Effectiveness of Transcranial Direct Current Stimulation for TKR
1 other identifier
interventional
70
1 country
1
Brief Summary
Transcranial direct current stimulation (tDCS) is a technique of noninvasive cortical stimulation allowing significant modification of brain function used. Clinical application of this technique could be helpful for pain, Parkinson's disease, dystonia, cerebral palsy and dementia etc. And tDCS is safe with only mild, transient adverse effects. But there is few studies focused to postoperative states. The aim of this project is to reveal the effect of tDCS for postoperative pain after total knee replacement surgery,
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2019
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 29, 2019
CompletedFirst Posted
Study publicly available on registry
April 1, 2019
CompletedStudy Start
First participant enrolled
May 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
May 10, 2020
CompletedApril 1, 2019
March 1, 2019
1 year
March 29, 2019
March 29, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
VAS score
the decrease of pain scale in postop state with Visual Analog Scale.
1hour, 6hours, 24 hours, 48 hours
Secondary Outcomes (2)
Incidence of Delirium
postop day 1,3,6
Consumption of PCA
24 hours
Study Arms (2)
active tDCS
ACTIVE COMPARATORintervention : Intensity 2mA, 30minues, 7 times (post operation in 30min, in 4hrs, and 1 time a day from POD#1 to POD #7) apply tDCS
sham tDCS
SHAM COMPARATORIntensity 2mA, 8 seconds (but looks same as an intervention 30mins), 7 times (post operation in 30min, in 4hrs, and 1 time a day from POD#1 to POD #7) apply tDCS (sham mode)
Interventions
Intensity 2mA, 20minues, 4 times (post operation in 30min, in 4hrs, next day morning and next day afternoon) anodal tDCS applied over the left DLPFC cathodal tDCS applied over the right DLPFC
Intensity 0mA, 40 seconds, 4 times (post operation in 30min, in 4hrs, next day morning and next day afternoon) anodal tDCS applied over the left DLPFC cathodal tDCS applied over the right DLPFC
Eligibility Criteria
You may qualify if:
- Subjects who have scheduled elective spine surgery.
You may not qualify if:
- Who has Cognitive dysfunction before surgery.
- Who already has delirium before surgery.
- Who has pain disorder ( like CRPS)
- Who cannot reveal the one's pain.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Seoul Metropolitan Government Seoul National University Boramae Medical Center
Seoul, 156-707, South Korea
Related Publications (3)
Lefaucheur JP. A comprehensive database of published tDCS clinical trials (2005-2016). Neurophysiol Clin. 2016 Dec;46(6):319-398. doi: 10.1016/j.neucli.2016.10.002. Epub 2016 Nov 17.
PMID: 27865707BACKGROUNDBorckardt JJ, Romagnuolo J, Reeves ST, Madan A, Frohman H, Beam W, George MS. Feasibility, safety, and effectiveness of transcranial direct current stimulation for decreasing post-ERCP pain: a randomized, sham-controlled, pilot study. Gastrointest Endosc. 2011 Jun;73(6):1158-64. doi: 10.1016/j.gie.2011.01.050. Epub 2011 Apr 5.
PMID: 21470608BACKGROUNDBorckardt JJ, Reeves ST, Robinson SM, May JT, Epperson TI, Gunselman RJ, Schutte HD, Demos HA, Madan A, Fredrich S, George MS. Transcranial direct current stimulation (tDCS) reduces postsurgical opioid consumption in total knee arthroplasty (TKA). Clin J Pain. 2013 Nov;29(11):925-8. doi: 10.1097/AJP.0b013e31827e32be.
PMID: 23370085BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jin-Young Hwang, MD,phD
Seoul Metropolitan Government Seoup National University Boramae Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate professor, Department of Anesthesiology and Pain medicine
Study Record Dates
First Submitted
March 29, 2019
First Posted
April 1, 2019
Study Start
May 1, 2019
Primary Completion
April 30, 2020
Study Completion
May 10, 2020
Last Updated
April 1, 2019
Record last verified: 2019-03
Data Sharing
- IPD Sharing
- Will not share