Can zapping the brain while stepping help prevent falls in dementia?
NCT ID NCT07841145
First seen Sep 25, 2026 · Last updated Sep 25, 2026
Summary
Researchers are testing whether combining a wearable brain stimulation device with step training can improve balance, reaction time, and thinking in older adults with mild dementia. Participants join a structured stepping program that adds mental challenges like arithmetic and memory tasks, while some receive active brain stimulation and others receive a sham version. The trial measures changes in stepping speed, executive function, and brain activity during movement, with follow-up three months later. A qualitative part asks participants, caregivers, and staff about how practical and acceptable the program is.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- high-definition transcranial direct current stimulation combined with step training
- What this could lead to
- If it works, this could offer a non-drug way to help older adults with mild dementia stay steady on their feet and think more clearly during movement. It could also shape community fall-prevention programs.
- What could go wrong
- The trial is small, with 68 participants, and the brain stimulation is non-invasive and low-risk but may not produce lasting benefits. Any gains might fade after the training stops, and results may not apply to people with more severe dementia or other health conditions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 68 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Interested persons will be included if they are (1) aged 65 years or older; (2) able to walk 10 m without assistance; (3) can communicate in Chinese; and (4) clinically diagnosed with dementia, with mild-stage severity evidenced by a total score of 10 to 18 (inclusive) on the Hong Kong version of the Montreal Cognitive Assessment (HK-MoCA) \[21\]. Exclusion Criteria: * Individuals will be excluded if they, or their caregivers, report: (1) severe cardiopulmonary diseases, severe musculoskeletal disorders, or severe visual or hearing impairments; (2) any neurological conditions other than dementia; (3) contraindications to tDCS, including metallic head implants (excluding dental fillings), cardiac pacemakers, skull defects, a history of unprovoked seizures, or skin/scalp lesions at electrode sites; or (4) concurrent or recent physical therapy or non-invasive brain stimulation within the past 3 months.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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The Hong Kong Polytechnic University
Hong Kong, None Selected, Hong Kong
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