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NCT Number: NCT05947279

Examining Lateralized Aspects of Motor Control Using Non-invasive Neural Stimulation

Motor adaptation and generalization are believed to occur via the integration of various forms of sensory feedback for a congruent representation of the body's position in space along with estimation of inertial properties of the limb segments for accurate specification of movement. Thus, motor adaptation is often studied within curated environments incorporating a "mis-match" between different sensory systems (i.e. a visual field shift via prism googles or a visuomotor rotation via virtual reality environment) and observing how motor plans change based on this mis-match. However, these adaptations are environment-specific and show little generalization outside of their restricted experimental setup. There remains a need for motor adaptation research that demonstrates motor learning that generalizes to other environments and movement types. This work could then inform physical and occupational therapy neurorehabilitation interventions targeted at addressing motor deficits.

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Key information

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Virginia Commonwealth University Medical Center

Richmond, Virginia, 23219, United States

Location status: Recruiting

Location contact

Brooke Dexheimer

CONTACT

[email protected]

563-547-0125

Brooke Dexheimer, PhD

PRINCIPAL_INVESTIGATOR

About this study

Voluntary movement and sensory perception are fundamental aspects of the human experience. Senses such as visual and proprioceptive feedback inform movement by continuously providing the central nervous system with information on limb location, movement error, and task performance. However, the specific mechanisms behind how different forms of sensory information are used to adapt and generalize movement remain poorly understood.

Motor adaptation, or the modification of movement based on error feedback (Martin et al., 1996), is often elicited during rehabilitation but must be generalized to functional performance, such as activities of daily living, in order to successfully rehabilitate motor deficits following stroke. Motor adaptation and generalization are believed to occur via the integration of various forms of sensory feedback for a congruent representation of the body's position in space along with estimation of inertial properties of the limb segments for accurate specification of movement. Thus, motor adaptation is often studied within curated environments incorporating a "mis-match" between different sensory systems (i.e. a visual field shift via prism googles or a visuomotor rotation via virtual reality environment) and observing how motor plans change based on this mis-match. However, these adaptations are environment-specific and show little generalization outside of their restricted experimental setup. There remains a need for motor adaptation research that demonstrates motor learning that generalizes to other environments and movement types. This work could then inform physical and occupational therapy neurorehabilitation interventions targeted at addressing motor deficits.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Right-handed as determined by the short-form Edinburgh Handedness Inventory
  • Between the ages of 18 and 40

Exclusion criteria

  • Mixed- or left-handed as determined by the short-form Edinburgh Handedness Inventory
  • Self-reported history of any of the following:

Seizure and/or diagnosis of epilepsy Fainting spells Concussion with loss of consciousness Ringing in the ears (tinnitus) Cochlear implants Migraines Diagnosed psychological or neurological condition Metal in the scalp

  • Any previous adverse reaction to a brain stimulation technique
  • Any previous adverse reaction to 3D virtual reality environments (i.e. 'cybersickness')
  • Possibility of being currently pregnant (for females only)
  • Current open head wound or skin condition of the scalp
  • Current implanted device(s) (i.e. cardiac pacemaker)

Treatment and study plan

Comparing motor adaptation reaching performance

Behavioral

By comparing motor adaptation reaching performance between these three groups, the investigators can examine how stimulation to each specific area of the brain modulates different aspects of motor adaptation

Primary outcomes

  1. Initial direction error, or difference between participant's fingertip direction

    Time frame: Completion of the study visit, approx 20 minutes

    Initial direction error, or difference between participant's fingertip direction at the timepoint of peak velocity relative to a linear path to the target. As for time frame, this is a single-visit study. Initial direction error will be compared during baseline reaching and following 20 minutes of non-invasive neural stimulation.

  2. Initial direction error variance

    Time frame: Completion of the study visit, approx 20 minutes

    Initial direction error variance across multiple trials.

Secondary outcomes

  1. Final position error

    Time frame: Completion of the study visit, approx 20 min

    Secondary outcome: final position error, or distance from participant's fingertip position at the conclusion of the reach to the center of the target. Similar to above, this measure will be compared during baseline and following 20 minutes of stimulation.

  2. Final position error variance across multiple trials.

    Time frame: Completion of the study visit, approx 20 min

    Final position error variance across multiple trials.

  3. Deviation from linearity

    Time frame: Completion of the study visit, approx 20 min

    Deviation from linearity, or a ratio of minimum and maximum displacement across the parallel and perpendicular planes of the reaching movement.

  4. Peak tangential velocity

    Time frame: Completion of the study visit, approx 20 min

    Peak tangential velocity, or highest tangential velocity reached during reach.

Study contacts

Contact information is provided by the study sponsor or research team.

Brooke Dexheimer, PhD, OTD, OTR/L

CONTACT

[email protected]

563-547-0125

Sponsors and collaborators

Lead sponsor

Virginia Commonwealth University

Other

Registry information

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jul 17, 2023
Registry last updated
Mar 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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