Clinical trial NCT01221779: Chronic Aphasia - Improved by Intensive Training and Electrical Brain Stimulation
Official title: Chronic Aphasia - Improved by Intensive Training and Electrical Brain
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE2
Conditions: Post-Stroke Chronic Aphasia
Anomia (Word-retrieval Impairment)
Keywords: Intensive language therapy
Anomia
Magnetic Resonance Imaging
Lead sponsor: Charite University, Berlin, Germany
Sponsor class: OTHER
Collaborators: name: German Federal Ministry of Education and Research
First posted: 2010-10-15
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine if non-invasive electrical brain stimulation can enhance the out of intensive language therapy in chronic aphasia

Detailed description: Stroke is the leading cause of death and disability worldwide. Given the increasing average lifespan worldwide, the incidence and prevalence of patients with stroke will dramatically increase in the future. One of the most frequent and devastating conditions after stroke is aphasia, which affects language production and comprehension. High-frequent intensive speech-and-language therapy is currently the treatment of choice in chronic aphasia. However, despite its general effectiveness, treatment effect sizes are only low to moderate. Thus, there is a pressing need to explore novel training-adjuvant therapies to enhance treatment efficacy. Moreover, very little is known about the neurobiology of treatment-induced recovery in chronic aphasia. This is the prerequisite to improve existing and/or develop new treatment paradigms.

Thus, in the present project we aim to assess whether the outcome of intensive language training can be enhanced by adjuvant non-invasive brain stimulation. We will be using anodal transcranial direct current stimulation (atDCS) that has previously been shown to enhance (a) language and motor learning in healthy subjects and (b) motor recovery in stroke patients. Specifically, in a longitudinal group comparison design, two matched groups of patients with chronic anomia will receive two weeks of intensive language training with or without atDCS. Treatment effects will be assessed immediately after the two week intervention period and several months after the end of the training. We will also use functional and structural magnetic resonance imaging (MRI) to elucidate language network changes in the two groups.

Eligibility criteria: Inclusion Criteria:

* right-handedness
* single first time left-hemisphere stroke
* fluent- or non-fluent chronic aphasia (more than six months post-stroke)
* anomia (PR\>10 and PR\<60 Aachen Aphasia Naming Subtest)
* native German Speaker

Exclusion Criteria:

* more than one stroke
* alcoholism, severe psychiatric conditions, other neurological conditions
* other non-treated medical problems, severe microangiopathy
* pregnancy

Primary outcomes:
measure: Boston Naming Test
timeFrame: Change of naming score from baseline (day 1 of study) to immediately after 2-week intervention period (post-testing)
Secondary outcomes:
measure: Boston Naming Test
timeFrame: Change of naming score from post-testing (after end of intervention) to 3 months after the intervention (follow-up)
measure: Naming performance during functional magnetic resonance scanning
timeFrame: Change of naming score from baseline (day 1 of study) to immediately after 2-week intervention period (post-testing)
measure: Naming performance during functional magnetic resonance imaging
timeFrame: Change of naming score from post-testing (after end of intervention) to 3 months after the intervention (follow-up)
Other outcomes:
Locations:
city: Berlin
country: Germany
facility: Charite, University Medicine, Dept. of Neurology
Study officials:
affiliation: Charite, University Medicine, Neurology
name: Marcus Meinzer, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Charite, University Medicine, Neurology
name: Agnes Flöel, MD
role: STUDY_DIRECTOR
References: