Non-Invasive Brain Stimulation for Spinal Cord Injury
MEP Up-conditioning to Target Corticospinal Plasticity
Recruiting
Early Phase 1Interventional Study
Spinal Cord InjuryTetraplegia/Tetraparesis
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Trial phase
Early Phase 1
Study type
Interventional
Purpose
Treatment
Participants needed
11 (estimated)
Sponsor
Medical University of South Carolina · Other
Who this trial is looking for
This trial is looking for adults with a cervical spinal cord injury. Participants will undergo a 10-week program involving brain stimulation and muscle response training.
Are You a Good Fit for This Trial?
Must be takingBaclofenDiazepamTizanidine
You may be able to join if
I am an adult aged 18 or older.
I have a history of spinal cord injury at or above the C6 level.
It has been more than 6 months since my spinal cord injury.
I have weak wrist extension on at least one side.
I expect my current medications to stay the same for at least 3 months.
You may not be able to join if
I have a motoneuron injury.
I have a medically unstable condition.
I have cognitive impairment.
I have a history of epileptic seizures.
I have metal implants in my skull.
I have an implanted biomedical device in or above my chest.
I use functional electrical stimulation on my arm every day.
I am currently pregnant.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Individuals with chronic cervical spinal cord injury will complete a 10-week training protocol where participants receive non-invasive brain stimulation and feedback on the size of the corresponding muscle response (wrist extensor).
Investigators will assess the impact of the brain stimulation training on 1) the brain-to-spinal cord-to-muscle connection and 2) motor functions of the arm and hand.…
Individuals with chronic cervical spinal cord injury will complete a 10-week training protocol where participants receive non-invasive brain stimulation and feedback on the size of the corresponding muscle response (wrist extensor).
Investigators will assess the impact of the brain stimulation training on 1) the brain-to-spinal cord-to-muscle connection and 2) motor functions of the arm and hand. Also, brain and spine magnetic resonance imaging will be collected before and after the training. The imaging measurements will tell investigators about how spinal damage, brain function, and brain structure relate to motor presentation and the response to the training.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Adult (≥18 yrs old)
* A history of injury to spinal cord at or above C6
* \>6 months post SCI
* Weak wrist extension at least unilaterally
* Expectation that current medication will be maintained without change for at least 3 months. Stable use of anti-spasticity medication (e…
Inclusion Criteria:
* Adult (≥18 yrs old)
* A history of injury to spinal cord at or above C6
* \>6 months post SCI
* Weak wrist extension at least unilaterally
* Expectation that current medication will be maintained without change for at least 3 months. Stable use of anti-spasticity medication (e.g., baclofen, diazepam, tizanidine) is accepted.
Exclusion Criteria:
* Motoneuron injury
* Medically unstable condition
* Cognitive impairment
* A history of epileptic seizures
* Metal implants in the cranium
* Implanted biomedical device in or above the chest (e.g., a cardiac pacemaker, cochlear implant)
* Extensive use of functional electrical stimulation to the arm on a daily basis
* Pregnancy (due to changes in posture and potential medical instability)
* Contraindications to MRI
* No measurable MEP elicited in the ECR
* Unable to produce any voluntary ECR EMG activity
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