[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100629163":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":32,"centralContacts":37,"locations":12,"responsibleParty":47,"collaborators":50,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":12,"eligibilityCriteria":61,"healthyVolunteers":57,"sex":62,"minAge":63,"maxAge":64,"enrollmentInfo":65,"targetDuration":12,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":76,"overallStatus":84,"whyStopped":12,"lastUpdateSubmitDate":85,"lastUpdatePostDateStruct":86,"startDateStruct":89,"completionDateStruct":91,"leadSponsor":93,"locationsCount":12},{"fullName":5,"class":6},"Azienda Sanitaria dell'Alto Adige","OTHER",[8,13,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Control (no NICP)","NO_INTERVENTION","Physical Therapy Group",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Physical Therapy Group: patients who undergo only physical therapy","EXPERIMENTAL","Physical Therapy protocol for the 10 days preceding surgery: 6h\u002Fday Constraint Induced Movement - CIM (immobilization of the ipsilesional hand - unaffected side) + 1h twice a day of fine motor skills focused exercises (e.g. 9-hole peg test) on the controlateral hand (affected side)",[18],"Procedure: Physical Therapy",{"label":20,"type":15,"description":21,"interventionNames":22},"Combined Therapy Group: patients who undergo physical therapy + rTMS","Repetitive Transcranial Magnetic Stimulation protocol for the 10 days preceding surgery: This will be done following standard protocols mediated from the protocols for motor and language function in stroke, i.e, daily sessions of 1Hz rTMS for 20 minutes applied to the contralesional hemisphere. • Physical Therapy protocol for the 10 days preceding surgery: 6h\u002Fday Constraint Induced Movement - CIM (immobilization of the ipsilesional hand - unaffected side) + 1h twice a day of fine motor skills focused exercises (e.g. 9-hole peg test) on the controlateral hand (affected side)",[23],"Procedure: Combined Therapy Group",[25,29],{"type":26,"name":27,"description":16,"armGroupLabels":28,"otherNames":12},"PROCEDURE","Physical Therapy",[14],{"type":26,"name":30,"description":21,"armGroupLabels":31,"otherNames":12},"Combined Therapy Group",[20],[33],{"name":34,"affiliation":35,"role":36},"Pier Paolo Berti, MD","Department of Neurosurgery, Hospital of Bolzano (SABES-ASDAA) - L. Boehler street n5 Bolzano, BZ, Italy 39100","PRINCIPAL_INVESTIGATOR",[38,43],{"name":39,"role":40,"phone":41,"phoneExt":12,"email":42},"Pier Paolo Berti, MD, PhD(c)","CONTACT","+39 0471439716","pierpaolo.berti@sabes.it",{"name":44,"role":40,"phone":45,"phoneExt":12,"email":46},"Luigi Cattaneo, Associate professor","+39 0464 808773","luigi.cattaneo@unitn.it",{"type":36,"investigatorFullName":48,"investigatorTitle":49,"investigatorAffiliation":5,"oldNameTitle":12,"oldOrganization":12},"Pier Paolo Berti","MD",[51,53],{"name":52,"class":6},"Università degli Studi di Trento",{"name":54,"class":6},"Azienda Ospedaliera Universitaria Integrata Verona","100629163","neuromodulation-induced-cortical-prehabilitation-in-high-grade-glioma-near-the-motor-pathway-cortical-plasticity-assessed-by-navigated-transcranial-magnetic-stimulation-ntms-100629163",false,"NCT07471100","Neuromodulation-Induced Cortical Prehabilitation in High Grade Glioma Near the Motor Pathway: Cortical Plasticity Assessed by Navigated Transcranial Magnetic Stimulation (nTMS)","Neuromodulation-Induced-Cortical-Prehabilitation In High Grade Glioma Close To The Motor Pathway: Analysis Of The Cortical Brain Plasticity Through Navigated Transacranial Magnetic Stimulation","Inclusion Criteria:\n\n1. Age 18-80\n2. Suspect of High Grade Glioma in MRI\n3. Any case of cortical\u002Fsubcortical HGG radiologically close to Motor Pathway and, thus, where intraoperative monitoring assistance is usually required\n4. Preservation of motor function (at least ≥ 3 according to Medical Research Council classification)\n5. Signed informed Consent\n\nExclusion Criteria:\n\n1. Refusal to Study participation\n2. Multifocal\u002FBilateral Disease","ALL","18 Years","80 Years",{"count":66,"type":67},63,"ESTIMATED","INTERVENTIONAL",[70],"NA","The goal of this clinical trial is to learn whether Neuromodulation-Induced-Cortical-Prehabilitation (NICP)-using physical therapy (constraint-induced movement training, CIM) alone or combined with repetitive transcranial magnetic stimulation (rTMS)-can promote motor-cortex neuroplasticity before surgery in adults with high-grade gliomas near the motor pathway. It will also learn about the feasibility and safety of these prehabilitation strategies around the time of surgery. The main questions it aims to answer are:\n\n1. Does CIM (with or without rTMS) produce measurable motor-cortex plasticity from baseline to pre-surgery as assessed by neuronavigated TMS (nTMS)?\n2. Does adding rTMS to CIM lead to greater neuroplastic changes than CIM alone?\n3. What clinical, radiological, and neurophysiological outcomes are observed after surgery in participants who receive prehabilitation compared with controls?\n\nResearchers will compare standard care (control) vs CIM-based physical therapy vs CIM plus rTMS to see if these approaches induce preoperative neuroplastic changes that may support better surgical outcomes. Participants will:\n\n1. Be randomized to one of three groups: control, CIM physical therapy, or CIM + rTMS• Undergo nTMS motor mapping and excitability testing at baseline (T0) and the day before surgery (T1)\n2. Undergo planned tumor surgery (according to standard methods of care) and complete postoperative clinical, imaging, and neurophysiological follow-up assessments.",[73,74,75],"Brain Tumor Adult","Glioma","Glioma, High Grade",[77,78,79,80,81,82,83],"prehabilitation","neuromodulation","brain plasticity","cortical plasticity","rTMS","nTMS","physical therapy","NOT_YET_RECRUITING","2026-03-11",{"date":87,"type":88},"2026-03-13","ACTUAL",{"date":90,"type":67},"2026-04-01",{"date":92,"type":67},"2030-03-31",{"name":5,"class":6}]