小脑iTBS策略对缺血性卒中患者步态及平衡功能影响的随机对照研究

注册号:

Registration number:

ChiCTR2500102664 

最近更新日期:

Date of Last Refreshed on:

2025-05-19 08:53:16 

注册时间:

Date of Registration:

2025-05-19 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

小脑iTBS策略对缺血性卒中患者步态及平衡功能影响的随机对照研究

Public title:

Cerebellar Intermittent θ-Burst stimulation for Early-subacute Stroke Treatment (CIBEST) of gait and balance: The randomized controlled trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

小脑iTBS策略对缺血性卒中患者运动功能影响的机制研究

Scientific title:

Effect of Cerebellar iTBS Strategy on Motor Function in Patients with Ischemic Stroke

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

杨晓龙 

研究负责人:

曹磊 

Applicant:

Yang Xiaolong 

Study leader:

Cao Lei 

申请注册联系人电话:

Applicant telephone:

+86 183 1006 0662

研究负责人电话:

Study leader's
telephone:

+86 176 1126 4489

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

18310060662@163.com

研究负责人电子邮件:

Study leader's E-mail:

ericcao80@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

北京市西城区长椿街45号

研究负责人通讯地址:

北京市西城区长椿街45号

Applicant address:

No.45, Changchun Street, Xicheng District, Beijing China

Study leader's address:

No.45, Changchun Street, Xicheng District, Beijing China

申请注册联系人邮政编码:

Applicant postcode:

100053

研究负责人邮政编码:

Study leader's postcode:

100053

申请人所在单位:

首都医科大学宣武医院

Applicant's institution:

Xuanwu Hospital, Capital Medical University

研究负责人所在单位:

首都医科大学宣武医院

Affiliation of the Leader:

Xuanwu Hospital, Capital Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

临研审[2024]430号-002

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

首都医科大学宣武医院伦理委员会

Name of the ethic committee:

Ethics Committee of Xuanwu Hospital, Capital Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-04-16 00:00:00

伦理委员会联系人:

张卓然

Contact Name of the ethic committee:

Zhang zhuoran

伦理委员会联系地址:

北京市西城区长椿街45号

Contact Address of the ethic committee:

No.45, Changchun Street, Xicheng District, Beijing China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 8319 9270

伦理委员会联系人邮箱:

Contact email of the ethic committee:

songwq66@163.com

研究实施负责(组长)单位:

首都医科大学宣武医院

Primary sponsor:

Xuanwu Hospital, Capital Medical University

研究实施负责(组长)单位地址:

北京市西城区长椿街45号

Primary sponsor's address:

No.45, Changchun Street, Xicheng District, Beijing, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

西城区

Country:

China

Province:

Beijing

City:

Xicheng District

单位(医院):

首都医科大学宣武医院

具体地址:

北京市西城区长椿街45号

Institution
hospital:

Xuanwu Hospital, Capital Medical University

Address:

No.45, Changchun Street, Xicheng District, Beijing, China

经费或物资来源:

研究者自筹

Source(s) of funding:

Self-funded

研究疾病:

缺血性脑卒中  

Target disease:

Ischemic stroke

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究面向亚急性早期阶段的幕上缺血卒中患者,评估iTBS对亚急性早期阶段幕上缺血卒中患者运动功能的影响。同时基于时-频-空域,多维度地探讨小脑靶点的iTBS对亚急性早期阶段缺血性卒中患者脑可塑性的影响。  

Objectives of Study:

This study investigates the effects of intermittent theta burst stimulation (iTBS) on motor function in subacute early phase supratentorial ischemic stroke patients. Furthermore, it conducts a multi-dimensional exploration of the impact of cerebellar target iTBS on brain plasticity in subacute early phase ischemic stroke patients across spatio-temporal-frequency domains.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

TMS和MRI的禁忌症(如颅内、头皮下有金属植入物,非铁磁性种植牙除外);幽闭恐惧症;癫痫、严重影响交流的失语或认知障碍;此次发病前已卧床>2月;既往3个月内接受过经颅磁刺激治疗;既往有严重听力障碍、酒精依赖史。

Exclusion criteria:

Contraindications to TMS and MRI (e.g. intracranial or subcortical metallic implants, except non-ferromagnetic dental implants); Claustrophobia; Epilepsy, aphasia or cognitive impairment that severely impairs communication; The patient had been bedridden for more than 2 months before the onset of the disease. Patients received transcranial magnetic stimulation within the past 3 months; He had a history of severe hearing impairment and alcohol dependence.

研究实施时间:

Study execute time:

From 2025-06-01 00:00:00 To 2026-10-16 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-06-01 00:00:00 To 2025-10-31 00:00:00

干预措施:

Interventions:

组别:

iTBS组

样本量:

19

Group:

iTBS group

Sample size:

干预措施:

小脑iTBS真刺激

干预措施代码:

Intervention:

Cerebellar Intermittent θ-Burst stimulation (Real)

Intervention code:

组别:

假刺激组

样本量:

19

Group:

Sham group

Sample size:

干预措施:

小脑iTBS假刺激

干预措施代码:

Intervention:

Cerebellar Intermittent θ-Burst stimulation (Sham)

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

Beijing 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学宣武医院 

单位级别:

三甲 

Institution
hospital:

Xuanwu Hospital, Capital Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

Berg平衡量表评分

指标类型:

主要指标

Outcome:

Berg Balance Score, BBS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

基于传感器评估的步态、足底压力及平衡时空参数

指标类型:

次要指标

Outcome:

Spatio-temporal parameters of gait, plantar pressure and balance evaluated based on sensors

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Fugl-Meyer 得分

指标类型:

次要指标

Outcome:

Fugl-Meyer score, FMA

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

FAC步行能力分级

指标类型:

次要指标

Outcome:

Functional ambulation category scale, FAC

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

日常生活能力指数

指标类型:

次要指标

Outcome:

Barthel index, BI

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

独立步行达标率

指标类型:

次要指标

Outcome:

Rates of Independent walking

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脑功能的时-频-空指标

指标类型:

次要指标

Outcome:

Time-frequency-space indicators of brain function (TMS-EEG; fMRI; DTI; sMRI)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

安全性指标(不良事件发生情况)

指标类型:

副作用指标

Outcome:

Adverse events

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 75 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

主要研究者曹磊使用最小充分平衡法对受试者进行随机(R studio软件)

Randomization Procedure (please state who generates the random number sequence and by what method):

Principal investigator Lei Cao performed randomization with the use of the minimally sufficient balance method (R studio software).

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

本研究将采用盲法,对受试者、评估者、数据分析者均设盲,治疗干预时,考虑经颅磁刺激的特殊性,将为受试者佩戴降噪耳塞以减少声音刺激对患者的影响。

Blinding:

This study will be blinded to the subjects, evaluators and data analysts. Considering the specificity of transcranial magnetic stimulation, the subjects will wear noise-reducing earplugs to reduce the impact of sound stimulation on the patients.

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

研究完成后1年,可通过邮箱向主要研究者申请获取

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

One year after the completion of the research, an application for access can be made to the principal investigator via email

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例记录表

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2025-05-19 08:53:03