NCT04341220

Brief Summary

Neural control of posture depends on interaction of sensory and motor information from multiple structures, including the primary motor cortex (M1). Transcranial direct current stimulation (TDCS) improves postural control in children and adults with and without neurological disorders, however, additive effects to physical therapy treatment are still unknown, specifically balance exercises for children with balance deficit. The aim of this study is to identify the effects of adding anodic TDCS over M1 to exercises on postural control of children with balance deficit. This is a randomized, double-blind, controlled clinical trial.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
26

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jun 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

March 16, 2020

Completed
25 days until next milestone

First Posted

Study publicly available on registry

April 10, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

June 20, 2020

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2020

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2021

Completed
Last Updated

April 10, 2020

Status Verified

March 1, 2020

Enrollment Period

5 months

First QC Date

March 16, 2020

Last Update Submit

April 7, 2020

Conditions

Keywords

Transcranial Direct Current StimulationChildrenChild DevelopmentMotor Control

Outcome Measures

Primary Outcomes (1)

  • Displacement of COP (center of pressure)

    AP (anteroposterior) displacement (cm), ML (mediolateral) displacement (cm), area of the displacement (cm2) and velocity of the displacement (cm/sec)

    through study completion, an average of 10 months

Secondary Outcomes (2)

  • Motor performance in dynamics balance tasks

    through study completion, an average of 10 months

  • Motor performance in balance scale (dynamic and static balance tasks)

    through study completion, an average of 10 months

Study Arms (2)

Anodal tDCS + Exercise

EXPERIMENTAL

Anodal tDCS applied over primary motor cortex (M1) - Dose: 1mA, 20 minutes + ( concomitantly) protocol of specific exercises for balance

Device: Transcranial direct current stimulation (tDCS)Other: Balance exercises

Sham tDCS + Exercise

SHAM COMPARATOR

Sham tDCS applied over primary motor cortex (M1) - Dose: 1mA, 30 seconds ON, + (concomitantly) protocol of specific exercises for balance

Device: Transcranial direct current stimulation (tDCS)Other: Balance exercises

Interventions

Transcranial direct current stimulation is a noninvasive technique of neuronal modulation.

Anodal tDCS + ExerciseSham tDCS + Exercise

Specific balance exercises, focused on balance, postural control and control of the center of gravity within the support base.

Anodal tDCS + ExerciseSham tDCS + Exercise

Eligibility Criteria

Age6 Years - 11 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • children of both sex
  • aged between 6 -11 years old;
  • assent of the child by the Term of Assent and acceptance of parents and / or guardians to participate in the study by signing the Free and Informed Consent Form;
  • children with percentile \<=5 in the MABC-2(Movement Assessment Battery for Children second edition) Motor Evaluation Battery and in the balance domain and \<=25 in total score
  • children with percentile \<=9 in the MABC-2 Motor Evaluation Battery and in the balance domain and \<=5 in total score

You may not qualify if:

  • visual or auditory deficiencies; cardiopathies; rheumatic or orthopedic dysfunctions; neurological or psychiatric problems (except Attention Deficit Hyperactivity Disorder and Developmental Coordination Disorder).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Physical Therapy, Communication Sciences and Disorders, and Occupational Therapy, Faculty of Medicine, University of São Paulo

São Paulo, 01246-903, Brazil

Location

MeSH Terms

Interventions

Transcranial Direct Current Stimulation

Intervention Hierarchy (Ancestors)

Electric Stimulation TherapyTherapeuticsConvulsive TherapyPsychiatric Somatic TherapiesBehavioral Disciplines and ActivitiesElectroshockPsychological Techniques

Study Officials

  • Renata Hydee Hasue

    Faculty of Medicine, University of São Paulo

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Renata Hydee Hasue

CONTACT

Jéssica Santos Martins

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 16, 2020

First Posted

April 10, 2020

Study Start

June 20, 2020

Primary Completion

December 1, 2020

Study Completion

February 1, 2021

Last Updated

April 10, 2020

Record last verified: 2020-03

Locations