Enhancing STDP After Spinal Cord Injury
Status: | Recruiting |
---|---|
Conditions: | Hospital, Orthopedic |
Therapuetic Areas: | Orthopedics / Podiatry, Other |
Healthy: | No |
Age Range: | 18 - 85 |
Updated: | 1/27/2019 |
Start Date: | December 15, 2017 |
End Date: | January 1, 2021 |
Contact: | Audrey Wilson, MEng |
Email: | audrey.wilson2@va.gov |
Phone: | (305) 575-3179 |
Maximizing Spike - Timing Dependent Plasticity After Spinal Cord Injury
The overall goal is to develop new clinical approaches to restore upper-limb function after
incomplete cervical spinal cord injury (SCI). Corticospinal tract (CST) axons are involved in
controlling upper-limb function. Paired pulse induced spike-timing dependent plasticity
(STDP) enhances synaptic strength between residual CST axons and spinal motoneurons (SMNs)
resulting in temporary improvements in upper-limb function in humans with incomplete cervical
SCI. Motor training will be combined with paired-pulse STDP stimulation to further enhance
plasticity and behavioral recovery.
incomplete cervical spinal cord injury (SCI). Corticospinal tract (CST) axons are involved in
controlling upper-limb function. Paired pulse induced spike-timing dependent plasticity
(STDP) enhances synaptic strength between residual CST axons and spinal motoneurons (SMNs)
resulting in temporary improvements in upper-limb function in humans with incomplete cervical
SCI. Motor training will be combined with paired-pulse STDP stimulation to further enhance
plasticity and behavioral recovery.
Inclusion Criteria:
Participants who are unimpaired healthy controls:
- Male and females between ages 18-85 years
- Right handed
- Able to complete precision grips with both hands
- Able to complete full wrist flexion-extension bilaterally
- Able to walk unassisted
- Able to complete full ankle flexion-extension bilaterally
Participants who have had a spinal cord injury:
- Male and females between ages 18-85 years
- SCI ( 2 months of injury)
- Spinal Cord injury at or above L5
- The ability to produce a visible precision grip force with one hand
- Able to perform some small wrist flexion and extension
- The ability to perform a small visible contraction with dorsiflexion and hip flexor
muscles
- No subjects will be excluded based on their race, religion, ethnicity, gender or HIV
status.
- ASIA A,B,C, or D
Exclusion Criteria:
Exclusion criteria for enrollment For SCI and Healthy Control Subjects (4-8 exclusion for
non-invasive brain stimulation only):
- Uncontrolled medical problems including pulmonary, cardiovascular or orthopedic
disease
- Any debilitating disease prior to the SCI that caused exercise intolerance
- Premorbid, ongoing major depression or psychosis, altered cognitive status
- History of head injury or stroke
- Metal plate in skull
- History of seizures
- Receiving drugs acting primarily on the central nervous system, which lower the
seizure threshold (see appendix 2)
- Pregnant females
- Ongoing cord compression or a syrinx in the spinal cord or who suffer from a spinal
cord disease such as spinal stenosis, spina bifida, MS, or herniated disk
- Individuals with scalp shrapnel, cochlear implants, or aneurysm clips.
We found this trial at
1
site
Miami, Florida 33125
Principal Investigator: Martin Oudega, PhD
Phone: 305-575-3179
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