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Training Cognition With Neurofeedback After Stroke

RecruitingNAAges 18 Years - 75 YearsAllUniversity Hospital, Bordeaux
NCT06852209 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Post-stroke cognitive impairment (PSCI) is a common source of invisible disability. The actual techniques of cognitive remediation have been reported to have only a small effect, justifying the need to foster research in this field. Real-time functional MRI neurofeedack (rt-fMRI NF) is a procedure of brain-machine interface supporting self-regulation of brain activity, with promising results in the treatment of mental disorders. The main objective of the study is to evaluate in a pilot study, the ability of stroke patients to learn to self-regulate their brain activity in a priviledged direction, using rt-fMRI NF

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📋 Eligibility rules (as published)
Inclusion Criteria: * Men or women * Right handed * 18 ≤ years old \< 75 * first-ever ischemic stroke on brain MRI in the past 3 to 6 months ; * Persisting cognitive complaint 3 months after the ischemic stroke, proved by a MoCA score ≤ 26 (if educational level ≥ 12 years, or ≤ 25 if educational level \< 12 years), and involving at least one of the following cognitive domains : executive functions, attention, and processing speed ; * Ischemic stroke located in the territory of the middle cerebral artery and /or basal ganglia/thalamus ; * NIHSS ≤ 5, without aphasia or severe visual disability empeding the understanding of the instructions, the neurofeedback task achievement, and/or the neuropsychological assessment ; * No prestroke disability defined by a modified Rankin Scale ≤ 2 ; * For women of childbearing potential, use of effective contraception and negative pregnancy test. * Written informed consent by the patient. * Coverage by the French Social Insurance Exclusion Criteria: * Previous cognitive impairment ; * History of psychiatric disorder ; * Current use of psychotropic medication ; * MRI contraindication ; * Pregnancy or breastfeeding ; * Chronic disease empeding the follow-up of the subject during the lenght of the study ; * Non fluently-French speakers ; * Patient under legal protection. * Patient unable of giving personal consent * Emergency situation * 1st MRI incomplete, not performed or not analyzable
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What it tests

  • Cognitive remediation therapy
  • Neuropsychological assessment
  • Real-time functional MRI neurofeedack (rt-fMRI NF)
  • fMRI sessions
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Where

1 site
CHU de Bordeaux
Bordeaux, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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