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临床试验/NCT02073630
NCT02073630已完成不适用

Contribution du Cervelet Dans l'Adaptation Sensori-motrice Via Les Oscillations Gamma : le Cas de la Dystonie

Institut National de la Santé Et de la Recherche Médicale, France2 个研究点 分布在 1 个国家目标入组 63 人开始时间: 2014年2月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
63
试验地点
2
主要终点
change in gamma oscillations power in the cerebellum during a sensorimotor adaptation task

研究概览

简要总结

Dystonia, a disabling disease with uncontrolled movement disorders was considered to be a manifestation of basal ganglia dysfunction, yet there is accumulating evidence from animal and human experiments that the cerebellum plays a prominent role in the pathophysiology of dystonia. Our recent results suggest a deficient cerebellar sensory encoding in dystonia, resulting in a decoupling of the motor component from the afferent information flow resulting from changes in the environment. An overall loss of gabaergic-mediated inhibition is at the forefront in dynamic changes in neural circuitry described in dystonia. In the mature brain gabaergic control the generation of temporal synchronies and oscillations in the glutamatergic neurons. Taken these all together with the results of a pilot experiment, the investigators hypothesize that deficient synchronies in the fast gamma range are one of the key mechanisms leading to abnormal communication inside the cerebello-cortical network in dystonia. The investigators aim first to demonstrate it by means of MEG (Magneto encepholography) recordings allowing to reconstruct the spatio-temporal dynamics of gamma oscillations in the nodes of the cerebello-cortical network. The investigators then aim to re-establish (if lost) or boost (if decreased) the defective synchronies by applying to the cerebellum at high gamma frequency a non invasive transcranial alternative current stimulation.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
Single (Participant)

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • primary upper limb dystonia
  • normal physical and neurological examination except for dystonia
  • no treatment with botulinum toxin during the three months preceding the study

排除标准

  • Writing tremor
  • current neurological or psychiatric illness other than dystonia
  • uncontrollable medical problems not related to dystonia
  • pregnancy, breast feeding women and women who are of childbearing age and not practicing adequate birth control

研究组 & 干预措施

Healthy subjects

Other

healthy subjects will receive either sham or active cerebellar stimulation

干预措施: active cerebellar stimulation (Other)

Healthy subjects

Other

healthy subjects will receive either sham or active cerebellar stimulation

干预措施: sham cerebellar stimulation (Other)

Dystonia

Other

dystonic patients will receive either sham or active cerebellar stimulation

干预措施: active cerebellar stimulation (Other)

Dystonia

Other

dystonic patients will receive either sham or active cerebellar stimulation

干预措施: sham cerebellar stimulation (Other)

结局指标

主要结局

change in gamma oscillations power in the cerebellum during a sensorimotor adaptation task

时间窗: measures will be done at each of 3 visits: visit1, visit2 at expected average 7 days after visit1 and visit3 at expected average 14 days after visit1

MEG recording will be performed using a whole-head 306-channels MEG system (Elekta Neuromag® TriuxTM System) comprising 204 planar gradiometers and 102 magnetometers regularly distributed at 102 locations over the scalp. MEG data will be coregistered with the structural MRI of each subject using BrainStorm (http://neuroimage.usc.edu/brainstorm). The localization of the source will be constrained with the individual anatomy obtained with MRI.

次要结局

  • synchrony in the gamma band between the cerebellum and the sensorimotor cortex(measures will be done at each of 3 visits: visit1, visit2 at expected average 7 days after visit1 and visit3 at expected average 14 days after visit1)

研究者

发起方
Institut National de la Santé Et de la Recherche Médicale, France
申办方类型
Other Gov
责任方
Sponsor

研究点 (2)

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