MedPath

Acute and Chronic Repercussion of Spinal Cord Stimulation After Spinal Cord Injury

Not Applicable
Recruiting
Conditions
Spinal Cord Injuries
Registration Number
NCT07210411
Lead Sponsor
Mayo Clinic
Brief Summary

The purpose of this research is to learn about how your body is able to balance changes in blood pressure, and how spinal cord stimulation affects these changes as well as immune \& cardiovascular function in patients with spinal cord injury.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
80
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Valsalva Maneuver Phase IIDuring laboratory diagnostic testing session

Presence or absence of phase II on Valsalva maneuver testing, which takes approximately 15 seconds to complete. This will be repeated x3.

Secondary Outcome Measures
NameTimeMethod
Beat-to-beat heart rateDuring laboratory diagnostic testing session

Electrocardiogram will record continuous measures with changes in R-R interval (ms) quantified and compared to baseline.

Beat-to-beat blood pressureDuring laboratory diagnostic testing session

Non-invasive continuous blood pressure monitors will be used, with changes in systolic and diastolic pressure (in mmHg) from resting baseline measured.

Continuous galvanic skin responseDuring laboratory diagnostic testing session

Changes from resting state conductance with be quantified with a smartwatch.

Quantify autonomic dysreflexia and orthostatic hypotensionBaseline, prior to laboratory diagnostic testing session

Participants will be given the Autonomic Dysfunction Following Spinal Cord Injury questionnaire (score range 0-436, with higher scores indicating more autonomic dysfunction).

RespirationDuring laboratory diagnostic testing session

Elastic respiratory transducer bands around mid-chest and upper abdomen will monitor breathing depth and frequency.

Beat-by-Beat Popliteal and Brachial Blood FlowDuring laboratory diagnostic testing session

We will use Doppler derived flow velocities to estimate whole limb blood flow through the popliteal and brachial arteries

Immunology Blood DrawDuring laboratory diagnostic testing session

Baseline samples will be collected and compared against changes to blood pressure.

Serum Catecholamines and CortisolDuring laboratory diagnostic testing session

Baseline resting catecholamines (norepinephrine, epinephrine, dopamine) and cortisol will be drawn from the IV after 10 minutes of quiet rest at baseline and prior to bladder filling or foot cold pressor. Just prior to the conclusion of this testing, an additional blood draw will take place through the IV to assess changes in these levels.

Trial Locations

Locations (1)

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

Mayo Clinic
🇺🇸Rochester, Minnesota, United States
Zachary Pohlkamp
Contact
507-422-0140
Ryan Solinsky, MD
Principal Investigator

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