group Type EXPERIMENTAL

Active transcranial direct current stimulation (tDCS)

Intervention Type DEVICE

2.0 mA anodal stimulation applied over FCz with cathode over Fp2 for 30 minutes using a transcranial direct current stimulation device.

Sham tDCS

Participants will receive sham transcranial direct current stimulation (tDCS) with the same electrode placement as the active group; however, the current will be turned off after 30 seconds to simulate the initial sensations without delivering prolonged stimulation.

Group Type SHAM_COMPARATOR

Sham transcranial direct current stimulation (tDCS)

Intervention Type DEVICE

Sham stimulation mimicking the sensations of tDCS; the current will be turned off after 30 seconds while maintaining electrode placement over FCz and Fp2.

Interventions

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Active transcranial direct current stimulation (tDCS)

2.0 mA anodal stimulation applied over FCz with cathode over Fp2 for 30 minutes using a transcranial direct current stimulation device.

Intervention Type DEVICE

Sham transcranial direct current stimulation (tDCS)

Sham stimulation mimicking the sensations of tDCS; the current will be turned off after 30 seconds while maintaining electrode placement over FCz and Fp2.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Musicians aged 18 to 30 years.
* Minimum of 3 years of orchestral performance experience.
* Active participation in a stable orchestra or ensemble.
* No history of neurological or psychiatric disorders.
* Not currently using psychotropic medications or recreational drugs.
* Willingness to participate in all study sessions.
* Signed informed consent form.

Exclusion Criteria

* Presence of metallic implants in the head (e.g., cranial pins, aneurysm clips).
* Presence of implanted electronic devices (e.g., pacemaker).
* History of epilepsy or seizures.
* Prior experience with transcranial direct current stimulation (tDCS).
* Scalp dermatitis or lesions at the electrode placement sites.
* Pregnancy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Centro Universitário Augusto Motta

OTHER

Sponsor Role lead

Responsible Party

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Frederico Barreto Kochem

Principal Investigator and Professor at Centro Universitário Augusto Motta (UNISUAM)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ricardo Galhardoni, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Neuromodulação em Foco

Renato Santos de Almeida, Ph.D

Role: STUDY_CHAIR

Centro Universitário Augusto Motta

Débora Cristina Lima da Silva, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Centro Universitário Augusto Motta

Locations

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Centro Universitário Augusto Motta (UNISUAM)

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status

Countries

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Brazil

Central Contacts

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Frederico Barreto Kochem, PT, Ph.D, Post-Doctoral Fellow

Role: CONTACT

+55 24 98156-9166

Facility Contacts

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Frederico Barreto Kochem, PT, Ph.D, Post-Doctoral Fellow

Role: primary

+55 24 98156-9166

References

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Álvarez-Díaz M, Muñiz-Bascón LM, Soria-Alemany A, Veintimilla-Bonet A, Fernández-Alonso R. On the design and validation of a rubric for the evaluation of performance in a musical contest. International Journal of Music Education. 2021;39(1):66-79. doi:10.1177/0255761420936443

Reference Type BACKGROUND

Mazzarolo I, Schubert E. A Short Performance Anxiety Scale for Musicians. Front Psychol. 2022 Jan 26;12:781262. doi: 10.3389/fpsyg.2021.781262. eCollection 2021.

Reference Type BACKGROUND
PMID: 35153903 (View on PubMed)

Sanchez-Kuhn A, Perez-Fernandez C, Canovas R, Flores P, Sanchez-Santed F. Transcranial direct current stimulation as a motor neurorehabilitation tool: an empirical review. Biomed Eng Online. 2017 Aug 18;16(Suppl 1):76. doi: 10.1186/s12938-017-0361-8.

Reference Type BACKGROUND
PMID: 28830433 (View on PubMed)

Anic A, Olsen KN, Thompson WF. Investigating the Role of the Primary Motor Cortex in Musical Creativity: A Transcranial Direct Current Stimulation Study. Front Psychol. 2018 Oct 1;9:1758. doi: 10.3389/fpsyg.2018.01758. eCollection 2018.

Reference Type BACKGROUND
PMID: 30327622 (View on PubMed)

Chinzara TT, Buckingham G, Harris DJ. Transcranial direct current stimulation and sporting performance: A systematic review and meta-analysis of transcranial direct current stimulation effects on physical endurance, muscular strength and visuomotor skills. Eur J Neurosci. 2022 Jan;55(2):468-486. doi: 10.1111/ejn.15540. Epub 2022 Jan 6.

Reference Type BACKGROUND
PMID: 34904303 (View on PubMed)

Bikson M, Grossman P, Thomas C, Zannou AL, Jiang J, Adnan T, Mourdoukoutas AP, Kronberg G, Truong D, Boggio P, Brunoni AR, Charvet L, Fregni F, Fritsch B, Gillick B, Hamilton RH, Hampstead BM, Jankord R, Kirton A, Knotkova H, Liebetanz D, Liu A, Loo C, Nitsche MA, Reis J, Richardson JD, Rotenberg A, Turkeltaub PE, Woods AJ. Safety of Transcranial Direct Current Stimulation: Evidence Based Update 2016. Brain Stimul. 2016 Sep-Oct;9(5):641-661. doi: 10.1016/j.brs.2016.06.004. Epub 2016 Jun 15.

Reference Type BACKGROUND
PMID: 27372845 (View on PubMed)

Other Identifiers

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88146925.0.0000.5235

Identifier Type: -

Identifier Source: org_study_id

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