Functional Magnetic Resonance Imaging Study of Jaw-tapping Movement on Memory Function

Study Overview
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Brief Summary
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The purpose of this study is to examine the possibility of using jaw-tapping training as a self-exercise for developing memory and preventing dementia in elderly subjects with memory disturbances using functional magnetic resonance imaging (fMRI).

Detailed Description
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Right-handed female volunteers over the age of 50 years with subjective memory complaints are included in the study. Volunteers with dentures, psychoactive medication, history of stroke, or other neurologic disorders are excluded. The protocol was approved by the Institutional Review Board of university-based hospital. After administering the Seoul Neuropsychological Screening Battery (SNSB), Mini-Mental State Examination (MMSE) scores above 24 and Clinical Dementia Rating Scale (CDR) scores of 0 are considered subjective memory complaints (SMC), and MMSE scores above 23 and CDR scores of 0.5 are considered MCI. All subjects undergo two MRI scans. After the first MRI, the subjects are trained to tap their jaws vertically at 1.6 Hz at home twice a day for 30 seconds every day during four weeks.

Official Title
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Brain Activity During Jaw Tapping Movement in Healthy Subjects and Mild Cognitive Impairment Patients Using Functional Magnetic Resonance Imaging

Conditions
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Memory Disturbances

Intervention / Treatment
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* Behavioral: Jaw-tapping


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Right-handed female volunteers over the age of 50 years with subjective memory complaints Exclusion Criteria: Volunteers with dentures, psychoactive medication, history of stroke, or other neurologic disorders

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Jaw tapping<br>All subjects performed the jaw-tapping for 4 weeks at home. | Behavioral: Jaw-tapping<br>* to tap their jaws vertically at 1.6 Hz at home twice a day for 30 seconds every day during four weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Brain activity of n-back task | All subjects perform the jaw-tapping and the n-back memory tasks during blood oxygen level dependent (BOLD) fMRI, before and after practicing the jaw-tapping exercise for 4 weeks at home. Pre- and post-test fMRI data during the n-back task are analyzed using statistical parametric maps of brain activation. | up to 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Brain activity of jaw-tapping task | All subjects perform the jaw-tapping and the n-back memory tasks during blood oxygen level dependent (BOLD) fMRI, before and after practicing the jaw-tapping exercise for 4 weeks at home. Pre- and post-test fMRI data during the jaw-tapping task are analyzed using statistical parametric maps of brain activation. | baseline and 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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fMRI, Jaw tapping, Memory disorder, Mild cognitive impairment, Working memory, MCI