CVA Stroke
Conditions
Interventions
Motor learning
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: Healthy// Aged 18-35// Right handed
Exclusion criteria
Exclusion criteria: History of neurological or psychiatric disorders Implants or metal parts in the head Use of psychoactive drugs in the last month Neuromodulatory stimulation in the last month Pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Motor Learning: The accuracy on a sequential visual isometric force pinch task (SVIPT), will be used to measure motor skill. Motor learning is defined as the difference between the first day and the last day. // Local excitation: Local excitation will be measured with a single pulse motor map procedure. A motor map is the area on the skull from which a TMS pulse can stimulate the target muscle. The volume is the sum of the MEP aplitudes in this area// Local inhibition: Local inhibition is mediated by GABAa-ergic and GABAb-ergic interneurons. GABAa-ergic local inhibition will be measured with a paired pulse procedure called short interval intracortical inhibition (SICI). The first pulse is a subthreshold pulse that depolarizes the GABAa-ergic interneurons, which reduces the MEP amplitude of the second suprathreshold pulse. The outcome measure is the amplitude ratio between paired pulses and single pulses. GABAb-ergic local inhibition will be measured with a single pulse procedure called the cortical silent period (cSP). The subject is contracting the target muscle while the magnetic pulse is applied. This produces a short depression of the EMG signal. The outcome measure is the duration of this silent period.// Transcallosal inhibition: Transcallosal inhibition will be measured with a single pulse protocol called the ipsilateral silent period (iSP). The subject is contracting the homologous muscle, ipsilateral of the stimulated motor cortex. The magnetic pulse excites a GABAb mediated transcallosal network that inhibits the contralateral motor cortex, which produces a short depression in the EMG signal of the ipsilateral muscle. The outcome measure is the duration of this silent period.// | — |
Secondary
| Measure | Time frame |
|---|---|
| Assess how the neurophysiological measurements change and interact during multiple sessions of motor training. | — |
Countries
The Netherlands
Outcome results
None listed