Investigating How the RECT Impacts Brain Functional States Through the ACC-cerebellar Loop

NANot yet recruitingINTERVENTIONAL
Enrollment

100

Participants

Timeline

Start Date

March 30, 2025

Primary Completion Date

February 28, 2027

Study Completion Date

May 30, 2027

Conditions
Post-stroke Depression
Interventions
OTHER

Left cerebellar TMS stimulation combined with the RECT task

The first group will receive left cerebellar single-pulse TMS stimulation combined with the RECT task. RECT refers to rostral anterior cingulate cortexr (rACC)-engaging cognitive task. The theoretical basis of this task is that when subjects are in a state of focused attention, the power of theta neural oscillations in the midline of their frontal lobe will increase. By considering the features of post-stroke depression, this study combines the emotional recognition task with the RECT task. During each trial, individuals will view 4 faces consecutively, each displaying a different expression, and they will be required to memorize the sequence of expressions. Emoticons consist of joy, sorrow, and rage. After displaying four facial expressions, a brief text flowchart will appear. Participants need to check if the sequence reflected in the flowchart matches the order in which the four facial expressions appeared. If they match, click the left mouse button; if they do not match, click the

OTHER

Right cerebellar TMS stimulation combined with the RECT task

Right cerebellar single-pulse TMS stimulation combined with the RECT task

OTHER

Midline cerebellar TMS stimulation combined with the RECT task

Midline cerebellar single-pulse TMS stimulation combined with the RECT task

OTHER

Sham cerebellar TMS stimulation combined with the RECT task

Sham cerebellar single-pulse TMS stimulation combined with the RECT task, The TMS coil was placed at the cerebellar site but tilted 90° to prevent effective magnetic field penetration.

OTHER

The best stimulation protocol combined with left dorsolateral prefrontal cortex iTBS

The optimal stimulation protocol determined in Experiment 1 combined with stimulation of the left dorsolateral prefrontal cortex.

OTHER

Left dorsolateral prefrontal cortex iTBS stimulation, as well as sham TMS stimulation and sham RECT task.

Subjects in the group underwent left dorsolateral prefrontal cortex iTBS stimulation, in addition to receiving sham TMS stimulation and participating in a sham RECT task. The sham RECT task involves having participants watch a continuous scroll of faces without needing to react.

OTHER

Sham left dorsolateral prefrontal cortex iTBS stimulation, sham cerebellar TMS stimulation, and sham RECT task.

The participants in this group received sham left dorsolateral prefrontal cortex iTBS stimulation, sham cerebellar TMS stimulation, and sham RECT task.

All Listed Sponsors
lead

The Second Affiliated Hospital of Kunming Medical University

OTHER