Primed vs Unprimed Facilitatory and Depressive Paired Associative Stimulation
1 other identifier
interventional
32
0 countries
N/A
Brief Summary
Following brain injury (e.g. stroke), application of non-invasive brain stimulation may improve rehabilitative efforts. However, the most effective method of non-invasive brain stimulation is unknown. Paired associative stimulation (PAS) is a method of non-invasive brain stimulation that pairs an electrical peripheral nerve stimulus with a magnetic stimulus to the head. This method can be applied in a manner that increases (facilitates) or decreases (depresses) excitability within the brain. Furthermore, applying two consecutive PAS sessions within minutes of each other (called primed PAS) may augment changes in excitability more than a single PAS session alone. Thus, the purpose of this study is to compare the effect of a double PAS session (primed PAS) to the effect of a single PAS session (unprimed PAS) and a sham PAS session in healthy individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable healthy
Started Dec 2015
Typical duration for not_applicable healthy
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 25, 2015
CompletedStudy Start
First participant enrolled
December 1, 2015
CompletedFirst Posted
Study publicly available on registry
December 2, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2017
CompletedNovember 1, 2019
October 1, 2019
2 years
November 25, 2015
October 30, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Change from baseline peak-to-peak amplitude of motor evoked potential
Single-pulse TMS will be used to evoke a motor response that is recorded using electromyography (EMG). The peak-to-peak amplitude of the EMG response will be measured.
Immediately before and within 60 minutes following intervention
Change from baseline resting motor threshold
Single-pulse TMS will be used to evoke a motor response that is recorded using electromyography (EMG). The lowest stimulator output needed to elicit a consistent response will be recorded.
Immediately before and within 60 minutes following intervention
Study Arms (7)
Primed PAS 1A
EXPERIMENTALTwo sessions of paired associative stimulation (PAS) using transcranial magnetic stimulation will be applied consecutively (within minutes).
Unprimed PAS 1B
EXPERIMENTALA single session of active paired associative stimulation (PAS) using transcranial magnetic stimulation will be applied.
Sham PAS
SHAM COMPARATORA single session of sham paired associative stimulation (PAS) using transcranial magnetic stimulation will be applied
Primed PAS 2A
EXPERIMENTALTwo sessions of paired associative stimulation (PAS) using transcranial magnetic stimulation will be applied consecutively (within minutes).
Unprimed PAS 2B
EXPERIMENTALA single session of active paired associative stimulation (PAS) using transcranial magnetic stimulation will be applied.
Primed PAS 1C
EXPERIMENTALTwo sessions of paired associative stimulation (PAS) using transcranial magnetic stimulation will be applied consecutively (within minutes).
Primed PAS 2C
EXPERIMENTALTwo sessions of paired associative stimulation (PAS) using transcranial magnetic stimulation will be applied consecutively (within minutes).
Interventions
Eligibility Criteria
You may qualify if:
- ≥ 18 and ≤ 30 years of age
- Elicitable motor evoked potential from the motor cortex contralateral to the dominant hand
- Elicitable N20 sensory evoked potential
You may not qualify if:
- History of neurological disease
- Seizure within the past 2 years
- Currently taking epileptogenic medication
- Peripheral neuropathy
- Cognitive impairment and/or major psychiatric disorder
- Metal in the head (dental permitted)
- Pacemaker or other indwelling devices
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kate Frost, MS
University of Minnesota
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- DEVICE FEASIBILITY
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 25, 2015
First Posted
December 2, 2015
Study Start
December 1, 2015
Primary Completion
December 1, 2017
Study Completion
December 1, 2017
Last Updated
November 1, 2019
Record last verified: 2019-10