Enhancing Speech Intelligibility Using Transcranial Alternating Current Stimulation (tACS)
StimSpeechCom
1 other identifier
interventional
190
1 country
1
Brief Summary
This study contributes to fundamental research investigating the role of the articulatory-motor integration and cerebro-acoustic coherence in speech comprehension. In a series of experiments non-invasive brain stimulation (NIBS) techniques including transcranial electric stimulation with alternating current waveforms (tACS) and transcranial magnetic stimulation (TMS) will be applied to the left ventral motor cortex (vMC) to test the contribution of this area to speech comprehension under challenging listening situations. As long as the exclusion criteria for TMS and tACS are strictly considered, only very minimal risks and no long-term effects are expected. There are no known risks associated with NIBS and pregnancy; however, since risks cannot be completely excluded, pregnant women will be excluded from participation. If a female participant is uncertain whether she is pregnant, she will be provided with a pregnancy test at no cost.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2020
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 15, 2019
CompletedFirst Posted
Study publicly available on registry
July 30, 2019
CompletedStudy Start
First participant enrolled
December 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 28, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
February 28, 2024
CompletedNovember 22, 2022
November 1, 2022
3.2 years
July 15, 2019
November 21, 2022
Conditions
Outcome Measures
Primary Outcomes (6)
articulatory motor-evoked potential (aMEP) amplitude (Experiment 1) - time point 1
The comparison of articulatory motor-evoked potential (aMEP) amplitude after tACS and sham stimulation
online (during tACS intervention)
articulatory motor-evoked potential (aMEP) amplitude (Experiment 1) - time point 2
The comparison of articulatory motor-evoked potential (aMEP) amplitude after tACS and sham stimulation
5min after tACS
articulatory motor-evoked potential (aMEP) amplitude (Experiment 1) - time point 3
The comparison of articulatory motor-evoked potential (aMEP) amplitude after tACS and sham stimulation
55min after (tACS)
degraded speech comprehension (Experiment 2)
Subjects will listen and transcribe noise-vocoded sentence according to their subjective intelligibility levels (75% (easy), 50% (medium) and 25% (difficult)) assessed prior to the expermental manipulation Comparison of degraded speech comprehension following tACS over the left ventral motor cortex (vMC) with performance following sham stimulation over the same region.
right after tACS or sham stimulation (cross-over design)
degraded speech comprehension (Experiment 3)
Subjects will listen and transcribe noise-vocoded sentence according to their subjective intelligibility levels (75% (easy), 50% (medium) and 25% (difficult)) assessed prior to the expermental manipulation Comparison of degraded speech comprehension following tACS over the left ventral motor cortex (vMC) with performance following sham stimulation over the same region.
20min after tACS or sham stimulation (between-group design), following a training of degraded speech comprehension
degraded speech comprehension (Experiment 4)
Subjects will listen and transcribe noise-vocoded sentence according to their subjective intelligibility levels (75% (easy), 50% (medium) and 25% (difficult)) assessed prior to the expermental manipulation The comparison of degraded speech comprehension between concomitant low-frequency (theta-band) speech envelope-shaped tACS (env-tACS), reversed env-tACS, and sham stimulation over left ventral motor cortex
during env-tACS or sham stimulation (online)
Secondary Outcomes (9)
syllable discrimination ability (Experiment 1) - time point 1
before tACS or sham stimulation (cross-over design)
syllable discrimination ability (Experiment 1) - time point 2
5min after tACS or sham stimulation (cross-over design)
speech degradation level (Experiment 2)
right after tACS or sham stimulation (cross-over design)
age group dependent tACS modulation (Experiment 2)
right after tACS or sham stimulation (cross-over design)
speech degradation level (Experiment 3)
20min after tACS or sham stimulation, following a training of degraded speech comprehension
- +4 more secondary outcomes
Study Arms (9)
2kHz tACS (Experiment 1)
EXPERIMENTALThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
sham tACS (Experiment 1)
SHAM COMPARATORThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
2kHz tACS (Experiment 2)
EXPERIMENTALThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
sham tACS (Experiment 2)
SHAM COMPARATORThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
2kHz tACS (Experiment 3)
EXPERIMENTALThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
sham tACS (Experiment 3)
SHAM COMPARATORThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
env tACS (Experiment 4)
EXPERIMENTALThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
time-reversed env-tACS (Experiment 4)
ACTIVE COMPARATORThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
sham tACS (Experiment 4)
SHAM COMPARATORThe subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.
Interventions
The main study intervention is tACS stimulation. TACS is a non-invasive brain stimulation (NIBS) techniques that belong to the class of low current transcranial electric stimulation. In contrast to the better known transcranial direct current stimulation (tDCS), the tACS current is not constant, but alternates with a certain frequency. The aim of the tACS stimulation is to enhance degraded speech comprehension in healthy individuals. TACS stimulation will be applied over the left ventral motor cortex, with a current intensity of 2mA (peak-to-peak) The arm will be compared to the tACS sham stimulation condition.
TMS is a technique where a transient magnetic field (or "pulse") is used to cause an electric current to flow in a targeted brain area via electromagnetic induction. The pulse causes the rapid and above-threshold depolarisation of cell membranes affected by the current. Therefore, TMS induces a current that elicits action potentials in neurons. MEPs are electrical potentials recorded from a target muscle after TMS stimulation. In experiment 1, so-called articulatory MEPs will be recorded from participants' lip muscle (orbicularis oris). Articulatory MEPs will be recorded by placing two recording electrodes on the right part of orbicularis oris and a reference electrode on the right temple.
Eligibility Criteria
You may qualify if:
- Written informed consent by the participant
- Age: 18-35 / 65+
- Normal (or corrected to normal) vision
- German as a first language
- Right-handed
You may not qualify if:
- hearing loss
- Raised bi- or multilingual
- Women who are currently pregnant or breastfeeding
- Known or suspected drug or alcohol abuse
- History of brain injury or any neurological disorder (y/n)
- For example, stroke, traumatic brain injury, brain surgery, epilepsy etc.
- Dyslexia
- History of psychiatric disorder
- Recent drug consumption
- Medication with cognitive side effects (e.g. psychoactive medications or sleeping pills)
- Metallic implants in the head region (excluding fixed braces and tooth fillings)
- Any implanted medical device (e.g. cardiac pacemakers)
- previous enrolment in one of the experiments comprising the main investigational plan
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Zurichlead
- Insel Gruppe AG, University Hospital Berncollaborator
Study Sites (1)
Department of Psychology, University of Zurich
Zurich, 8050, Switzerland
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alexis Hervais-Adelman, Prof. Dr.
University of Zurich, Institute for Psychology
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- single-blind
- Purpose
- BASIC SCIENCE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 15, 2019
First Posted
July 30, 2019
Study Start
December 1, 2020
Primary Completion
February 28, 2024
Study Completion
February 28, 2024
Last Updated
November 22, 2022
Record last verified: 2022-11
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- ANALYTIC CODE
- Time Frame
- after the project is completed
- Access Criteria
- upon personal request
We intend to share the raw data of the included participants and the analysis code