NCT06122155

Brief Summary

Motor adaptation is guided by state estimation, a dynamic prediction of the interaction consequences between body and environment in the sensorimotor system. Previous studies have shown that the posterior parietal cortex (PPC) and cerebellum are potential candidates for state estimators. However, neither direct evidence linking neural substrates of state estimation and motor adaptation nor the differences in state estimation in these two brain areas was presented. A comparison of neuromodulation effects over PPC and cerebellum in motor adaptation tasks could provide direct evidence to solve the knowledge gap. Objective: This study aims to provide direct evidence to link state estimation and motor adaptation, and the neuromodulation effects of PPC and cerebellum in motor adaptation by using anodal transcranial direct current stimulation.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Nov 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Study Start

First participant enrolled

November 26, 2022

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 19, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 19, 2023

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

October 29, 2023

Completed
10 days until next milestone

First Posted

Study publicly available on registry

November 8, 2023

Completed
Last Updated

November 14, 2023

Status Verified

May 1, 2022

Enrollment Period

7 months

First QC Date

October 29, 2023

Last Update Submit

November 9, 2023

Conditions

Keywords

Transcranial Direct Current Stimulation

Outcome Measures

Primary Outcomes (2)

  • Block root-mean squared error (RMSE)

    RMSE is the error between target trajectory and subject cursor trajectory. Every 5 trials of RMSE were averaged into one block.

    2 hours during the time of assessment of the participant

  • RMSE reduction rate

    ΔRMSEi-(i+1) = (RMSEi - RMSEi+1) / RMSEi x 100%

    2 hours during the time of assessment of the participant

Study Arms (3)

Posterior parietal cortex (PPC)

EXPERIMENTAL

In the motor adaptation phase, a 20-minute, 2 mA anodal tDCS was delivered through two 5cm x 7cm electrodes using the DC-STIMULATOR MR (neuroConn, Germany). The electrical current gradually ramps up and down in 20 seconds. In the PPC group, the anodal electrode was placed over the P3 or P4 areas on the skull, covering the PPC area on the opposite side of the testing foot (according to the international 10-20 EEG system), and the reference electrode was placed over the supraorbital region on the same side of the testing foot.

Device: Transcranial direct current stimulation (Anodal)

Cerebellum

EXPERIMENTAL

In the motor adaptation phase, a 20-minute, 2 mA anodal tDCS was delivered through two 5cm x 7cm electrodes using the DC-STIMULATOR MR (neuroConn, Germany). The electrical current gradually ramps up and down in 20 seconds. In the cerebellum group, the anodal electrode was placed 1\~2 cm under and 3\~4 cm lateral to the inion on the same side of the testing foot, with the reference electrode placed on the buccinator on the same side of the testing foot.

Device: Transcranial direct current stimulation (Anodal)

Sham

SHAM COMPARATOR

In the motor adaptation phase, a 20-minute, 0 mA anodal tDCS was delivered through two 5cm x 7cm electrodes using the DC-STIMULATOR MR (neuroConn, Germany) for the sham group. Participants were informed that they might experience itchiness, burning, or mild discomfort during the tDCS period regardless of which group they were assigned to, so they would not use their sensation as a basis for determining whether they received actual stimulation or not.

Device: Transcranial direct current stimulation (Sham)

Interventions

20-minutes, 2 mA anodal tDCS delivering through two 5 cm x 7 cm electrodes

CerebellumPosterior parietal cortex (PPC)

20-minutes, 0 mA anodal tDCS delivering through two 5 cm x 7 cm electrodes

Sham

Eligibility Criteria

Age20 Years - 29 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • age between 20\~29 years old
  • normal ankle range of motion and muscle strength
  • intact cognitive function (Mini-mental State Examination (MMSE) \>27)
  • corrected vision \> 0.9.

You may not qualify if:

  • any neurologic or psychiatric disease history
  • musculoskeletal disease that interferes lower extremities movement
  • severe cardiopulmonary or systematic disease (e.g. unstable angina, severe arrhythmia, heart failure, hypertrophic cardiomyopathy, aortic stenosis, pulmonary embolism, kidney failure)
  • paresthesia
  • seizure history
  • brain surgery, meningitis, encephalitis history
  • drainage tube on the head
  • metal or other insertion in the brain
  • insertion of electric medical device (e.g. pacemaker, cochlear implant)
  • pregnancy
  • taking central nervous system medication (e.g. antidepressants, anxiolytic)
  • alcoholic addiction or drug abuse
  • open wound, allergy, rash, or other illness that would affect the placement of tDCS
  • headache, disgusting, vomit, or any other severe side effect to the tDCS

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Taiwan University

Taipei, 100, Taiwan

Location

MeSH Terms

Interventions

Transcranial Direct Current Stimulation

Intervention Hierarchy (Ancestors)

Electric Stimulation TherapyTherapeuticsConvulsive TherapyPsychiatric Somatic TherapiesBehavioral Disciplines and ActivitiesElectroshockPsychological Techniques

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 29, 2023

First Posted

November 8, 2023

Study Start

November 26, 2022

Primary Completion

June 19, 2023

Study Completion

June 19, 2023

Last Updated

November 14, 2023

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will not share

undecided

Locations