sTMS Combined With CIMT and taVNS In Infants With Hemiplegia

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age8-24
SponsorMedical University of South Carolina

About this trial

Preterm and term infants with brain injury frequently have delayed motor skills, and one hand and arm may become stronger than the other, which can signal early cerebral palsy. A new treatment, transcutaneous vagus nerve stimulation (taVNS), boosts specific brain circuits and may improve function when paired with intensive motor activities. This study will test taVNS-paired constraint induced movement therapy in infants who have greater weakness on one side and determine if a single pulse of transcranial brain stimulation over the motor area can cause a measurable movement of the hand or thumb, and indicate which infants can benefit from 40h taVNS-paired CIMT.

Eligibility criteria

Qualifiers

Infants 8-24mo with hemiplegia or asymmetric weakness of one arm, with or without truncal and transitional motor delays

Gross Motor function Classification system (GMFCS) I - IV

Parents are able to make consecutive appointments for assessments and intervention over 2wks and complete the 3mo follow-up.

Parents are willing to fill out developmental questionnaires and provide the study team feedback on tolerability and outcomes.

Disqualifiers

previous CIMT within 3 months

GMFCS V or severe motor impairment/quadriplegia

uncorrected blindness/deafness, cardiomyopathy

poorly controlled seizure disorder

Trial design

Treatments tested in this trial

  • sTMS
  • taVNS

Treatment groups

10 Participants
are divided into 1 treatment group