HealthyNCT05929014
Effects of Different Intensities of Bilateral- and Cathodal Transcranial Direct Current Stimulation in Healthy Individuals
A study testing study 1) Active bilateral-tDCS and study 2) active cathodal-tDCS in people with Healthy, run by Mahidol University at 1 site in Thailand.
Trial summary
This study will separate study to investigate the effects of 1 mA, 1.5 mA, and 2 mA of 1) bilateral- and 2) cathodal tDCS on cortical activity and motor learning in healthy individuals Read more about this study
- Who is it for?
- Ages 18 to 29 yearsHealthy volunteers can take part
- Conditions the study is for
- Healthy
- What is being tested?
- study 1) Active bilateral-tDCS and study 2) active cathodal-tDCS
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 20 participants
- Where
- 1 siteThailand
- Study dates
- 24 Jun 2023to 28 Feb 2025
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 29 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- 1. Age 18-29 years old
- 2. Righ-hand dominant according to the Edinburgh handedness inventory
- 3. No injury to both upper and lower limb for the past 6 months
Who cannot join
- 1. Presence of any neurological disorders
- 2. Presence of metal implantation, intracranial shunt, cochlear implantation, or cardiac pacemakers
- 3. Presence of opened wound or infectious wound around scalp
- 4. History of epilepsy or any neurological antecedent or unstable condition which can lead to seizure
- 5. Body mass index (BMI) > 30 kg/m2
- 6. Received hormonal treatment and/or drugs that increase sleepiness and affect movement control
- 7. Ischemic heart disease and peripheral vascular ischemia
- 8. Last stage of kidney disease and liver disease
Trial locations and contacts
1 site in 1 country.
Thailand1 site
Faculty of Physical Therapy, Mahidol University
Salaya, Nakonpathom, 73170
About this study
Official title: The Effect of Different Intensities of Bilateral- and Cathodal Transcranial Direct Current Stimulation (tDCS) on Cortical Activity and Motor Learning in Healthy Individuals
This study will separate study to investigate the effects of 1 mA, 1.5 mA, and 2 mA of 1) bilateral- and 2) cathodal tDCS on cortical activity and motor learning in healthy individuals
Read the detailed description
Transcranial direct current stimulation (tDCS) is one of the non-invasive brain stimulation (NIBS) techniques. It delivers weak direct current through the scalp via two electrodes. tDCS has been shown to modulate cortical excitability in polarity-specific effects; anodal increases cortical excitability, while cathodal decreases it. tDCS can be applied in two distinct montages: unilateral (an active electrode is applied over the cerebral cortex, while a reference electrode is applied over the contralateral orbit) and bilateral-tDCS (applying two electrodes simultaneously over both cerebral hemispheres). Many tDCS studies have been used as an add-on therapy in stroke patients which aimed to enhance motor re-learning after stroke. Anodal tDCS has been used to enhance cortical excitability in the lesioned hemisphere while cathodal tDCS is used to decrease it in the non-lesioned hemisphere and thus to rebalance the interhemispheric inhibition (IHI). However, there were recent studies reporting the reverse effect of cathodal-tDCS on cortical excitability at high doses. However, the effects of bilateral-tDCS among different doses on cortical excitability and on motor performance are still controversial.
The present study will be separated into 2 sub studies to investigated the effects of different intensities of 1) bilateral- and 2) cathodal-tDCS on cortical activity and functional outcomes in healthy individuals. A single session of different intensities of 1) bilateral-tDCS and 2) cathodal-tDCS (i.e., 1 mA, 1.5 mA, 2 mA vs. sham) will be combined with serial reaction time task (SRTT) in healthy individuals. Cortical activity (i.e., brain symmetry index (BSI)) will be measured as a primary outcome. The reaction time of serial reaction time task will be served as the secondary outcome. Cortical activity will be evaluated before and after the intervention, while reaction time will be evaluated before, during, and after the intervention.
- Conditions
- Healthy
- Being tested
- study 1) Active bilateral-tDCS, study 1) Sham bilateral-tDCS, study 2) active cathodal-tDCS, study 2) Sham chathodal-tDCS
- Keywords
- tDCS, Cortical activity, Healthy, Motor learning, Brain symmetry index
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
study 1) Active bilateral-tDCSDevice
Also called MINDD STIM; Ybrain Inc., Korea
The tDCS is non-invasive brain stimulation technique applied over the participant's scalp using a reference to the International 10-20 electrode Placement System for EEG electrode placement. The cathodal and anodal electrodes will be applied over the right and left primary motor areas, respectively.
study 1) Sham bilateral-tDCSDevice
Participants will be received sham mode. The electrodes will be applied over bilateral primary motor areas.
study 2) active cathodal-tDCSDevice
Also called MINDD STIM; Ybrain Inc., Korea
The tDCS is non-invasive brain stimulation technique applied over the participant's scalp using a reference to the International 10-20 electrode Placement System for EEG electrode placement. The cathodal and anodal electrodes will be applied over the left supra orbital area and cahtodal electrodes will be applied over the primary motor areas.
study 2) Sham chathodal-tDCSDevice
Participants will be received sham mode. The anodal electrode will be applied over the left supra orbital area and cathodal electrode will be applied over the right primary motor area.
| Study group | Role | What they receive |
|---|---|---|
| Study 1) Active bilateral-tDCS | Active comparator | Participants will be received different intensities which are 1 mA, 1.5 mA and 2 mA for 20 minutes during performed serial reaction time task. The tDCS will be set with bilateral montage which applied anodal electrode over left hemisphere and cathodal electrode over right hemisphere. Receives: Device: study 1) Active bilateral-tDCS |
| study 1) Sham bilateral-tDCS | Sham comparator | Participants will be received sham of bilateral tDCS during performed serial reaction time task. Receives: Device: study 1) Sham bilateral-tDCS |
| study 2) Active cathodal-tDCS | Active comparator | Participants will be received different intensities which are 1 mA, 1.5 mA and 2 mA for 20 minutes during performed serial reaction time task. The tDCS will be set with cathodal montage which applied anodal electrode over right supra orbital and cathodal electrode over left hemisphere. Receives: Device: study 2) active cathodal-tDCS |
| study 2) Sham cathodal-tDCS | Sham comparator | Participants will be received sham of cathodal tDCS during performed serial reaction time task. Receives: Device: study 2) Sham chathodal-tDCS |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cortical activity
Acquired by electroencephalography (EEG)
Measured: 5 minutes
The reaction time
Measured the reaction time from serial reaction time task
Measured: 30 minutes
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Jul 2023
- Study start24 Jun 2023
- Primary completion30 Nov 2023
- Study completion28 Feb 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HealthyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- The participants of 2 sub studies (bilateral-tDCS and cathodal-tDCS) who will participate in the study will be randomly received 1 mA or 1.5 mA or 2 mA or sham with the washout period for at least 2 weeks.
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mahidol University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Wanalee Klomjai, PhD, Principal investigator, Mahidol University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05929014
- Sponsor's protocol ID
- MU-CIRB 2023/016.1601
- Status last verified
- May 2025
- First submitted
- 25 Jun 2023
- Last updated
- 15 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Prathum T, Dauguet J, Apiworajirawit I, Aneksan B, Hoisan S, Tragangoon A, Siripornpanich V, Klomjai W. Modulation of interhemispheric inhibition and motor learning by different intensities of bilateral transcranial direct current stimulation in healthy adults. Sci Rep. 2025 Dec 22;15(1):45140. doi: 10.1038/s41598-025-33298-8.
PubMed 41429892