Neuroplastic Change in Myelin of the Brain
Myelin
Structural and Functional Correlates of Neuroplastic Change Associated With Stroke
1 other identifier
interventional
88
1 country
1
Brief Summary
The main goal of this research is to advance understanding of how stroke changes both the structure and function of the brain. The investigators will determine which is the key driver of recovery of arm function after stroke: changes in the structure of the brain or changes in how brain regions interact with one another.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable stroke
Started Sep 2014
Longer than P75 for not_applicable stroke
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 27, 2013
CompletedFirst Posted
Study publicly available on registry
September 10, 2013
CompletedStudy Start
First participant enrolled
September 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2018
CompletedJanuary 10, 2017
January 1, 2017
3 years
August 27, 2013
January 9, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Myelin water fraction
Myelin water fraction (MWF) is the area of the short T2 component (15-35ms) divided by the total T2 distribution expressed as a percentage (MWF% = MWF\*100)
Baseline and 30 days post baseline
Secondary Outcomes (1)
Change in Fractional anisotropy
Baseline and 30 days post baseline
Other Outcomes (1)
Change in Hemiparetic arm use measured by accelerometry
Baseline and 30 days post baseline
Study Arms (2)
Stroke Group
EXPERIMENTALParticipants in the stroke group will complete 10 training sessions of the TRAIT task.
Matched Healthy Control Group
ACTIVE COMPARATORParticipants in the Matched Healthy Control group will complete 10 sessions of the TRAIT task
Interventions
Increased paretic arm will be manipulated through the performance of a semi-immersive virtual reality-based intercept and release task called TRAIT (TRack And Intercept Task), which is performed in an interactive environment. TRAIT employs an open source Kinect sensor, which tracks 3-D joint movement. Participants are asked to control an on-screen icon using movements of their paretic arm to intercept a moving object as it emerges from the side of a computer screen. Once intercepted, they must accurately throw the object to hit a target. Participants move up through 10 levels of the game as their skill improves. Participants will complete 10 TRAIT training sessions in 4 weeks for a total of 10,000 experimental movements.
Eligibility Criteria
You may qualify if:
- individuals aged 40-75
- movement-related deficits associated with a middle cerebral artery stroke
- first time stroke affecting the corona radiata and/or internal capsule
- Fugl-Meyer upper extremity motor score of at least 15 but not greater than 55.
You may not qualify if:
- outside the age range of 40-75
- show signs of dementia (score \< 24 on the Montreal Cognitive Assessment)
- have aphasia (score \< 13 on the Frenchay Aphasia Screen)
- history of head trauma, a major psychiatric diagnosis, neurodegenerative disorder or substance abuse;
- taking any drugs (GABAergic, N-methyl-D-aspartate A-receptor (NMDA) antagonist) known to influence neuroplasticity;
- report contraindications to MRI (see supporting documents)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of British Columbia
Vancouver, British Columbia, V6T 1Z3, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lara A Boyd, PT; PhD
University of British Columbia
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 27, 2013
First Posted
September 10, 2013
Study Start
September 1, 2014
Primary Completion
September 1, 2017
Study Completion
September 1, 2018
Last Updated
January 10, 2017
Record last verified: 2017-01