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Electrical Stimulation of Accessory Spinal Nerve in Cortical Activation and Autonomic Response in Healthy Subjects

Not Applicable
Completed
Conditions
Pain
Interventions
Procedure: Electrical Stimulation
Registration Number
NCT03295370
Lead Sponsor
Hospital de Clinicas de Porto Alegre
Brief Summary

This randomized, crossover sham controlled trial with sham intended to study the effect of electrical stimulation on peripheral nerve (spinal accessory nerve) with acupuncture needle in healthy subjects aims to access the effect o electrical stimulation of accessory spinal nerve in cortical activation, muscular perfusion and autonomic response in healthy subjects.

Participants will be assessed through measure changes in cortical activation, local muscular peripheral perfusion and autonomic responses before and after intervention and intervention-sham, and crossed after a period of wash-out.

The design aims to contribute to assessment of one electroacupuncture's techniques by measuring some of the physiological effects caused by peripheral stimulation.

Detailed Description

In recent years, there are growing evidence that many diseases such as chronic pain and psychiatric disorders can be managed with non-pharmacological techniques. The possibility of inducing central neuroplastic responses through transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) has been widely studied, as well as peripheral stimulation techniques such electroacupuncture (EA) and intramuscular stimulation (IMS). However, there are few studies on physiological mechanisms, indications and limitations of each technique.

Thus, this randomized, crossover sham controlled trial, where sham intended to study the effect of electrical stimulation on peripheral nerve (spinal accessory nerve) with acupuncture needle in healthy subjects aims to access the effect o electrical stimulation of accessory spinal nerve in cortical activation, muscular perfusion and autonomic response in healthy subjects.

Participants will be assessed through measure changes in cortical activation, local muscular peripheral perfusion and autonomic responses before and after intervention and intervention-sham, and crossed after a period of wash-out.

The design aims to contribute to assessment of one electroacupuncture's techniques by measuring some of the physiological effects caused by peripheral stimulation.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
14
Inclusion Criteria
  • healthy male subjects
  • right handed
  • basic education
Exclusion Criteria
  • contraindication to infrared technology NIRS
  • brain stimulator device
  • drug and alcohol abuse
  • chronic disease (any);
  • chronic pain condition
  • tobacco use
  • psychiatric disorders
  • Beck Depression Inventory higher then score 12
  • psychotropic drugs
  • use of pain-killers or anti-inflammatories 12h previous experiment

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Sham GroupElectrical StimulationNeedle of accessory spinal nerve without electrical stimulation
Active GroupElectrical StimulationNeedle electrical stimulation of accessory spinal nerve
Primary Outcome Measures
NameTimeMethod
Cortical Activation12 minutes

The metabolic activation of motor cortex and dorsolateral prefrontal cortex , measured through infrared spectroscopy (fNIRS)

Secondary Outcome Measures
NameTimeMethod
Blood pressure20 minutes

blood pressure measurement

Cardiac frequency20 minutes

Cardiac frequency measurement

Muscular perfusion12 minutes

Muscular perfusion of trapezius muscle, peripherally measured through infrared spectroscopy (fNIRS)

Oxygen saturation20 minutes

Oxygen measurement

Trial Locations

Locations (1)

Hospital de Clinicas e Porto Alegre (HCPA)

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

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