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Clinical Trials/NCT04784832
NCT04784832
Recruiting
N/A

Transcranial Magnetic Stimulation-based Assessment of Mental Training Effects on Motor Learning in Healthy Participants

Institut National de la Santé Et de la Recherche Médicale, France1 site in 1 country556 target enrollmentApril 8, 2024

Overview

Phase
N/A
Intervention
Mental training
Conditions
Motor Learning
Sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Enrollment
556
Locations
1
Primary Endpoint
Evolution of movement accuracy - Sequence 1
Status
Recruiting
Last Updated
12 days ago

Overview

Brief Summary

The general purpose of this research project is to analyze the specific role of motor imagery on motor learning, assessed through corticospinal excitability measurements and behavioral data collection. This project is based on four sequences. For Sequence 1, the main objective is to examine the effect of mental training on movement speed and accuracy in a manual motor sequence task, as well as the influence of sensory feedback in immediate post-test (i.e., execution of a similar, but not identical, manual motor sequence, other manual tasks) on performance in delayed post-test. The secondary objective will be to examine corticospinal changes (i.e., amplitude of motor evoked potentials) induced by mental training, by measuring the amplitude of motor evoked potentials before and after mental training. For Sequence 2, the main objective is to examine the impact of a motor disturbance induced by a robotic arm at different intervals during the motor imagery process. The secondary objective will be to examine the corticospinal changes (i.e. amplitude of evoked motor potentials) induced by mental training as a function of the applied perturbations, before and after perturbation. For Sequence 3, the main objective will be to examine the influence of neuroplasticity on the quality of mental training. More specifically, the investigators will study the links between brain plasticity and motor learning through mental training. The secondary objective will be to examine the corticospinal changes (i.e. amplitude of evoked motor potentials) induced by mental training at different levels of the neuromuscular system (cortical, cervicomedullar, peripheral) after a training period. For Sequence 4, the main objective will be to examine the effect of short-term arm-immobilization of on the retention of motor learning induced by mental training. The secondary objective will be to examine the corticospinal changes (i.e., amplitude of motor evoked potentials) induced by of short-term arm-immobilization, or by transcranial direct current stimulation (tDCS), on motor learning. The results of this fundamental research project will allow a better understanding of neurophysiological and behavioral mechanisms that underlie motor learning through motor imagery. The results will allow to efficiently consider inter-individual specificities and will thus open up to clinical research perspectives, towards the establishment of adapted motor rehabilitation protocols.

Registry
clinicaltrials.gov
Start Date
April 8, 2024
End Date
April 1, 2029
Last Updated
12 days ago
Study Type
Interventional
Study Design
Factorial
Sex
All

Investigators

Sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Male or female between 18 and 60 years old
  • Having given written informed consent
  • Affiliated to a social security scheme

Exclusion Criteria

  • History of psychiatric illness (declarative)
  • Person under guardianship, curatorship, safeguard of justice
  • Neurological problem that could bias the results of the study (declarative)
  • Personal or family history of epilepsy
  • Person deprived of liberty by judicial or administrative decision
  • Person hospitalized without consent and not subject to legal protection, and person admitted to a health or social institution for purposes other than that of the research
  • Person subject to an exclusion period for another research
  • Pregnant women or women of childbearing age not using known contraception
  • Breastfeeding women
  • Person on medication that could influence neurophysiological measures (neuroleptics, anxiolytics, antidepressants)

Arms & Interventions

Sequence 2 - Mental training with perturbation during preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Mental training

Sequence 4 - Anodal - Long follow-up

Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training

Intervention: Mental training

Sequence 4 - Control

Transcranial magnetic stimulation Motor task Mental training

Intervention: Transcranial magnetic stimulation

Sequence 4 - Control

Transcranial magnetic stimulation Motor task Mental training

Intervention: Mental training

Sequence 2 - Physical training with perturbation during preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Transcranial magnetic stimulation

Sequence 1 - Training with same task - Long follow-up

Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training

Intervention: Transcranial magnetic stimulation

Sequence 1 - Training with same task - Long follow-up

Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training

Intervention: Mental training

Sequence 1 - Training with same task - Short follow-up

Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training

Intervention: Mental training

Sequence 1 - Training with same task - Short follow-up

Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training

Intervention: Transcranial magnetic stimulation

Sequence 1 - Control

Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation No mental training

Intervention: Transcranial magnetic stimulation

Sequence 1 - Training with different tasks - Long follow-up

Motor task (different task in immediate post test) Transcranial magnetic stimulation Mental training

Intervention: Transcranial magnetic stimulation

Sequence 1 - Training with different tasks - Long follow-up

Motor task (different task in immediate post test) Transcranial magnetic stimulation Mental training

