Study of Biomorkers and Rehabilitation Strategies in Functional Motor Disorders (FMD)
NCT06328790 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 450
Last updated 2024-03-26
Summary
Functional motor disorders (FMD) are prevalent and highly disabling conditions characterized by abnormal movements (functional weakness, tremor, dystonia) significantly altered by distractive manoeuvres and incongruent with movement disorders seen in specific neurological diseases. FMDs are still misunderstood, diagnosed with delay, and not adequately treated, leading to reduced independence and high healthcare costs. Symptoms are physiologically associated with voluntary movement (distractibility, resolution with placebo) but are reported as involuntary. How this happens is yet a matter of debate. Identifying diagnostic and prognostic disease-specific biomarkers is an unmet need. The investigators will investigate motor, exteroceptive and interoceptive domains in a large cohort of FMD patients by a comprehensive set of behavioural, neurophysiological, and MRI tests. Ad-hoc eXplainable Artificial Intelligence (XAI) methods will develop disease-specific diagnostic and prognostic biomarker algorithms.
Conditions
- Functional Motor Disorders
Interventions
- OTHER
-
Multidisciplinary Rehabilitation Training
34 Patients will attend the in-person 5-day rehabilitation program (2 h/day) followed by a 12-weeks telemedicine program (1 h/week).
- BEHAVIORAL
-
Cross-sectional study on patients with FMD and patients with structural/organic diseases
Each subject will undergo behavioural, neurophysiological, and Magnetic Resonance Imaging (MRI) tests exploring the motor, exteroceptive and interoceptive domains.
- BEHAVIORAL
-
Cross-sectional study on patients with FMD and healthy controls (HC)
Each subject will undergo a set of behavioural, neurophysiological, and Magnetic Resonance Imaging (MRI) tests exploring the motor, exteroceptive and
Sponsors & Collaborators
-
IRCCS Ospedale San Raffaele
collaborator OTHER -
Azienda Ospedaliera OO.RR. S. Giovanni di Dio e Ruggi D'Aragona
collaborator OTHER -
Michele Tinazzi, MD, PhD
lead OTHER
Principal Investigators
-
Michele Tinazzi, PhD · Universita di Verona
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-05-31
- Primary Completion
- 2025-05-31
- Completion
- 2025-05-31
Countries
- Italy
Study Locations
More Related Trials
-
Non Invasive Neuromodulation for Patients With Motor Control Disorders
NCT04017481 ·Status: COMPLETED ·Phase: NA
-
Establishment of an Interdisciplinary Functional Neurological Disorder (FND) Treatment Program and Development of a Clinical Care Pathway for FND
NCT06362161 ·Status: RECRUITING
-
Functional Connectivity in Primary Focal Dystonia
NCT01761903 ·Status: COMPLETED
-
Movement-Related Brain Networks Involved in Hand Dystonia
NCT00137384 ·Status: COMPLETED
-
Long-Term Motor Learning in Focal Hand Dystonia
NCT00325091 ·Status: COMPLETED
-
rTMS and Retraining in Focal Hand Dystonia
NCT01738581 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Adaptive Plasticity Following Rehabilitation in Multiple Sclerosis
NCT03608527 ·Status: COMPLETED ·Phase: NA
-
Surround Inhibition in Patients With Dystonia
NCT00029601 ·Status: COMPLETED
-
Next-Generation Pre-Operative Targeting for Thalamic DBS in the Treatment of Tremor
NCT03875404 ·Status: COMPLETED ·Phase: NA
-
Brain Network Activation in Patients With Movement Disorders
NCT03269201 ·Status: UNKNOWN
-
Study of Sensory Attenuation in Functional Movement Disorders
NCT06872788 ·Status: NOT_YET_RECRUITING
-
Resting Postural Tremor in Multiple Sclerosis
NCT04405479 ·Status: RECRUITING
-
Cerebellar rTMS for Essential Tremor
NCT02704793 ·Status: COMPLETED ·Phase: NA
-
Electroencephalogram in Patients With Friedreich's Ataxia for the Study of the Structural and Functional Connectome.
NCT07095062 ·Status: RECRUITING ·Phase: NA
-
Study of Behavioral Dysfunctions and Related Neuronal Correlates in Patients With Dystonia
NCT06264063 ·Status: COMPLETED ·Phase: NA
-
Muscle Contraction in Patients With Focal Hand Dystonia
NCT00376753 ·Status: COMPLETED
-
Modulation and Assessment of Mental Flexibility in Dysexecutive Brain Patients
NCT04253522 ·Status: TERMINATED ·Phase: NA
-
Functional and Structural Imaging and Motor Control in Spinocerebellar Ataxia
NCT02488031 ·Status: COMPLETED ·Phase: NA
-
Efficacy of the Multidisciplinary Treatment to the Quality of Life of With Functional Movement Disorders
NCT05634486 ·Status: COMPLETED ·Phase: NA
-
The Pathophysiology of Functional Neurological Disorders
NCT02905877 ·Status: COMPLETED
-
fMRI Studies of Task Specificity in Focal Hand Dystonia
NCT00310414 ·Status: COMPLETED
-
Defining Outcome Measures for Behavioural and Emotional Problems in Dystrophinopathies
NCT06581887 ·Status: RECRUITING
-
Exploring Functional Paralysis with Advanced Magnetic Resonance Modalities
NCT05139732 ·Status: COMPLETED
-
CBT Training for Cognitive Reappraisal as an Intervention for Patients With Functional Tremor - an EEG Study
NCT06022393 ·Status: COMPLETED ·Phase: NA
-
Effect of Brain Training Through Visual Mirror Feedback, Action Observation Training and Motor Imagery on Orofacial Sensorimotor Variables in Asymptomatic Subjects: A Single-blind Randomized Controlled Trial.
NCT04021147 ·Status: UNKNOWN ·Phase: NA