Status:

RECRUITING

Distinguishing Tics and Functional Tics Using Clinical Neurophysiological Techniques

Lead Sponsor:

National Institute of Neurological Disorders and Stroke (NINDS)

Conditions:

Tics

Functional Tics

Eligibility:

All Genders

18-80 years

Brief Summary

Background: Tics are involuntary movements and vocalizations. Some tics are organic: They are related to diagnosed disorders. Sometimes tics have other causes, such as problems with how the brain and...

Detailed Description

Study Description: The purpose of the protocol is to explore the physiological difference between patients with tics and functional tics. Objectives: Primary Objective: To determine if there are di...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA:
  • In order to be eligible to participate in this study, an individual must meet all of the following criteria:
  • Capacity to provide informed consent (self-consent)
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Male or female, aged 18-80
  • Agreement to adhere to Lifestyle Considerations prior to and during the physiological testing visit.
  • Inclusion criteria for patients with functional tics or tics
  • \- Diagnosed with functional motor tics or motor tics
  • Inclusion criteria for healthy controls
  • \- Have no neurological or psychiatric disorders established by history and physical/neurological examination
  • EXCLUSION CRITERIA:
  • Self-reported consumption of \>14 alcoholic drinks/week\* for a man and \>7 alcoholic drinks/week for a woman
  • Use of prescription drugs and other illicit drugs that may suppress tics such as dopamine blocking agents and antipsychotics during a certain time period prior to the
  • neurophysiological testing session.\*\*
  • Clinically significant abnormal movements on neurological examination except for tics.
  • Contraindications to EEG or EMG procedures, including skin lesions at electrode sites or hypersensitivity to electrode materials.
  • History of or current brain tumor, stroke, head trauma with loss of consciousness.
  • Epilepsy or seizures in the past 12 months.
  • Have a Baclofen pump, or have neurostimulators for pain.
  • Pregnant women
  • Self-reported current major depression or Beck Depression Inventory II (BDI-II) score \>19, Generalized Anxiety Disorder 7-item scale (GAD-7) score \> 9, or any major current psychiatric illness.
  • Presence of any metal in the eye or skull area such as a brain stimulator, shrapnel, surgical metal, clips in the brain, cochlear implants, metal fragments in the eye.
  • Presence of pacemaker, intracardiac lines, implanted pumps or stimulators.
  • Unable to comply with the requirements of the study procedures.
  • Vocal tics only tested with Modified Rush Video-Based Tic Rating Scale.
  • Low Premonitory Urge for Tics Scale (PUTS) score \< 9 (maximum 36) with low willingness for tics (patient groups only, not applicable in healthy volunteers).
  • Note: 1 standard alcoholic drink is 0.6 ounce (14 grams) of pure alcohol.
  • Note: The certain time period depends on different drugs used. Five half-lives will be selected. The drug is considered effectively eliminated from the body after this time period because the concentration of the drug reaches around 3% of the orininal concentration.

Exclusion

    Key Trial Info

    Start Date :

    January 14 2026

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 1 2034

    Estimated Enrollment :

    75 Patients enrolled

    Trial Details

    Trial ID

    NCT07137442

    Start Date

    January 14 2026

    End Date

    August 1 2034

    Last Update

    January 9 2026

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    National Institutes of Health Clinical Center

    Bethesda, Maryland, United States, 20892