- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05726149
UHCDS a-tDCS Combined With Therapeutic Exercise in Fibromyalgia Patients
Efficacy of Unihemispheric Concurrent Dual-Site Anodal Transcranial Direct Current Stimulation Combined With Therapeutic Exercise on Fatigue and Sleep in Fibromyalgia. Randomized Controlled Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Fibromyalgia (FM) is one of the rheumatic diseases with the greatest impact on the quality of life, whose etiology and pathophysiology is not yet fully demonstrated.
Perhaps this is why its therapeutic approach is refractory to current treatments.
Apart from the widespread chronic pain characteristic of this syndrome, fatigue is a very disabling symptom in this pathology. It is a complicated, multifactorial, disconcerting and very persistent symptom that is highly frequent in FM. A vast majority of the published studies have focused the symptoms studied in FM on pain, while fatigue and sleep disturbances, despite not being minor symptoms, have not received the same attention.
Neuromodulation treatments with transcranial direct current stimulation (tDCS) have been shown to induce significant analgesia in FM through modification of sensory processing of pain by thalamic inhibitory circuits and improvement of sleep architecture. On the other hand, therapeutic exercise (TE) programs based on aerobic work and global muscle strengthening have been shown to have a beneficial effect in reducing the pain and severity of FM.
None of the four studies conducted so far combining tDCS and TE in fibromyalgia have evaluated the effect on fatigue or sleep. Currently, various studies conclude that Unihemispheric Concurrent Dual-Site anodal Transcranial Direct Current Stimulation (UHCDS a-tDCS) on the dorsolateral prefrontal cortex (DLPFC) and M1 produces a 50% greater modulation of corticospinal excitability. To date, no RCT has studied its effect in subjects with FM.
The present study aims to investigate the effect of UHCDS a-tDCS combined with TE on fatigue and sleep quality in subjects with FM.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Toledo
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Talavera De La Reina, Toledo, Spain, 45600
- Hospital Nuestra Señora del Prado
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age between 18 and 65 years.
- Fulfilled the 2010 American Colleague of Rheumatology criteria for fibromyalgia.
- Able to participated in a therapeutic exercise program.
- Understanding of spoken and written Spanish.
Exclusion Criteria:
- Pregnancy or breastfeeding.
- Metallic implants in the head.
- Tumor, trauma or surgery in the brain.
- Epilepsy or stroke.
- History of substance abuse in the last 6 months.
- Use of carbamazepine in the last 6 months.
- Diagnosed psychiatric pathology.
- Rheumatic pathology not medically controlled.
- Coexisting autoimmune pathology.
- Chronic inflammatory disease (rheumatoid arthritis, erythematosus systemic lupus, inflammatory bowel disease).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Real UHCDS a-TDCS + Therapeutic Exercise
Real unihemispheric concurrent dual-site anodal transcranial direct current stimulation combined with therapeutic exercise
|
Real UHCDS a-tDCS (STARTSTIM® 8 stimulator, Neuroelectric Barcelona, Spain) for ten sessions (three sessions per week in weeks 1 and 2; and one session per week in weeks 3, 4, 5 and 6).
UHCDS a-tDCS is a galvanic current applied by a cap for 20 minutes at an intensity of 2 milliamps.
The therapeutic exercise program will include aerobic exercise and muscle strengthening in the same days as UHCDS a-tDCS.
The program will last 30-45 minutes.
|
Sham Comparator: Sham UHCDS a-TDCS + Therapeutic Exercise
Sham unihemispheric concurrent dual-site anodal transcranial direct current stimulation combined with therapeutic exercise
|
The therapeutic exercise program will include aerobic exercise and muscle strengthening in the same days as UHCDS a-tDCS.
The program will last 30-45 minutes.
Sham UHCDS a-tDCS (STARSTIM® 8 stimulator, Neuroelectric Barcelona, Spain) for ten sessions (three sessions per week in weeks 1 and 2; and one session per week in weeks 3, 4, 5 and 6).
Sham tDCS will be applied for the same time than real UHCDS a-tDCS.
|
Active Comparator: Therapeutic Exercise
Therapeutic exercise.
|
The therapeutic exercise program will include aerobic exercise and muscle strengthening in the same days as UHCDS a-tDCS.
The program will last 30-45 minutes.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in fatigue from baseline to post-treatment as assessed by MFI.
Time Frame: Baseline; immediately after intervention; 1-month after intervention
|
The version adapted to Spanish from the Multidimensional Fatigue Inventory (MFI) will be used.
The scale ranges from 0 to 100.
Higher values represent a worse result.
|
Baseline; immediately after intervention; 1-month after intervention
|
Change in sleep quality from baseline to post-treatment as assessed by MOS-SS.
Time Frame: Baseline; immediately after intervention; 1-month after intervention
|
The version adapted to Spanish from the Medical Outcomes Study Sleep Scale (MOS-SS) will be used.
The scale ranges from 0 to 100.
Higher values represent a worse result.
|
Baseline; immediately after intervention; 1-month after intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Fibromyalgia Impact Quality-of-Life
Time Frame: Baseline; immediately after intervention; 1-month after intervention
|
It will be measured with the version adapted to the Spanish of the Fibromyalgia Impact Questionnaire (FIQ).
The scale ranges from 0 to 100.
Higher values represent a worse result.
|
Baseline; immediately after intervention; 1-month after intervention
|
Blinding
Time Frame: Immediately after intervention.
|
Blinding of subjects and researchers will be assessed using the James Index.
|
Immediately after intervention.
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- UHCDSa-tDCS+EX-Fibromyalgia
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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