Enhancing Letter-Speech Sound Learning and Reading Network Activation With Transcranial Electrical Stimulation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-35
SponsorSilvia Brem

About this trial

This study investigates the effects of transcranial electrical stimulation (tES) on the brain and its potential to enhance reading-related learning. Adult participants with a range of reading abilities will receive transcranial random noise stimulation (tRNS) while they perform an artificial orthography learning task. This task simulates letter-speech sound learning, an important first step during reading acquisition known to be impaired in individuals with developmental dyslexia. The effects of the intervention will be assessed using both behavioral measures and functional magnetic resonance imaging (fMRI).

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age 18-35

All genders

Written informed consent by the participant

German speaking (native)

Disqualifiers

Diagnoses of neurological disorders, intellectual disabilities, or psychiatric disorders (We do not exclude participants with common comorbidities of dyslexia, specifically dyscalculia, Attention Deficit/Hyperactivity Disorder, or Autism Spectrum Disorders)

History of any acquired brain damage or evidence of fetal alcohol syndrome

Hearing problems and vision problems that cannot be corrected

Inability to follow procedures or understand the instructions given in (Swiss-)German

Trial design

Design model

Parallel

Treatments tested in this trial

  • Transcranial random noise stimulation

    Other intervention

    Participants will receive high-frequency tRNS (max. 1.5 mA) applied to the left superior temporal gyrus. A high-definition setup (3x1 electrodes) will be used to achieve more focal stimulation. Stimulation will be applied during an artificial orthography learning task with simultaneous fMRI acquisition.

  • Sham Stimulation

    Other intervention

    Participants will also have electrodes placed on their scalp. The setup is programmed to induce a short ramp-up of the chosen electrical current followed by a ramp-down at the beginning and at the end of the stimulation. In between, no current will be applied. Sham stimulation will be applied during an artificial orthography learning task with simultaneous fMRI acquisition.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Real StimulationExperimental treatment 1 intervention
Group B: Sham StimulationSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Performance in the artificial orthography learning task

Performance on the artificial orthography learning task and the artificial orthography reading fluency test will be compared between the stimulation and sham groups.

Time frame
At second session, up to 8 weeks after baseline
2

fMRI activation and connectivity during print processing

fMRI activation and connectivity of the posterior superior temporal gyrus and other regions of the reading and audiovisual learning networks will be compared before, during and after transcranial electrical stimulation (tES). The fMRI tasks performed in the second session include artificial orthography learning and explicit print processing (lexical decision task), whereas implicit print processing (one-back task) is performed both at baseline and in the second session. These changes in activation and connectivity will be compared between the stimulation group and the sham group.

Time frame
At baseline (Session 1) and at second session, up to 8 weeks after baseline

Secondary outcomes

1

fMRI brain activation and connectivity in further fMRI tasks: audiovisual processing and naturalistic movie watching

Brain activation and connectivity during further fMRI tasks, namely an audiovisual localizer task and a movie-watching paradigm, will be investigated and compared between the two groups. The audiovisual localizer task focuses on brain activation in reading and audiovisual processing regions, and the movie-watching paradigm on connectivity within the resting-state networks.

Time frame
At baseline (Session 1) and at second session, up to 8 weeks after baseline
2

Reading and reading-related behavioral measures

Reading and reading-related tasks, such as word and pseudoword reading, will be performed before and after tES to provide a behavioral estimate of reading skills.

Time frame
At baseline (Session 1) and at second session, up to 8 weeks after baseline
3

Performance in further cognitive tasks

The performance in further cognitive tasks (working memory, attention, rapid automatized naming) will be compared before and after tES.

Time frame
At baseline (Session 1) and at second session, up to 8 weeks after baseline

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Silvia Brem

Lead sponsor

Psychiatric University Hospital, Zurich

Sponsor institution

Swiss National Science Foundation

Collaborator