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Innovative Brain Stimulation for Induction of Learning Plasticity

Effects of rTMS on Brain Plasticity and Motor Learning in Healthy People.

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04140994
Enrollment
40
Registered
2019-10-28
Start date
2019-10-24
Completion date
2020-05-01
Last updated
2019-10-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Brief summary

Recent studies have identified new neurobiological biomarker (i.e. functional connectivity of the parietal cortex) of motor learning among healthy people. This enables to refine our current model of motor learning wherein specific cortical processes are key factors for motor acquisition. Furthermore, recent evidence suggests that new technical approaches such as repetitive magnetic stimulation (rTMS) can efficiently influence this key factor. However, up to now, no rTMS studies have target this new biomarker. Therefore, the effect of rTMS are unknown. Hence, the investigators want to develop a new rTMS setup able to induce specific brain processes in healthy individuals that are likely to benefit. This has the potential to obtain critical information in order to improve treatment of motor re-learning in patients with neurological diseases.

Detailed description

Participants will participate in 1 session of neuronavigated (TMS Navigator, Localite, Schloss Birlinghoven, D-53757, Sankt Augustin, Germany ) iTBS (patterned form of rTMS) coupled with motor learning. Participants will be randomly assigned to one of 2 groups: real iTBS over parietal cortex and sham iTBS over the parietal cortex. One day before (Day1) and after the motor learning (Day 2), participants will undergo high-density 128-channel resting state electroencephalography (EEG) and motor evoked potential (MEP) in order to characterize the effects of rTMS on our markers of plasticity. Performance on the task will be measure immediately after learning (Day 2) and again 24h later (Day 3) in order to test for retention and offline consolidation (time and errors). The task will consist in realizing a computerized mirror-drawing task, in which right-left movements of the mouse were reversed on the screen.

Interventions

DEVICErTMS device

Participants will participate in 1 session of neuronavigated (TMS Navigator, Localite, Schloss Birlinghoven, D-53757, Sankt Augustin, Germany ) iTBS (patterned form of TMS) coupled with motor learning.

Sponsors

University of Geneva, Switzerland
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* man or woman aged between 18-40 years, * ability to give informed consent, * ability to follow protocol instructions, * normal or corrected-to-normal vision,

Exclusion criteria

* history of epileptic seizure (ci. TMS), * skull breach (ci. TMS), * metallic object in the brain (ci. TMS), * pacemaker (ci. TMS), * severe co-morbidity (ex, traumatic, rheumatologic, neurodegenerative diseases), * pregnancy.

Design outcomes

Primary

MeasureTime frameDescription
Motor performance in consolidation testafter training (Day 3)Difference in error rate and speed improvement in active and sham groups (learned task)

Secondary

MeasureTime frameDescription
Resting state EEG connectivity in active and sham groupsBefore (Day 1) and after training (Day 2)Calculated from electroencephalography recordings
Motor Evoked Potential (MEPs) Amplitudes (peak to peak)Before (Day 1) and after training (Day 2)Difference in MEPs between active and sham groups. MEPs are generated when stimulation of the brain on the motor cortex (with Transcranial Magnetic Stimulation \[TMS\]) causes the spinal cord and peripheral muscles to produce neuroelectrical signals. MEPs are typically measured in the hand muscles (Abductor pollicis brevis ).

Other

MeasureTime frameDescription
Motor performance in retention testAfter training (Day 2)Difference in error rate and speed improvement in active and sham groups (learned task)
Motor performance in transfer testafter training (Day 2 and Day 3)Difference in error rate and speed improvement in active and sham groups (non-learned) task)

Countries

Switzerland

Contacts

Primary ContactPierre Nicolo, PhD
pierre.nicolo@hcuge.ch+41 (0)22 372 38 76
Backup ContactPierre Nicolo, PhD
nicolopierre@gmail.com+41792633543

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026