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tDCS + Physiotherapy for Acquired Brain Injury
N/A
Recruiting
Led By Virginia Wright, PhD
Research Sponsored by Holland Bloorview Kids Rehabilitation Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Hemiplegia, identified by decreased selective motor control at one ankle compared to the other (i.e., decreased ability to isolate ankle plantar flexion and dorsiflexion on the more affected ankle)
Stroke or moderate to severe traumatic brain injury, diagnosed with imaging (e.g., MRI, CT scan)
Must not have
Stitches/staples on the head
Brain tumour
Timeline
Screening 3 weeks
Treatment Varies
Follow Up duration of study (approximately 2 years)
Awards & highlights
No Placebo-Only Group
Summary
This trial will investigate if using a mild electrical current can help children with brain injuries learn motor skills better in physiotherapy. Up to 10 kids (5-18yo) will get either active or sham treatment. Results will be compared.
Who is the study for?
This trial is for children aged 5-18 with acquired brain injuries like stroke or severe traumatic brain injury. They must be able to stand, walk at least 10m, and follow directions in English. Kids who've had recent Botox injections, seizures, metal implants in the head, or are on certain medications can't join.
What is being tested?
The study tests if adding transcranial direct current stimulation (tDCS) to regular physiotherapy helps improve motor skills in kids with brain injuries. Participants will get either real tDCS or a sham treatment before their therapy sessions twice a week for five weeks.
What are the potential side effects?
Possible side effects of tDCS include mild discomfort at the electrode site on the head, itching under the electrodes during stimulation, a slight headache or fatigue after treatment. These are generally temporary and considered mild.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have weakness or paralysis on one side of my body, affecting my ankle movement.
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I have had a stroke or serious brain injury confirmed by a scan.
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I can't balance on my most affected leg for more than 20 seconds.
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I can walk at least 10 meters, with or without help.
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I am between 5 and 18 years old.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have stitches or staples on my head.
Select...
I have a brain tumor.
Select...
I have had a part of my skull removed.
Select...
I have open wounds or unhealed cuts where the device would be placed.
Select...
I am currently in a hospital or rehab center.
Select...
I have a condition like cerebral palsy affecting my movement.
Select...
My ABI started before I turned two years old.
Select...
I have metal implants or fragments in my head.
Select...
I have had a seizure in the past 6 months.
Select...
I have been diagnosed with a neurodegenerative condition.
Select...
I currently have an injury that limits my ability to put weight on my legs.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ duration of study (approximately 2 years)
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~duration of study (approximately 2 years)
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Adherence Rate
Canadian Occupational Performance Measure (COPM)
Eligibility Rate
+3 moreSecondary study objectives
10m Fast Walk Test
Acquired Brain Injury Challenge Assessment (ABI-CA)
Goal Attainment Scaling
+1 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Physiotherapy + Active tDCSExperimental Treatment1 Intervention
20 minutes of active anodal tDCS immediately prior to physiotherapy intervention, twice a week for total of 10 sessions.
Group II: Physiotherapy + Sham tDCSActive Control1 Intervention
20 minutes of sham anodal tDCS immediately prior to physiotherapy intervention, twice a week for total of 10 sessions.
Find a Location
Who is running the clinical trial?
Holland Bloorview Kids Rehabilitation HospitalLead Sponsor
67 Previous Clinical Trials
14,057 Total Patients Enrolled
3 Trials studying Stroke
152 Patients Enrolled for Stroke
Virginia Wright, PhDPrincipal InvestigatorClinician Scientist
2 Previous Clinical Trials
164 Total Patients Enrolled
Deryk Beal, PhDPrincipal InvestigatorClinician Scientist
1 Previous Clinical Trials
50 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I can handle 2 hours of physical therapy with short breaks.I have weakness or paralysis on one side of my body, affecting my ankle movement.I can handle 45 minutes of physical therapy.I have not had Botox injections in the last 3 months.I can attend twice weekly appointments for five weeks and a two-hour assessment before and after treatment.You have been treated by a doctor at the ABI medical follow-up clinic at Holland Bloorview or have been admitted to the inpatient ABI program at Holland Bloorview.I have stitches or staples on my head.I am not planning any medication changes that would affect my participation in the study.I have a brain tumor.I have had a part of my skull removed.You have a cochlear implant.I have open wounds or unhealed cuts where the device would be placed.I have had a stroke or serious brain injury confirmed by a scan.I can't balance on my most affected leg for more than 20 seconds.I can stand on my own for at least 10 seconds.I am currently in a hospital or rehab center.I am currently in outpatient rehab.I can walk at least 10 meters, with or without help.You have a cardiac pacemaker.I have a condition like cerebral palsy affecting my movement.My ABI started before I turned two years old.I am between 5 and 18 years old.You are using a battery-powered medication infusion device, like a baclofen or insulin pump.I can follow instructions and participate in physical therapy assessments.You have a medical device implanted in your body to stimulate your nerves or brain.I have metal implants or fragments in my head.I have had a seizure in the past 6 months.I have been diagnosed with a neurodegenerative condition.I currently have an injury that limits my ability to put weight on my legs.I have been advised not to engage in activities like running or jumping due to a medical condition.
Research Study Groups:
This trial has the following groups:- Group 1: Physiotherapy + Active tDCS
- Group 2: Physiotherapy + Sham tDCS
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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