Novel Non-invasive Brain Stimulation Techniques in Neurological Rehabilitation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-85
SponsorIstituto Auxologico Italiano

About this trial

Paired associative stimulation (PAS) is a non-invasive brain stimulation protocol, where two stimuli (a peripheral and a cortical one, the latter delivered with transcranial magnetic stimulation - TMS) are repeatedly associated to enhance plasticity in the brain. In the present study, a new cross-modal, visuo-motor PAS protocol - called "mirror-PAS"- will be tested as a possible non-invasive brain stimulation treatment in neurological rehabilitation to promote motor recovery and pain reduction.

Participants will perform the standard PAS targeting the motor system and the recently developed mirror-PAS in two separate sessions. The investigators will compare the possible effect of the protocols in terms of neurophysiological and behavioral outcomes to identify the optimal PAS method to enhance plasticity and promote sensory-motor function.

Eligibility criteria

Qualifiers

age from 18 to 85 years

single, unilateral, hemispheric stroke (cortical or sub-cortical areas)

stroke confirmed by neuroimaging (CT or MRI)

stroke at least 4 months before enrollment

Disqualifiers

contraindications to TMS (Rossi et all, 2021)

other neurological conditions (e.g., Parkinson's Disease, Multiple Sclerosis, ALS)

other orthopedic condition that affected the hand (e.g., carpal tunnel syndrome)

age from 18 to 90 years

Trial design

Treatments tested in this trial

  • Transcranial Magnetic Stimulation

Treatment groups

36 Participants
are divided into 2 treatment groups

Sponsors and collaborators