跳至主要内容
临床试验/NCT06491823
NCT06491823
招募中
不适用

Sensorimotor Basis of Speech Motor Learning and Retention

Yale University1 个研究点 分布在 1 个国家目标入组 120 人2024年10月1日

概览

阶段
不适用
干预措施
Adaptation
疾病 / 适应症
Speech
发起方
Yale University
入组人数
120
试验地点
1
主要终点
Retention of learning
状态
招募中
最后更新
2个月前

概览

简要总结

The overall goal of this research is to test a new model of speech motor learning, whose central hypothesis is that learning and retention are associated with plasticity not only in motor areas of the brain but in auditory and somatosensory regions as well. The strategy for the proposed research is to identify individual brain areas that contribute causally to retention by disrupting their activity with transcranial magnetic stimulation (TMS). Investigators will also use functional magnetic resonance imaging (fMRI) which will enable identification of circuit-level activity which predicts either learning or retention of new movements, and hence test the specific contributions of candidate sensory and motor zones. In other studies, investigators will record sensory and motor evoked potentials over the course of learning to determine the temporal order in which individual sensory and cortical motor regions contribute. The goal here is to identify brain areas in which learning-related plasticity occurs first and which among these areas predict subsequent learning.

详细描述

The focus of this registration is Aim 2. Specific Aim 2 assesses the temporal order in which plasticity occurs in cortical motor and sensory brain areas during speech motor learning. Plasticity is assessed using measures of cortical excitability. Specifically, auditory, somatosensory and motor evoked potentials are elicited using single pulse TMS (motor), pure tone bursts (auditory), and mentalis nerve stimulation (somatosensory). Tests of cortical excitability are interleaved with trials involving speech motor adaptation. Cortical excitability is also measured using these same measures 24 hours after learning to assess retention. The Speech Motor Learning and Retention Master Protocol is NCT06467292.

注册库
clinicaltrials.gov
开始日期
2024年10月1日
结束日期
2029年5月31日
最后更新
2个月前
研究类型
Interventional
研究设计
Parallel
性别
All

研究者

责任方
Sponsor

入排标准

入选标准

  • Fluent English speakers
  • Right-handed
  • Normal hearing
  • No speech disorder or reading disability

排除标准

  • Cardiac pacemaker
  • Aneurysm clip
  • Heart or Vascular clip
  • Prosthetic valve
  • Metal implants
  • Metal in brain, skull, or spinal cord
  • Implanted neurostimulator
  • Medication infusion device
  • Cochlear implant or tinnitus (ringing in ears)
  • Personal and/or family history of epilepsy or other neurological disorders or history of head concussion

研究组 & 干预措施

MEPs (M1) / altered auditory feedback / MEPs + retention tests at 24h

Evoked potentials will be recorded from brain area M1 (motor cortex) in combination with a speech motor learning procedure known as adaptation to altered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Adaptation

MEPs (M1) / altered auditory feedback / MEPs + retention tests at 24h

Evoked potentials will be recorded from brain area M1 (motor cortex) in combination with a speech motor learning procedure known as adaptation to altered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Motor evoked potentials

AEPs (A1) / altered auditory feedback / AEPs + retention tests at 24h

Evoked potentials will be recorded from brain area A1 (auditory cortex) in combination with a speech motor learning procedure known as adaptation to altered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Adaptation

AEPs (A1) / altered auditory feedback / AEPs + retention tests at 24h

Evoked potentials will be recorded from brain area A1 (auditory cortex) in combination with a speech motor learning procedure known as adaptation to altered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Auditory evoked potentials

SEPs (S1) / altered auditory feedback / SEPs + retention tests at 24h

Evoked potentials will be recorded from brain area S1 (somatosensory cortex) in combination with a speech motor learning procedure known as adaptation to altered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Adaptation

SEPs (S1) / altered auditory feedback / SEPs + retention tests at 24h

Evoked potentials will be recorded from brain area S1 (somatosensory cortex) in combination with a speech motor learning procedure known as adaptation to altered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Somatosensory evoked potentials

MEPs (M1) / unaltered auditory feedback / MEPs + retention tests at 24h

Evoked potentials will be recorded from brain area M1 (motor cortex) in combination with unaltered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Adaptation baseline

MEPs (M1) / unaltered auditory feedback / MEPs + retention tests at 24h

Evoked potentials will be recorded from brain area M1 (motor cortex) in combination with unaltered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Motor evoked potentials

AEPs (A1) / unaltered auditory feedback / AEPs + retention tests at 24h

Evoked potentials will be recorded from brain area A1 (auditory cortex) in combination with unaltered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Adaptation baseline

AEPs (A1) / unaltered auditory feedback / AEPs + retention tests at 24h

Evoked potentials will be recorded from brain area A1 (auditory cortex) in combination with unaltered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Auditory evoked potentials

SEPs (S1) / unaltered auditory feedback / SEPs + retention tests at 24h

Evoked potentials will be recorded from brain area S1 (somatosensory cortex) in combination with unaltered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Adaptation baseline

SEPs (S1) / unaltered auditory feedback / SEPs + retention tests at 24h

Evoked potentials will be recorded from brain area S1 (somatosensory cortex) in combination with unaltered auditory feedback. Retention of learning will be tested 24h later along with additional evoked potential recordings.

干预措施: Somatosensory evoked potentials

结局指标

主要结局

Retention of learning

时间窗: 24 hours after learning (re-test lasts 30 minutes)

The retention of adaptation to altered auditory feedback (and relearning) will be quantified in terms of F1 and F2 frequency shifts (relative to pre-training baseline). Larger values indicate more complete relearning or retention.

Speech motor learning

时间窗: Performance as measured at the end of learning (30 minute session)

Audapter software will be used to alter the first and second formant frequencies of the spoken words and this is played back to subjects through headphones. Subjects will be tested both with unaltered feedback and with abruptly introduced frequency shifts.The change in the first (F1) and second format frequency (F2) values will be assessed using Praat.

Motor evoked potentials (MEPs)

时间窗: Performance as measured at the end of learning (30 minute session)

Motor evoked potentials (MEPs) using single-pulse TMS will be recorded using surface electromyography (EMG) to measure MEP peak-to-peak response

Auditory evoked potentials (AEPs)

时间窗: Performance as measured at the end of learning (30 minute session)

Acoustical stimulation will be used to elicit auditory evoked potentials (AEPs). AEPs will be recorded using electroencephalogram (EEG) to measure the AEP response in the interval between the first positive peak and first negative peak following stimulation (P1-N1 response).

Somatosensory evoked potentials (SEPs)

时间窗: Performance as measured at the end of learning (30 minute session)

Electrical stimulation will be used to elicit somatosensory evoked potentials (SEPs). SEPs will be recorded using electroencephalogram (EEG) to measure the SEP response in the interval 20 to 25 ms following stimulation (N20-P25 response).

研究点 (1)

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