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Tickle Stimulation in Disorders of Consciousness (DoC)
Sponsor: Anna Estraneo
Summary
The aim of this project is to investigate whether tickling stimulations can have a short-term effect on the responsiveness of patients with Disorders of Consciousness due to Severe Acquired Brain Injury and to compare this effect with that of neutral tactile stimulations that do not induce tickling.
Official title: Behavioural and Physiological Responses to Tickling in Patients With Disorders of Consciousness
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
45
Start Date
2023-06-30
Completion Date
2025-10-31
Last Updated
2025-04-23
Healthy Volunteers
No
Conditions
Interventions
Tickle stimulation
Patients will be subjected to tickling: they will be tickled bilaterally in three areas, the soles of the feet, the armpits, and the ribs-plus a control area, the forehead. The stimulation will be manual and performed by rubbing the targeted body part while opening and closing the fingers in pairs in an arched motion. Additionally, patients will also undergo a neutral stimulation (in the same body areas), which consists of simply touching the area without inducing tickling.
Neurophysiological Monitoring with SedLine
SedLine is a portable, non-invasive EEG monitoring device used to record electrical brain activity through frontal electrodes. In the TICKLING-DOC study, SedLine is used to assess cortical responses in patients with disorders of consciousness (DoC) during manual tactile stimulation, specifically tickling, and neutral touch. The EEG data are recorded before, during, and after stimulation to detect neural reactivity and possible correlations with behavioral responses. The goal is to investigate whether tickle-evoked EEG activity reflects residual consciousness and contributes to diagnostic and rehabilitative strategies. SedLine allows continuous monitoring in a bedside setting, offering safe, real-time assessment of brain function.
Locations (2)
Coma Science Group - University of Liege
Liège, Belgium, Belgium
Fondazione Don Gnocchi
Sant'Angelo dei Lombardi, Avellino, Italy