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Clinical Trials/NCT06218563
NCT06218563CompletedNot Applicable

Vibration-induced Movement Illusion Causes Cerebral Haemodynamic Changes: A fNIRS Study.

Centre Hospitalier Régional d'Orléans1 site in 1 country90 target enrollmentStarted: January 10, 2024Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
90
Locations
1
Primary Endpoint
Mean change in the concentration of deoxyhemoglobin during the task

Study Overview

Brief Summary

The purpose of this study is to investigate the cerebral activation of healthy and stroke participants in 4 or 2 different conditions (repeated 2 times) of vibration-induced illusion of movement respectively, resulting in 8 or 4 vibration blocks with 3 vibrations per block. The frequency of the vibration being 80 Hz.

Healthy participants:

  • Right arm, eyes opened
  • Right arm, eyes closed
  • Left arm, eyes opened
  • Left arm, eyes closed

Stroke participants:

  • Deficient side, eyes opened
  • Deficient side, eyes closed

The aim is to compare the subjective sensation of movement score and cerebral activations of healthy/stroke participants depending on the condition.

Detailed Description

Perceived sensations of limb and movements (kinesthesia) allow us to situate ourselves without visual feedback and not dedicate all of our attention to everyday tasks such as walking or taking and holding an object. These perceived conscious sensations come from receptors called proprioceptors which are located in the skin, joints and muscles. When a limb is moving and a muscle is stretched, the main sensation of limb stretching comes from the stimulation of a proprioceptor called the muscle spindle, more specifically from its primary ending called the 1a fibber. Artificially, 1a fibbers can be (optimally) stimulated by vibration of the muscle around 80 Hz. When stimulating 1a fibbers of the triceps, a signal of stretching is produced and an illusion of flexion can be felt as long as their no other contrary feedback involved such as vibration of the antagonist muscle or visual feedback of the immobile limb as it provides a more reliable information to the brain. As of now, neural correlates to muscle spindle vibration and illusion of movement have not been fully characterize in healthy participants and are not known in stroke participants.

To investigate the effect of vibration-induced illusion of movement on cerebral activations in healthy and stroke participants, the investigators propose to use an innovative tool of neuroimaging, the functional near infrared spectroscopy (fNIRS).

fNIRS allows to investigate cortical cerebral activations by measuring cerebral haemodynamic variations. Indeed, just like fMRI, it relies on the haemodynamic response function (HRF) caused by neurovascular coupling. Its portability and non-invasiveness make it a great tool to study brain activations in a more ecological environment (in a standing or sitting position for example).

This research aims to study and compare the subjective sensation of movement and the cortical cerebral areas involved in muscle spindle vibration and illusion of movement in healthy and stroke participants.

The protocol consists of 4 or 2 different conditions (repeated 2 times) of vibration-induced illusion of movement in healthy and stroke participants respectively, resulting in 8 or 4 vibration blocks with 3 vibrations per block:

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Other
Masking
None

Eligibility Criteria

Ages
18 Years to 85 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • 18-85 years old
  • Able to sign a consent form
  • Sufficient command of the French language to understand instructions
  • Affiliated to a social security scheme
  • Healthy participants:
  • Right handed
  • No neurological disease or motor deficit
  • Stroke participants:
  • Stroke volunteers in acute phase (before day 14 post-stroke)
  • Not aphasic
  • Able to maintain sitting position without difficulty
  • Deficit moteur
  • Able to sign a consent form

Exclusion Criteria

  • Person under tutorship or curatorship
  • Known allergy to of the fNIRS cap components: neoprene
  • No vibrations feeling on the deficient side
  • Vigilance-modifying drugs (high-dose psychotropics, antispastic drugs)

Arms & Interventions

vibration-induced illusion of movement

Experimental

The protocol consists of 4 or 2 different conditions (repeated 2 times) of vibration-induced illusion of movement in healthy and stroke participants respectively, resulting in 8 or 4 vibration blocks with 3 vibrations per block:

Healthy participants, 2 times each (24 vibrations):

  • Right arm, eyes opened (no-illusion condition; RO)
  • Right arm, eyes closed (illusion condition; RC)
  • Left arm, eyes opened (no-illusion condition; LO)
  • Left arm, eyes closed (illusion condition; LC)

Stroke participants, 2 times each (12 vibrations):

  • Deficient side, eyes opened (no-illusion condition; DO)
  • Deficient side, eyes closed (illusion condition; DC)

Intervention: vibration-induced illusion of movement (Other)

Outcomes

Primary Outcomes

Mean change in the concentration of deoxyhemoglobin during the task

Time Frame: Day 0

The HbR signals are considered as indicators of the hemodynamic response.

Mean change in the concentration of oxyhemoglobin during the task

Time Frame: Day 0

The HbO2 signals are considered as indicators of the hemodynamic response.

Secondary Outcomes

  • SKIP scale(Day 0)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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