Interactions Between Neurostimulation and Physical Exercise
NCT03076632 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2017-09-28
Summary
* People with cervical spinal cord injury (SCI) and amyotrophic lateral sclerosis (ALS) have reduced connections in the nerve circuits between the brain and the hands. Activating spared nerve circuits is one potential way to improve recovery.
* The investigators are testing different combinations of physical wrist and hand movements paired with magnetic brain stimulation and electrical spinal cord or nerve stimulation to see the effects on nerve transmission to hand muscles.
* This is a preliminary study. This study is testing for temporary changes in nerve transmission to hand muscles. There is no expectation of long-term benefit from this study. If temporary changes are seen in this study, then future studies would focus on how to prolong that effect.
Conditions
- Spinal Cord Injuries
- Amyotrophic Lateral Sclerosis
Interventions
- DEVICE
-
Cervical plus transcranial stimulation
Conditioning pulses of cervical electrical stimulation will be delivered before or after test pulses of transcranial magnetic stimulation.
- DEVICE
-
Cervical stimulation plus hand/wrist exercise
Pulses of cervical stimulation will be delivered while the subject performs finger and wrist motor tasks.
- DEVICE
-
Electromyographic (EMG)-triggered (closed-loop) stimulation
Force and EMG activity of specific hand muscles will be used to trigger peripheral nerve electrical stimulation or transcranial magnetic stimulation.
Sponsors & Collaborators
-
Bronx VA Medical Center
lead FED
Principal Investigators
-
Noam Y. Harel, MD, PhD · James J. Peters VAMC
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- DEVICE_FEASIBILITY
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 21 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-04-01
- Primary Completion
- 2017-09-26
- Completion
- 2017-09-26
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