Non-invasive Spinal Cord Stimulation and Blood Pressure Regulation After Spinal Cord Injury
NCT07504055 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2026-04-28
Summary
The goal of this clinical trial is to learn if non-invasive spinal cord stimulation intervention improves blood pressure regulation in individuals with chronic spinal cord injury. The main questions it aims to answer are:
* Can site specific spinal cord stimulation enhance blood pressure regulation?
* Does this stimulation affect enzymes responsible for blood pressure regulation? Researchers will stimulate different sites of spinal cord and compare to see if site-specific stimulation provide blood pressure stability.
Participants will have up to six pairs of self-adhesive conductive electrodes placed on the skin over the spinal cord (midline and/or just to the left and right of midline) as cathodes and up to six pairs of self-adhesive electrodes located symmetrically on the skin over the iliac crests, clavicles, shoulders, and/or abdominal muscles (left and right of the umbilicus) as anodes for stimulation of the spinal cord.
Conditions
- Spinal Cord Injury
- Orthostatic Hypertension
- Autonomic Dysreflexia
Interventions
- DEVICE
-
Spinal Cord Transcutaneous Stimulation
Spinal Cord Transcutaneous Stimulation (scTS) will be administered using the Biostim/Neostim (Cosyma Inc., Denver CO) device. Up to six pairs of self-adhesive conductive electrodes will be placed on the skin over the spinal cord (midline and/or just to the left and right of midline) as cathodes and up to six pairs of self-adhesive electrodes located symmetrically on the skin over the iliac crests, clavicles, shoulders, and/or abdominal muscles (left and right of the umbilicus) as anodes. During scTS mapping sessions, stimulation will be provided to assess the impact on functional outcomes and to refine stimulation parameters for training (e.g., blood pressure modulation, respiratory function) targeted for each arm. Using multi-variant combinations of electrode locations and different electrical configurations, the stimulation will be delivered at a level specific to each arm with frequency of up to 100 Hz, with incrementally increased intensity up to 200 mA.
Sponsors & Collaborators
-
Kentucky Spinal Cord and Head Injury Research Board
collaborator OTHER -
University of Louisville
lead OTHER
Principal Investigators
-
Alexander Ovechkin · University of Louisville
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-01
- Primary Completion
- 2029-02-28
- Completion
- 2029-02-28
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Recovery of Bladder and Sexual Function After Human Spinal Cord Injury
NCT04193709 ·Status: COMPLETED ·Phase: NA
-
Task-specific Epidural Stimulation Study
NCT03364660 ·Status: RECRUITING ·Phase: NA
-
Therapeutic Mechanisms of Epidural Spinal Cord Stimulation
NCT05556902 ·Status: RECRUITING ·Phase: NA
-
Mechanisms of Arterial Hypotension in Chronic Spinal Cord Injury
NCT02154412 ·Status: COMPLETED ·Phase: NA
-
Spinal Cord Transcutaneous Stimulation Effect on Blood Pressure in Acute Spinal Cord Injury (SCI)
NCT05731986 ·Status: RECRUITING ·Phase: NA
-
Transcutaneous Spinal Cord Neuromodulation to Normalize Autonomic Phenotypes
NCT04858178 ·Status: COMPLETED ·Phase: NA
-
Safety, Feasibility, and Efficacy of TSCS on Stabilizing Blood Pressure for Acute Inpatients With SCI
NCT06000592 ·Status: RECRUITING ·Phase: NA
-
Improving Bowel Function and Quality of Life After Spinal Cord Injury
NCT03949660 ·Status: RECRUITING ·Phase: NA
-
Recovery of Cardiovascular Function With Epidural Stimulation After Human Spinal Cord Injury
NCT02037620 ·Status: COMPLETED ·Phase: NA
-
Cardiovascular Function and Response to Stimulation Within the First Year After Spinal Cord Injury
NCT06841198 ·Status: RECRUITING ·Phase: NA
-
Respiratory Motor Control and Blood Pressure Regulation After Spinal Cord Injury
NCT02396823 ·Status: COMPLETED ·Phase: NA
-
Transcutaneous Tibial Nerve Stimulation for Spinal Cord Injury Neurogenic Bladder
NCT04350359 ·Status: RECRUITING ·Phase: NA
-
Non-invasive Spinal Cord Stimulation for Recovery of Autonomic Function After Spinal Cord Injury
NCT05369520 ·Status: RECRUITING ·Phase: NA
-
Prevention of Orthostatic Hypotension With Electric Stimulation in Persons With Acute SCI
NCT01891110 ·Status: COMPLETED ·Phase: NA
-
Spinal Cord Stimulation to Treat Hypertension
NCT02828436 ·Status: COMPLETED ·Phase: NA
-
Spatiotemporal tSCS in Spinal Cord Injury
NCT07397559 ·Status: RECRUITING ·Phase: NA
-
Diet and Exercise Solutions to Postprandial Hypotension
NCT06882460 ·Status: RECRUITING ·Phase: NA
-
Spinal Cord Stimulation and Autonomic Response in People With SCI.
NCT03924388 ·Status: UNKNOWN ·Phase: NA
-
TSCS for Acute SCI
NCT05305118 ·Status: RECRUITING ·Phase: NA
-
MEP Up-conditioning to Target Corticospinal Plasticity
NCT06989905 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Spinal Cord Stimulation and Respiration After Injury
NCT05178056 ·Status: RECRUITING ·Phase: NA
-
Improving 24-hour Blood Pressure Stability in Spinal Cord Injury With Low Oxygen Therapy
NCT06691165 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Spinal Cord Stimulation and Training
NCT05472584 ·Status: RECRUITING ·Phase: NA
-
Spinal Cord Stimulation for Autonomic Recovery in Inpatient Rehabilitation After Acute SCI
NCT06540859 ·Status: RECRUITING ·Phase: NA
-
Neuromodulation to Improve Respiratory Function in Cervical Spinal Cord Injury
NCT04883463 ·Status: RECRUITING ·Phase: NA