Examining Lateralized Aspects of Motor Control Using Non-invasive Neural Stimulation

Sponsor
Virginia Commonwealth University (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05947279
Collaborator
(none)
60
3
23

Study Details

Study Description

Brief Summary

Motor adaptation and generalization are believed to occur via the integration of various forms of sensory feedback for a congruent representation of the body's position in space along with estimation of inertial properties of the limb segments for accurate specification of movement. Thus, motor adaptation is often studied within curated environments incorporating a "mis-match" between different sensory systems (i.e. a visual field shift via prism googles or a visuomotor rotation via virtual reality environment) and observing how motor plans change based on this mis-match. However, these adaptations are environment-specific and show little generalization outside of their restricted experimental setup. There remains a need for motor adaptation research that demonstrates motor learning that generalizes to other environments and movement types. This work could then inform physical and occupational therapy neurorehabilitation interventions targeted at addressing motor deficits.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Comparing motor adaptation reaching performance
N/A

Detailed Description

Voluntary movement and sensory perception are fundamental aspects of the human experience. Senses such as visual and proprioceptive feedback inform movement by continuously providing the central nervous system with information on limb location, movement error, and task performance. However, the specific mechanisms behind how different forms of sensory information are used to adapt and generalize movement remain poorly understood.

Motor adaptation, or the modification of movement based on error feedback (Martin et al., 1996), is often elicited during rehabilitation but must be generalized to functional performance, such as activities of daily living, in order to successfully rehabilitate motor deficits following stroke. Motor adaptation and generalization are believed to occur via the integration of various forms of sensory feedback for a congruent representation of the body's position in space along with estimation of inertial properties of the limb segments for accurate specification of movement. Thus, motor adaptation is often studied within curated environments incorporating a "mis-match" between different sensory systems (i.e. a visual field shift via prism googles or a visuomotor rotation via virtual reality environment) and observing how motor plans change based on this mis-match. However, these adaptations are environment-specific and show little generalization outside of their restricted experimental setup. There remains a need for motor adaptation research that demonstrates motor learning that generalizes to other environments and movement types. This work could then inform physical and occupational therapy neurorehabilitation interventions targeted at addressing motor deficits.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
60 participants
Allocation:
Randomized
Intervention Model:
Single Group Assignment
Intervention Model Description:
The study will have three groups: (15 people per group) 1) posterior parietal cortex group, which will receive the stimulation to their left posterior parietal cortex, 2) cerebellum group, which will receive stimulation to their right cerebellum, and 3) sham group, which will have the electrode cap placed on their head but receive no stimulation. By comparing motor adaptation reaching performance between these three groups, the investigators can examine how stimulation to each specific area of the brain modulates different aspects of motor adaptation.The study will have three groups: (15 people per group) 1) posterior parietal cortex group, which will receive the stimulation to their left posterior parietal cortex, 2) cerebellum group, which will receive stimulation to their right cerebellum, and 3) sham group, which will have the electrode cap placed on their head but receive no stimulation. By comparing motor adaptation reaching performance between these three groups, the investigators can examine how stimulation to each specific area of the brain modulates different aspects of motor adaptation.
Masking:
None (Open Label)
Primary Purpose:
Other
Official Title:
Examining Lateralized Aspects of Motor Control Using Non-invasive Neural Stimulation
Anticipated Study Start Date :
Jan 15, 2024
Anticipated Primary Completion Date :
Dec 15, 2024
Anticipated Study Completion Date :
Dec 15, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: Posterior parietal cortex group

Posterior parietal cortex group, which will receive the stimulation to their left posterior parietal cortex

Behavioral: Comparing motor adaptation reaching performance
By comparing motor adaptation reaching performance between these three groups, the investigators can examine how stimulation to each specific area of the brain modulates different aspects of motor adaptation

Experimental: Cerebellum group

Cerebellum group, which will receive stimulation to their right cerebellum,

Behavioral: Comparing motor adaptation reaching performance
By comparing motor adaptation reaching performance between these three groups, the investigators can examine how stimulation to each specific area of the brain modulates different aspects of motor adaptation

Sham Comparator: Sham group

Sham group, which will have the electrode cap placed on their head but receive no stimulation

Behavioral: Comparing motor adaptation reaching performance
By comparing motor adaptation reaching performance between these three groups, the investigators can examine how stimulation to each specific area of the brain modulates different aspects of motor adaptation

Outcome Measures

Primary Outcome Measures

  1. Initial direction error, or difference between participant's fingertip direction [Completion of the study visit, approx 20 minutes]

    Initial direction error, or difference between participant's fingertip direction at the timepoint of peak velocity relative to a linear path to the target. As for time frame, this is a single-visit study. Initial direction error will be compared during baseline reaching and following 20 minutes of non-invasive neural stimulation.

  2. Initial direction error variance [Completion of the study visit, approx 20 minutes]

    Initial direction error variance across multiple trials.

Secondary Outcome Measures

  1. Final position error [Completion of the study visit, approx 20 min]

    Secondary outcome: final position error, or distance from participant's fingertip position at the conclusion of the reach to the center of the target. Similar to above, this measure will be compared during baseline and following 20 minutes of stimulation.

  2. Final position error variance across multiple trials. [Completion of the study visit, approx 20 min]

    Final position error variance across multiple trials.

  3. Deviation from linearity [Completion of the study visit, approx 20 min]

    Deviation from linearity, or a ratio of minimum and maximum displacement across the parallel and perpendicular planes of the reaching movement.

  4. Peak tangential velocity [Completion of the study visit, approx 20 min]

    Peak tangential velocity, or highest tangential velocity reached during reach.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 40 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Right-handed as determined by the short-form Edinburgh Handedness Inventory

  • Between the ages of 18 and 40

Exclusion Criteria:
  • Mixed- or left-handed as determined by the short-form Edinburgh Handedness Inventory

  • Self-reported history of any of the following:

Seizure and/or diagnosis of epilepsy Fainting spells Concussion with loss of consciousness Ringing in the ears (tinnitus) Cochlear implants Migraines Diagnosed psychological or neurological condition Metal in the scalp

  • Any previous adverse reaction to a brain stimulation technique

  • Any previous adverse reaction to 3D virtual reality environments (i.e. 'cybersickness')

  • Possibility of being currently pregnant (for females only)

  • Current open head wound or skin condition of the scalp

  • Current implanted device(s) (i.e. cardiac pacemaker)

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Virginia Commonwealth University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Virginia Commonwealth University
ClinicalTrials.gov Identifier:
NCT05947279
Other Study ID Numbers:
  • HM20025761
First Posted:
Jul 17, 2023
Last Update Posted:
Jul 18, 2023
Last Verified:
Jul 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Jul 18, 2023