TMS-based Assessment of Mental Training Effects on Motor Learning in Healthy Participants

NCT ID: NCT04784832

Last Updated: 2025-01-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

556 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-08

Study Completion Date

2027-04-07

Brief Summary

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The general purpose of this research project is to analyze the specific role of motor imagery on motor learning, assessed through corticospinal excitability measurements and behavioral data collection. This project is based on four sequences. For Sequence 1, the main objective is to examine the effect of mental training on movement speed and accuracy in a manual motor sequence task, as well as the influence of sensory feedback in immediate post-test (i.e., execution of a similar, but not identical, manual motor sequence, other manual tasks) on performance in delayed post-test. The secondary objective will be to examine corticospinal changes (i.e., amplitude of motor evoked potentials) induced by mental training, by measuring the amplitude of motor evoked potentials before and after mental training. For Sequence 2, the main objective is to examine the impact of a motor disturbance induced by a robotic arm at different intervals during the motor imagery process. The secondary objective will be to examine the corticospinal changes (i.e. amplitude of evoked motor potentials) induced by mental training as a function of the applied perturbations, before and after perturbation. For Sequence 3, the main objective will be to examine the influence of neuroplasticity on the quality of mental training. More specifically, the investigators will study the links between brain plasticity and motor learning through mental training. The secondary objective will be to examine the corticospinal changes (i.e. amplitude of evoked motor potentials) induced by mental training at different levels of the neuromuscular system (cortical, cervicomedullar, peripheral) after a training period. For Sequence 4, the main objective will be to examine the effect of short-term arm-immobilization of on the retention of motor learning induced by mental training. The secondary objective will be to examine the corticospinal changes (i.e., amplitude of motor evoked potentials) induced by of short-term arm-immobilization, or by transcranial direct current stimulation (tDCS), on motor learning. The results of this fundamental research project will allow a better understanding of neurophysiological and behavioral mechanisms that underlie motor learning through motor imagery. The results will allow to efficiently consider inter-individual specificities and will thus open up to clinical research perspectives, towards the establishment of adapted motor rehabilitation protocols.

Detailed Description

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Conditions

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Motor Learning

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Sequence 1 - Training with same task - Long follow-up

Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 1 - Training with same task - Short follow-up

Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 1 - Training with different tasks - Long follow-up

Motor task (different task in immediate post test) Transcranial magnetic stimulation Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 1 - Training with different tasks - Short follow-up

Motor task (different task in immediate post test) Transcranial magnetic stimulation Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 1 - Training with muscle contractions - Long follow-up

Motor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 1 - Training with muscle contractions - Short follow-up

Motor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 1 - Control

Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation No mental training

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Sequence 2 - Physical training with perturbation during preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Robotic arm

Intervention Type DEVICE

External perturbation of force field induced by robotic arm

Physical training

Intervention Type OTHER

Training to perform the task by actually doing the task

Sequence 2 - Physical training with perturbation during preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Robotic arm

Intervention Type DEVICE

External perturbation of force field induced by robotic arm

Physical training

Intervention Type OTHER

Training to perform the task by actually doing the task

Sequence 2 - Physical training with perturbation after preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Robotic arm

Intervention Type DEVICE

External perturbation of force field induced by robotic arm

Physical training

Intervention Type OTHER

Training to perform the task by actually doing the task

Sequence 2 - Physical training with perturbation after preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Robotic arm

Intervention Type DEVICE

External perturbation of force field induced by robotic arm

Physical training

Intervention Type OTHER

Training to perform the task by actually doing the task

Sequence 2 - Mental training with perturbation during preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Robotic arm

Intervention Type DEVICE

External perturbation of force field induced by robotic arm

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 2 - Mental training with perturbation during preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Robotic arm

Intervention Type DEVICE

External perturbation of force field induced by robotic arm

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 2 - Mental training with perturbation after preparation - Long follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Robotic arm

Intervention Type DEVICE

External perturbation of force field induced by robotic arm

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 2 - Mental training with perturbation after preparation - Short follow-up

Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Robotic arm

Intervention Type DEVICE

External perturbation of force field induced by robotic arm

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 3 - Training (same task) - Long follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Peripheral Nerve Stimulation

Intervention Type DEVICE

Electric stimulation of the nerves

Paired Associative Stimulation

Intervention Type DEVICE

Combined magnetic and electric stimulation of cortex and nerve, respectively

Cervicomedullar stimulation

Intervention Type DEVICE

Electric stimulation of the muscle

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 3 - Training (same task) - Short follow-up

Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Peripheral Nerve Stimulation

Intervention Type DEVICE

Electric stimulation of the nerves

Paired Associative Stimulation

Intervention Type DEVICE

Combined magnetic and electric stimulation of cortex and nerve, respectively

Cervicomedullar stimulation

Intervention Type DEVICE

Electric stimulation of the muscle

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 3 - Training (different task) - Long follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Peripheral Nerve Stimulation