Intervention: Mental training

Sequence 1 - Training with different tasks - Short follow-up

Motor task (different task in immediate post test) Transcranial magnetic stimulation Mental training

Intervention: Transcranial magnetic stimulation

Sequence 1 - Training with different tasks - Short follow-up

Motor task (different task in immediate post test) Transcranial magnetic stimulation Mental training

Intervention: Mental training

Sequence 1 - Training with muscle contractions - Long follow-up

Motor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training

Intervention: Transcranial magnetic stimulation

Sequence 1 - Training with muscle contractions - Long follow-up

Motor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training

Intervention: Mental training

Sequence 1 - Training with muscle contractions - Short follow-up

Motor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training

Intervention: Transcranial magnetic stimulation

Sequence 1 - Training with muscle contractions - Short follow-up

Motor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training

Intervention: Mental training

Sequence 2 - Physical training with perturbation during preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Robotic arm

Sequence 2 - Physical training with perturbation during preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Physical training

Sequence 2 - Physical training with perturbation during preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Transcranial magnetic stimulation

Sequence 2 - Physical training with perturbation during preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Robotic arm

Sequence 2 - Physical training with perturbation during preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Physical training

Sequence 2 - Physical training with perturbation after preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Transcranial magnetic stimulation

Sequence 2 - Physical training with perturbation after preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Robotic arm

Sequence 2 - Physical training with perturbation after preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Physical training

Sequence 2 - Physical training with perturbation after preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Transcranial magnetic stimulation

Sequence 2 - Physical training with perturbation after preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Robotic arm

Sequence 2 - Physical training with perturbation after preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Intervention: Physical training

Sequence 2 - Mental training with perturbation during preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Transcranial magnetic stimulation

Sequence 2 - Mental training with perturbation during preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Robotic arm

Sequence 2 - Mental training with perturbation during preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Mental training

Sequence 2 - Mental training with perturbation during preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Transcranial magnetic stimulation

Sequence 2 - Mental training with perturbation during preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Robotic arm

Sequence 2 - Mental training with perturbation after preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Transcranial magnetic stimulation

Sequence 2 - Mental training with perturbation after preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Robotic arm

Sequence 2 - Mental training with perturbation after preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Mental training

Sequence 2 - Mental training with perturbation after preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Transcranial magnetic stimulation

Sequence 2 - Mental training with perturbation after preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Robotic arm

Sequence 2 - Mental training with perturbation after preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Intervention: Mental training

Sequence 3 - Training (same task) - Long follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Transcranial magnetic stimulation

Sequence 3 - Training (same task) - Long follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Peripheral Nerve Stimulation

Sequence 3 - Training (same task) - Long follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Paired Associative Stimulation

Sequence 3 - Training (same task) - Long follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Cervicomedullar stimulation

Sequence 3 - Training (same task) - Long follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Mental training

Sequence 3 - Training (same task) - Short follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Transcranial magnetic stimulation

Sequence 3 - Training (same task) - Short follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Peripheral Nerve Stimulation

Sequence 3 - Training (same task) - Short follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Paired Associative Stimulation

Sequence 3 - Training (same task) - Short follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Cervicomedullar stimulation

Sequence 3 - Training (same task) - Short follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Mental training

Sequence 3 - Training (different task) - Long follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Transcranial magnetic stimulation

Sequence 3 - Training (different task) - Long follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Peripheral Nerve Stimulation

Sequence 3 - Training (different task) - Long follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Paired Associative Stimulation

Sequence 3 - Training (different task) - Long follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Cervicomedullar stimulation

Sequence 3 - Training (different task) - Long follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Mental training

Sequence 3 - Training (different task) - Short follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Transcranial magnetic stimulation

Sequence 3 - Training (different task) - Short follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Peripheral Nerve Stimulation

Sequence 3 - Training (different task) - Short follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Paired Associative Stimulation

Sequence 3 - Training (different task) - Short follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Cervicomedullar stimulation

Sequence 3 - Training (different task) - Short follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Mental training

Sequence 3 - Control 1

Mental Training Motor task (same as the motor task) Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Transcranial magnetic stimulation

Sequence 3 - Control 1

Mental Training Motor task (same as the motor task) Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Peripheral Nerve Stimulation

Sequence 3 - Control 1

Mental Training Motor task (same as the motor task) Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Cervicomedullar stimulation

Sequence 3 - Control 1

Mental Training Motor task (same as the motor task) Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Mental training

Sequence 3 - Control 2

Paired Associative Stimulation Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Transcranial magnetic stimulation

