The Effect of Acute Intermittent Hypoxia on Motor Learning

NCT ID: NCT05341466

Last Updated: 2025-05-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-27

Study Completion Date

2025-02-24

Brief Summary

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The goal of this study is to examine the effect of repetitive acute intermittent hypoxia on motor learning abilities in able-bodied individuals for subsequent study in individuals with incomplete spinal cord injury.

Detailed Description

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Conditions

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Incomplete Spinal Cord Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study design is twofold. The first study examines the effects of AIH on motor learning using an AIH group and a control group (total N = 30). The second part of this study examines corticospinal indices of motor learning using an AIH group and a SHAM group (i.e., blinded normoxia; total N = 26).
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Repetitive Acute Intermittent Hypoxia

5 consecutive days of 15, 1.5 min episodes at 9% O2 (AIH) alternating with 21% O2 at 1 min intervals

Group Type EXPERIMENTAL

Acute Intermittent Hypoxia

Intervention Type OTHER

5 consecutive days of 15, 1.5 min episodes at 9% O2 (AIH) alternating with 21% O2 at 1 min intervals

SHAM Acute Intermittent Hypoxia

5 consecutive days of 15, 1.5 min episodes at 21% O2 (SHAM AIH) alternating with 21% O2 at 1 min intervals

Group Type SHAM_COMPARATOR

SHAM Acute Intermittent Hypoxia

Intervention Type OTHER

5 consecutive days of 15, 1.5 min episodes at 21% O2 (SHAM AIH) alternating with 21% O2 at 1 min intervals

Control

The control group received no AIH exposure.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Acute Intermittent Hypoxia

5 consecutive days of 15, 1.5 min episodes at 9% O2 (AIH) alternating with 21% O2 at 1 min intervals

Intervention Type OTHER

SHAM Acute Intermittent Hypoxia

5 consecutive days of 15, 1.5 min episodes at 21% O2 (SHAM AIH) alternating with 21% O2 at 1 min intervals

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18 to 70 years old (the latter to reduce likelihood of heart disease);
* Medically stable with medical clearance from physician to participate;
* Motor-incomplete spinal cord injuries at or below C2 and at or above L5;
* AIS A-D at initial screen, or other non-traumatic spinal cord injury disorders (e.g. multiple sclerosis, ALS, tumors, acute transverse myelitis, etc.);
* More than 1 year since iSCI to minimize confounds of spontaneous neurological recovery;
* Ability to advance one step overground with or without assistive devices;

Exclusion Criteria

* Severe concurrent illness or pain;
* Recurrent autonomic dysreflexia;
* History of cardiovascular/pulmonary complications;
* Concurrent physical therapy;
* Pregnant at time of enrollment or planning to become pregnant;
* Untreated painful musculoskeletal dysfunction, fracture or pressure sore;
* History of seizures or epilepsy;
* Recurring headaches;
* Concussion within the last six months;
* Depression or manic disorders
* Metal implants in the head, or pacemaker.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role collaborator

Medical University of South Carolina

OTHER

Sponsor Role collaborator

University of Colorado, Boulder

OTHER

Sponsor Role lead

Responsible Party

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Andrew Quesada Tan

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Colorado, Anschutz Medical Campus

Aurora, Colorado, United States

Site Status

University of Colorado

Boulder, Colorado, United States

Site Status

Countries

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United States

References

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Bogard AT, Hembree TG, Pollet AK, Smith AC, Ryder SC, Marzloff GE, Tan AQ. Intermittent hypoxia-induced enhancements in corticospinal excitability predict gains in motor learning and metabolic efficiency. Sci Rep. 2025 Feb 24;15(1):6614. doi: 10.1038/s41598-025-90890-8.

Reference Type RESULT
PMID: 39994358 (View on PubMed)

Bogard AT, Hemmerle MR, Smith AC, Tan AQ. Enhanced motor learning and motor savings after acute intermittent hypoxia are associated with a reduction in metabolic cost. J Physiol. 2024 Nov;602(21):5879-5899. doi: 10.1113/JP285425. Epub 2023 Nov 20.

Reference Type RESULT
PMID: 37983629 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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P2CHD086844

Identifier Type: NIH

Identifier Source: secondary_id

View Link

21-3980

Identifier Type: -

Identifier Source: org_study_id

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