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Finding the Best Combination of Brain and Spinal Cord Stimulation With Hand Training After Spinal Cord Injury
Sponsor: Bronx VA Medical Center
Summary
While physical exercise remains the foundation for any rehabilitation therapy, the team seeks to improve the benefits of exercise by combining it with the concept of "Fire Together, Wire Together" - when brain stimulation is synchronized with spinal cord stimulation, nerve circuits in the spinal cord strengthen - a phenomenon termed "Spinal Cord Associative Plasticity", or SCAP. This project will build on the team's promising preliminary findings. When one pulse of brain stimulation is synchronized with one pulse of cervical spinal stimulation, hand muscle responses are larger than with brain stimulation alone or unsynchronized stimulation. However, the team does not know the best ways to apply SCAP repetitively, especially in conjunction with exercise, to increase and extend improvements in clinical function. Do ideal intervention parameters vary across individuals, or do they need to be customized? The team will take a systematic approach with people who have chronic cervical SCI to determine each person's best combination of SCAP with task-oriented hand exercise. Participants will undergo up to 53 intervention, verification, and follow-up sessions over a period of 6 to 10 months each. The team will measure clinical and physiological responses of hand and arm muscles to each intervention. Regaining control over hand function represents the top priority for individuals with cervical SCI. Furthermore, this approach could be compatible with other future interventions, including medications and cell-based treatments.
Official title: Optimizing Spinal Cord Associative Plasticity to Enhance Response to Hand Training in Cervical Spinal Cord Injury
Key Details
Gender
All
Age Range
18 Years - 85 Years
Study Type
INTERVENTIONAL
Enrollment
12
Start Date
2024-05-24
Completion Date
2026-12-31
Last Updated
2025-10-22
Healthy Volunteers
No
Conditions
Interventions
Synaptic Pairing Interval
Optimize interstimulus pairing between brain and spinal cord stimulation.
Frequency
Compare 2 Hz continuous to intermittent theta burst frequency
Bouts
Compare effects of 1, 2, or 4 bouts of SCAP
Spacing
Compare 6 versus 12 minutes of rest in between bouts of SCAP
Exercise
Task-oriented hand exercises
SCAP plus Exercise
Compare interleaved versus serial bouts of SCAP and exercise.
Locations (1)
James J. Peters VA Medical Center, Bronx, NY
The Bronx, New York, United States