Layer-specific Contribution to Consolidation of Skill Learning in the Primary Motor Cortex

Sponsor
National Institute of Neurological Disorders and Stroke (NINDS) (NIH)
Overall Status
Recruiting
CT.gov ID
NCT04431011
Collaborator
(none)
30
1
47.3
0.6

Study Details

Study Description

Brief Summary

Background:

Training in a new motor skill often involves periods of active practice and periods of rest. During early motor skill learning, improvements in performance usually happen during the short rest periods between practice sessions. Researchers want to use improved imaging techniques to study the contributions of specific parts of the brain to how people learn and retain movement skills.

Objective:

To learn the part played by different layers in the brain in retaining a newly learned movement skill.

Eligibility:

Healthy, right-handed, English-speaking people age 18-50.

Design:
Participants will be screened with:
  • Medical and neurological history

  • Medicine review

  • Physical exam

  • Neurological exam.

Participants may have 2 magnetic resonance imaging (MRI) scans of the brain. During the MRI, they will lie in the scanner. The scanner makes noise. They will get earplugs.

Participants will have behavior testing. A specific order of keys will be displayed on a computer screen. Participants will practice typing the keys with their left hand 36 times (in 10-second blocks). They will repeat this test with a random order of keys.

Participants will see single numbers displayed one after the other on the computer screen. They will make single tap responses using the finger that corresponds with the number on the screen.

Participants will have up to 4 study sessions. Each session will take about 5 hours.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    Study Description:

    Training on a novel motor skill often involves periods of active practice interspersed with periods of rest. During early motor skill learning, performance improvements develop primarily during short offline rest periods that occur between practice blocks. These performance gains during rest have been referred to as 'micro-offline consolidation'. Primary motor cortex (M1) is a crucial contributor to skill consolidation, however, due to the poor spatial specificity and vascular biases of available imaging methods, the specific neural mechanisms of consolidation in M1 are not known. Recent innovations in functional magnetic resonance imaging (fMRI) have made it possible to measure functional changes across cortical layers. This study will use these techniques to investigate the contributions of specific cortical layers in M1 to motor skill learning and consolidation.

    Objectives:

    The primary aim is to determine the correlation between activity in superficial M1 cortical layers and behavioral gains during microoffline rest periods. Additionally, we will evaluate the role of superficial and deep cortical layers of M1 in the consolidation of motor skill learning. To address this question, we will measure neural activations across cortical laminae in M1 while participants consolidate a newly acquired motor skill.

    Endpoints:

    The primary endpoint measures will be: 1) activity in superficial M1 cortical layers during micro-offline rest periods, which will be measured using vascular space occupancy (VASO) MR imaging and 2) behavioral gains during micro-offline rest periods measured as correct sequence typing speed (sequences per second). The secondary endpoint measure will be the ratio of activity between superficial and deep M1 layers during practice and during rest periods compared to pre-learning and to post-learning rest and the localizing random sequence.

    Exploratory endpoints will include other fMRI measures that may relate learning with layer activity. For example, we will use multivoxel pattern analysis (MVPA) of activation data to: (a) gain insight into the presence of layer-specific reactivation of sequence task performance during rest periods; and (b) investigate whether this reactivation predicts learning.

    Study Population:

    45 Healthy participants (18-50 years of age)

    Phase:

    N/A

    Description of Sites/Facilities Enrolling Participants:

    This protocol utilizes the NIH Clinical Center Outpatient Clinic, and NMRF core facilities.

    Intervention Study Duration:

    24 months

    Participant Duration:

    Approximately 2-5 hours per session, for up to 4 sessions over a 1-4-day time period.

    Study Description:

    Training on a novel motor skill often involves periods of active practice interspersed with periods of rest. During early motor skill learning, performance improvements develop primarily during short offline rest periods that occur between practice blocks. These performance gains during rest have been referred to as "micro-offline consolidation". Primary motor cortex (M1) is a crucial contributor to skill consolidation; however, due to the poor spatial specificity and vascular biases of available imaging methods, the specific neural mechanisms of consolidation in M1 are not known. Recent innovations in functional magnetic resonance imaging (fMRI) have made it possible to measure functional changes across cortical layers. This study will use these techniques to investigate the contributions of specific cortical layers in M1 to motor skill learning and consolidation.

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    30 participants
    Observational Model:
    Cohort
    Time Perspective:
    Cross-Sectional
    Official Title:
    Layer-specific Contribution to Consolidation of Skill Learning in the Primary Motor Cortex
    Actual Study Start Date :
    Apr 21, 2021
    Anticipated Primary Completion Date :
    Jan 2, 2025
    Anticipated Study Completion Date :
    Apr 1, 2025

    Arms and Interventions

    Arm Intervention/Treatment
    Participants

    Healthy right-handed participants aged 18-50

    Outcome Measures

    Primary Outcome Measures

    1. The primary aim is to determine the role of superficial and deep cortical layers of M1 in the consolidation of motor skill learning. [4 years]

      To address this question, we will measure neural activations across cortical laminae in M1 while participants consolidate a newly acquired motor skill.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 50 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    • INCLUSION CRITERIA:

    • Age 18-50

    • English speaking

    • Right-hand dominance (>74 on Edinburgh Handedness Inventory)

    • Normal neurological examination

    • Willing and able to provide informed consent

    EXCLUSION CRITERIA:
    • HCPS-affiliated NIH staff (i.e. - staff from our section).

    • Current pregnancy

    • Current or past history of use of antiepileptic drugs

    • Contraindications for MRI (such as certain implants, metal fragments or devices in the body) as determined by the screening clinician

    • Severe or progressive neurological, psychological or medical condition

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 National Institutes of Health Clinical Center Bethesda Maryland United States 20892

    Sponsors and Collaborators

    • National Institute of Neurological Disorders and Stroke (NINDS)

    Investigators

    • Principal Investigator: Leonardo G Cohen, M.D., National Institute of Neurological Disorders and Stroke (NINDS)

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    National Institute of Neurological Disorders and Stroke (NINDS)
    ClinicalTrials.gov Identifier:
    NCT04431011
    Other Study ID Numbers:
    • 200105
    • 20-N-0105
    First Posted:
    Jun 16, 2020
    Last Update Posted:
    Aug 25, 2022
    Last Verified:
    Apr 5, 2022
    Studies a U.S. FDA-regulated Drug Product:
    No
    Keywords provided by National Institute of Neurological Disorders and Stroke (NINDS)

    Study Results

    No Results Posted as of Aug 25, 2022