Intervention Type DEVICE

Electric stimulation of the nerves

Paired Associative Stimulation

Intervention Type DEVICE

Combined magnetic and electric stimulation of cortex and nerve, respectively

Cervicomedullar stimulation

Intervention Type DEVICE

Electric stimulation of the muscle

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 3 - Training (different task) - Short follow-up

Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Peripheral Nerve Stimulation

Intervention Type DEVICE

Electric stimulation of the nerves

Paired Associative Stimulation

Intervention Type DEVICE

Combined magnetic and electric stimulation of cortex and nerve, respectively

Cervicomedullar stimulation

Intervention Type DEVICE

Electric stimulation of the muscle

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 3 - Control 1

Mental Training Motor task (same as the motor task) Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Peripheral Nerve Stimulation

Intervention Type DEVICE

Electric stimulation of the nerves

Cervicomedullar stimulation

Intervention Type DEVICE

Electric stimulation of the muscle

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 3 - Control 2

Paired Associative Stimulation Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Peripheral Nerve Stimulation

Intervention Type DEVICE

Electric stimulation of the nerves

Paired Associative Stimulation

Intervention Type DEVICE

Combined magnetic and electric stimulation of cortex and nerve, respectively

Cervicomedullar stimulation

Intervention Type DEVICE

Electric stimulation of the muscle

Sequence 4 - Immobilization - Short follow-up

Transcranial magnetic stimulation Arm immobilization Motor task Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Wrist

Intervention Type DEVICE

Short-term immobilization of the arm

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 4 - Immobilization - Long follow-up

Transcranial magnetic stimulation Arm immobilization Motor task Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Wrist

Intervention Type DEVICE

Short-term immobilization of the arm

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 4 - Cathodal - Short follow-up

Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Transcranial direct current stimulation

Intervention Type DEVICE

Electric stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 4 - Cathodal - Long follow-up

Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Transcranial direct current stimulation

Intervention Type DEVICE

Electric stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 4 - Anodal - Short follow-up

Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Transcranial direct current stimulation

Intervention Type DEVICE

Electric stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 4 - Anodal - Long follow-up

Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training

Group Type EXPERIMENTAL

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Transcranial direct current stimulation

Intervention Type DEVICE

Electric stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Sequence 4 - Control

Transcranial magnetic stimulation Motor task Mental training

Group Type SHAM_COMPARATOR

Transcranial magnetic stimulation

Intervention Type DEVICE

Magnetic stimulation of the cortex

Mental training

Intervention Type OTHER

Training to perform the task by imaging doing the task

Interventions

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Transcranial magnetic stimulation

Magnetic stimulation of the cortex

Intervention Type DEVICE

Peripheral Nerve Stimulation

Electric stimulation of the nerves

Intervention Type DEVICE

Transcranial direct current stimulation

Electric stimulation of the cortex

Intervention Type DEVICE

Paired Associative Stimulation

Combined magnetic and electric stimulation of cortex and nerve, respectively

Intervention Type DEVICE

Wrist

Short-term immobilization of the arm

Intervention Type DEVICE

Robotic arm

External perturbation of force field induced by robotic arm

Intervention Type DEVICE

Cervicomedullar stimulation

Electric stimulation of the muscle

Intervention Type DEVICE

Physical training

Training to perform the task by actually doing the task

Intervention Type OTHER

Mental training

Training to perform the task by imaging doing the task

Intervention Type OTHER

Other Intervention Names

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TMS tDCS PAS

Eligibility Criteria

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Inclusion Criteria

* Male or female between 18 and 60 years old
* Having given written informed consent
* Affiliated to a social security scheme

Exclusion Criteria

* History of psychiatric illness (declarative)
* Person under guardianship, curatorship, safeguard of justice
* Neurological problem that could bias the results of the study (declarative)
* Personal or family history of epilepsy
* Person deprived of liberty by judicial or administrative decision
* Person hospitalized without consent and not subject to legal protection, and person admitted to a health or social institution for purposes other than that of the research
* Person subject to an exclusion period for another research
* Pregnant women or women of childbearing age not using known contraception
* Breastfeeding women
* Person on medication that could influence neurophysiological measures (neuroleptics, anxiolytics, antidepressants)
* Person carrying :
* pacemaker or other device that could interfere with the magnetic field
* Implants (mechanical or electronic: cochlear implants, neural or cardiac pacemakers, infusion pumps, magnetic aneurysm clips, etc.)
* Metallic foreign bodies in the eye or nervous system
* Metallic objects (tattoos, piercings, etc.)
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Florent Lebon, PhD

Role: PRINCIPAL_INVESTIGATOR

Institut National de la Santé Et de la Recherche Médicale, France

Locations

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INSERM - U1093 Cognition, Action, and Sensorimotor Plasticity

Dijon, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Florent Lebon, PhD

Role: CONTACT

+33 3 80 39 67 49

Facility Contacts

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Florent Lebon, PhD

Role: primary

+33 3 80 39 67 49

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Reference Type BACKGROUND
PMID: 21682867 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2020-A00305-34 / 1

Identifier Type: REGISTRY

Identifier Source: secondary_id

C19-19

Identifier Type: -

Identifier Source: org_study_id

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