Effect of Transcranial Magnetic Stimulation on Dynamic Cerebral Autoregulation in Healthy Adults

Yi Yang

Status: Enrolling

Conditions: Transcranial Magnetic Stimulation

Treatments: Procedure: Sham Repetitive transcranial magnetic stimulation; Procedure: 1 Hz Repetitive transcranial magnetic stimulation; Procedure: 10 Hz Repetitive transcranial magnetic stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT05915923

TMSCA-HA

Details and patient eligibility

About

The purpose of this study is to determine the effect of transcranial magnetic stimulation with different stimulation modes ( 1Hz, 10Hz, sham stimulation ) on cerebral autoregulation.

Full description

Current studies have shown that repetitive transcranial magnetic stimulation (TMS) can change the excitability of nerve cells, improve intracerebral artery blood supply, and even reduce the degree of neurological impairment in patients with ischemic stroke.Dynamic cerebral autoregulation (dCA), refers to a complex process in which small intracranial arteries contract or relax to maintain relatively stable cerebral blood volume when systemic arterial blood pressure changes, which can predict the prognosis of patients with ischemic stroke. In this study, we hypothesis that TMS provides neuro-protection by means of improving dCA.

Enrollment: 90 estimated patients

Sex: All

Ages: 18 to 59 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Age≥18 years, < 60 years, both genders；
2. Willing to participate and sign the informed consent；
3. Bilateral temporal windows were well penetrated;

Exclusion criteria

1. Complaints of previous or existing chronic organic diseases ( stroke, Parkinson 's disease, hypertension, diabetes, etc. ), mental diseases ( bipolar disorder, personality disorder, schizophrenia, etc. ), or cognitive impairment;
2. Suffering from infectious diseases in late one month;
3. Pregnancy or breast-feeding;
4. Sleep disorders, anxiety and depression,
5. Alcohol or drug abuse;
6. History of prescription drugs or over-the-counter (OTC) drugs in the past 2 weeks;
7. History of epilepsy or family history of epilepsy;
8. Implants ( stents or metals );
9. Other conditions that the researchers think are not suitable for the project.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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90 participants in 3 patient groups

Low-frequency rTMS Group

Experimental group

Description:

Healthy adults treated with 1Hz repetitive transcranial magnetic stimulation (rTMS)

Treatment:

Procedure: 1 Hz Repetitive transcranial magnetic stimulation

High-frequency rTMS Group

Experimental group

Description:

Healthy adults treated with 10Hz repetitive transcranial magnetic stimulation (rTMS)

Treatment:

Procedure: 10 Hz Repetitive transcranial magnetic stimulation

Control group

Sham Comparator group

Description:

The Control group received rTMS with sham transcranial magnetic stimulation (sham-rTMS)

Treatment:

Procedure: Sham Repetitive transcranial magnetic stimulation