Sequence 3 - Control 2

Paired Associative Stimulation Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Peripheral Nerve Stimulation

Sequence 3 - Control 2

Paired Associative Stimulation Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Paired Associative Stimulation

Sequence 3 - Control 2

Paired Associative Stimulation Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Intervention: Cervicomedullar stimulation

Sequence 4 - Immobilization - Short follow-up

Transcranial magnetic stimulation Arm immobilization Motor task Mental training

Intervention: Transcranial magnetic stimulation

Sequence 4 - Immobilization - Short follow-up

Transcranial magnetic stimulation Arm immobilization Motor task Mental training

Intervention: Wrist

Sequence 4 - Immobilization - Short follow-up

Transcranial magnetic stimulation Arm immobilization Motor task Mental training

Intervention: Mental training

Sequence 4 - Immobilization - Long follow-up

Transcranial magnetic stimulation Arm immobilization Motor task Mental training

Intervention: Transcranial magnetic stimulation

Sequence 4 - Immobilization - Long follow-up

Transcranial magnetic stimulation Arm immobilization Motor task Mental training

Intervention: Wrist

Sequence 4 - Immobilization - Long follow-up

Transcranial magnetic stimulation Arm immobilization Motor task Mental training

Intervention: Mental training

Sequence 4 - Cathodal - Short follow-up

Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training

Intervention: Transcranial magnetic stimulation

Sequence 4 - Cathodal - Short follow-up

Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training

Intervention: Transcranial direct current stimulation

Sequence 4 - Cathodal - Short follow-up

Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training

Intervention: Mental training

Sequence 4 - Cathodal - Long follow-up

Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training

Intervention: Transcranial magnetic stimulation

Sequence 4 - Cathodal - Long follow-up

Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training

Intervention: Transcranial direct current stimulation

Sequence 4 - Cathodal - Long follow-up

Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training

Intervention: Mental training

Sequence 4 - Anodal - Short follow-up

Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training

Intervention: Transcranial magnetic stimulation

Sequence 4 - Anodal - Short follow-up

Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training

Intervention: Transcranial direct current stimulation

Sequence 4 - Anodal - Short follow-up

Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training

Intervention: Mental training

Sequence 4 - Anodal - Long follow-up

Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training

Intervention: Transcranial magnetic stimulation

Sequence 4 - Anodal - Long follow-up

Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training

Intervention: Transcranial direct current stimulation

Outcomes

Primary Outcomes

Evolution of movement accuracy - Sequence 1

Time Frame: Each day in Sequence 1 (Sequence 1 is 11 days)

The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).

Evolution of maximal deviation - Sequence 2

Time Frame: Each day in Sequence 2 (Sequence 1 is 10 days)

The maximal perpendicular distance between the position of the hand and the straight line joining the starting target and the final target

Evolution of movement speed - Sequence 1

Time Frame: Each day in Sequence 1 (Sequence 1 is 11 days)

The duration of performed movement sequences

Evolution of trajectory error - Sequence 2

Time Frame: Each day in Sequence 2 (Sequence 1 is 10 days)

The area under the curve of hand's trajectory according to the straight line joining the starting target and the final target.

Evolution of final error - Sequence 2

Time Frame: Each day in Sequence 2 (Sequence 1 is 10 days)

The distance between the final position of the hand and the position of the final target.

Evolution of movement speed - Sequence 3

Time Frame: Each day from day 2 to day 11 of Sequence 3 (Sequence 3 is 11 days)

The duration of performed movement sequences

Evolution of movement accuracy - Sequence 3

Time Frame: Each day from day 2 to day 11 of Sequence 3 (Sequence 3 is 11 days)

The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).

Evolution of movement speed - Sequence 4

Time Frame: Each day in Sequence 4 (Sequence 4 is 6 days)

The duration of performed movement sequences

Evolution of movement accuracy - Sequence 4

Time Frame: Each day in Sequence 4 (Sequence 4 is 6 days)

The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).

Secondary Outcomes

  • Evolution of motor evoked potentials amplitude - Sequence 2(Each day in Sequence 2 (Sequence 2 is 10 days))
  • Evolution of motor evoked potentials amplitude - Sequence 1(Day 1, 5, 6, 10 and 11 in Sequence 1 (Sequence 1 is 11 days).)
  • Evolution of motor evoked potentials amplitude - Sequence 4(Days 1, 5, and 6 in Sequence 4 (Sequence 4 is 6 days))
  • Evolution of motor evoked potentials amplitude - Sequence 3(Day 1, 5, 6, 10 and 11 in Sequence 3 (Sequence 1 is 11 days))

Study Sites (1)

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