Status:

RECRUITING

Active tDCS Versus Sham tDCS for Upper Limb Recovery in Incomplete Tetraplegic Patients

Lead Sponsor:

Montecatone Rehabilitation Institute S.p.A.

Conditions:

Spinal Cord Injury Cervical

Eligibility:

All Genders

18-74 years

Phase:

NA

Brief Summary

Spinal Cord Injury (SCI) at the cervical level results in motor and sensory impairment below the lesion level and may determine a consistent loss of the use of the upper limbs, with a substantial impa...

Detailed Description

Spinal Cord Injury (SCI) at the cervical level results in motor and sensory impairment below the lesion level and may determine a consistent loss of the use of the upper limbs, with a substantial impa...

Eligibility Criteria

Inclusion

  • Traumatic SCI;
  • SCI neurological level, according to the American Spinal Injury Association (ASIA) definitions, from C3 to C7, included;
  • incomplete SCI (i.e. ASIA Impairment Scale: B, C or D);
  • distance from the SCI event: from 3 to 6 months;
  • residual motor ability of the target upper limb;
  • stable clinical conditions;
  • tolerance to sitting position for at least 45 minutes;
  • subjects capable and collaborating, able to give informed consent in person.

Exclusion

  • presence of implanted devices (e.g. pacemakers, intrathecal infusers, neurostimulators, hearing aids);
  • positive history of brain lesions;
  • presence of cerebral metallic implants (clips) or intracranial implants (e.g. ventriculoperitoneal shunt);
  • history of epilepsy or previous state of epileptic disease;
  • mechanical ventilation in place;
  • history of psychotic disorders;
  • history of severe neurodegenerative disease;
  • concomitant pre-existing clinical conditions that may interfere with movements of the target arm or hand (e.g. severe osteoarthritis, joint injuries, plexus injuries, peripheral nerve injuries, partial amputations);
  • use of antiepileptic drugs blocking Sodium o Calcium channels (e.g. Carbamazepine) or N-Methyl-D-Aspartate receptor antagonists (e.g. Dextromethorphan);
  • history of drugs abuse;
  • further contraindications to the use of TMS for PEMs elicitation (e.g. migraine with aura, permanent head / face tattoos);
  • presence of brain tumor;
  • pregnancy in progress.

Key Trial Info

Start Date :

May 24 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2025

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT05390853

Start Date

May 24 2023

End Date

November 1 2025

Last Update

October 22 2024

Active Locations (1)

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1

Montecatone Rehabilitation Institute S.p.A.

Imola, BO, Italy, 40026