Motor Disorders, Neurological Injury, Paresis
Conditions
Brief summary
Vagus nerve stimulation (VNS) activates neural pathways leading to the release of chemicals that promote plasticity and learning. Previous work has shown that the auricular branch of the vagus nerve innervates landmarks on the external ear. Work from the PI's laboratory has shown that electrical current applied to the external ear activates neural pathways implicated in the therapeutic effects of VNS. The broad objective of this project is to better understand physiological mechanisms that are modulated by auricular stimulation and its potential to enhance motor learning.
Interventions
Visuomotor task training with transcutaneous stimulation targeting landmark that activates biomarker
Sponsors
Study design
Masking description
Single-blind
Intervention model description
Sham-controlled
Eligibility
Inclusion criteria
(For prospective subjects diagnosed with stroke) * Confirmed diagnosis of a single stroke at least six months prior to participation
Exclusion criteria
* History of vestibular disorders or dizziness * Diagnosis of neurological disorders affecting movement * Ocular disease and/or impairment in more than one eye * Pregnant or expecting to become pregnant * Difficulty maintaining alertness and/or remaining still
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Precision grip stability (coefficient of variation or root-mean-square error) | 1 month post training | The ability to stabilize precision grip according to target force and/or preload force will be quantified by calculating coefficient of variation (CV) or root-mean-square error (RMSE) which characterize variability in relation to mean force or target force. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Force signal composition (Fourier transform) | 1 month post training | The force signal oscillates at various frequencies and will be decomposed with a Fourier transform to quantify the relative contribution of higher frequencies. |
Countries
United States