Trial Outcomes & Findings for Improving Locomotor Learning With Brain Stimulation (NCT NCT06414213)

NCT ID: NCT06414213

Last Updated: 2025-02-03

Results Overview

Functional near infrared spectroscopy (fNIRS) monitor (OctaMon by Artinis Medical Systems), changes in oxygenated hemoglobin concentration (O2Hb) relative to a baseline task

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

38 participants

Primary outcome timeframe

Baseline to 1 week follow up

Results posted on

2025-02-03

Participant Flow

Participant milestones

Participant milestones
Measure
MI/Active tDCS
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Overall Study
STARTED
13
12
13
Overall Study
COMPLETED
12
11
10
Overall Study
NOT COMPLETED
1
1
3

Reasons for withdrawal

Reasons for withdrawal
Measure
MI/Active tDCS
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Overall Study
Lost to Follow-up
1
1
3

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MI/Active tDCS
n=13 Participants
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
n=12 Participants
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
n=13 Participants
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Total
n=38 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=13 Participants
0 Participants
n=12 Participants
0 Participants
n=13 Participants
0 Participants
n=38 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=13 Participants
12 Participants
n=12 Participants
13 Participants
n=13 Participants
38 Participants
n=38 Participants
Age, Categorical
>=65 years
0 Participants
n=13 Participants
0 Participants
n=12 Participants
0 Participants
n=13 Participants
0 Participants
n=38 Participants
Age, Continuous
22.42 years
STANDARD_DEVIATION 1.98 • n=13 Participants
22.36 years
STANDARD_DEVIATION 2.06 • n=12 Participants
24.1 years
STANDARD_DEVIATION 4.04 • n=13 Participants
22.96 years
STANDARD_DEVIATION 2.69 • n=38 Participants
Sex: Female, Male
Female
11 Participants
n=13 Participants
11 Participants
n=12 Participants
10 Participants
n=13 Participants
32 Participants
n=38 Participants
Sex: Female, Male
Male
2 Participants
n=13 Participants
1 Participants
n=12 Participants
3 Participants
n=13 Participants
6 Participants
n=38 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Baseline to 1 week follow up

Functional near infrared spectroscopy (fNIRS) monitor (OctaMon by Artinis Medical Systems), changes in oxygenated hemoglobin concentration (O2Hb) relative to a baseline task

Outcome measures

Outcome measures
Measure
MI/Active tDCS
n=12 Participants
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
n=11 Participants
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
n=10 Participants
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Prefrontal Cortical Activity
Baseline (Pre-Intervention)
0.04 μM
Standard Deviation 0.47
0.11 μM
Standard Deviation 0.68
0.58 μM
Standard Deviation 0.50
Prefrontal Cortical Activity
20 minutes post Baseline (Post-Intervention)
-0.62 μM
Standard Deviation 0.70
-0.19 μM
Standard Deviation 0.91
0.20 μM
Standard Deviation 0.81
Prefrontal Cortical Activity
1 Week Follow up
-0.61 μM
Standard Deviation 0.51
0.24 μM
Standard Deviation 1.11
0.12 μM
Standard Deviation 0.64

PRIMARY outcome

Timeframe: Baseline to 1 week follow up

number of sessions attended

Outcome measures

Outcome measures
Measure
MI/Active tDCS
n=13 Participants
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
n=12 Participants
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
n=13 Participants
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Adherence to Interventions
1.92 Numbers of session completed
Standard Deviation 0.27
1.91 Numbers of session completed
Standard Deviation 0.28
1.77 Numbers of session completed
Standard Deviation .43

PRIMARY outcome

Timeframe: Baseline to 1 week follow up

number of participants completing intervention and follow-up assessment

Outcome measures

Outcome measures
Measure
MI/Active tDCS
n=13 Participants
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
n=12 Participants
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
n=13 Participants
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Retention of Participants
12 Participants
11 Participants
10 Participants

PRIMARY outcome

Timeframe: Baseline to 1 week follow up

Number of unexpected and/or serious adverse events

Outcome measures

Outcome measures
Measure
MI/Active tDCS
n=12 Participants
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
n=11 Participants
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
n=10 Participants
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Adverse Events in Each Study Arm
0 number of adverse events
0 number of adverse events
0 number of adverse events

PRIMARY outcome

Timeframe: Baseline to 1 week follow up

Recorded time to complete the obstacle course

Outcome measures

Outcome measures
Measure
MI/Active tDCS
n=12 Participants
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
n=11 Participants
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
n=10 Participants
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Time to Completion
1 Week Follow up
39.1 seconds
Standard Deviation 3.98
45.43 seconds
Standard Deviation 3.8
36.1 seconds
Standard Deviation 8.3
Time to Completion
Baseline/Pre
46.60 seconds
Standard Deviation 7.8
47.64 seconds
Standard Deviation 6.42
39.27 seconds
Standard Deviation 8.1
Time to Completion
Post-Test
40.72 seconds
Standard Deviation 3.45
47.21 seconds
Standard Deviation 4.3
37.2 seconds
Standard Deviation 7.8

SECONDARY outcome

Timeframe: Baseline to 1 week follow up

Population: The motor imagery/active tDCS and motor imagery/sham tDCS groups participated in the KVIQ-10 assessments, receiving motor imagery and active or sham transcranial direct current stimulation, respectively. These assessments evaluated their kinesthetic and visual imagery abilities, in order to compare their relative capabilities. The control group did not participate in the KVIQ-10 because they did not engage in motor imagery training, making the administration of the KVIQ-10 irrelevant for them.

The Kinesthetic and Visual Imagery Questionnaire (KVIQ-10) measures the ability to imagine movements. This test evaluates the subject's ability to see (visual imagery) and feel (kinesthetic imagery) movements. The KVIQ-10 total score ranges from 10 to 50 (visual and kinesthetic subscale scores each range from 5 to 25).The KVIQ consists of 10 items, (5 movements for each scale), each item being a separate movement followed by rating the ease or difficulty of generating those self-images on a 5-point Likert scale (where 1 = no image or sensation and 5 = Image as clear as seeing or as intense as executing the action). Higher scores reflect higher imagery abilities.

Outcome measures

Outcome measures
Measure
MI/Active tDCS
n=12 Participants
The participants received active tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Active tDCS: The participants received a 20-minute "active" session of tDCS at a 2-milliamp current.
MI/Sham tDCS
n=11 Participants
The participants received sham tDCS current and participated in the Motor Imagery intervention. Motor Imagery (MI): Participants watched a standardized video sequence that consisted of an individual completing twenty walking trials (twenty video clips-each clip represents one trial). Participants were instructed to place their focus intently on the person performing the obstacle course and try to imagine themselves doing the skill. Periodically, a reminder would appear to help focus and redirect participant's attention to different aspects of the video or different versions of imagery (visual or kinesthetic). Participants will watch the video first at normal play speed and then in slow motion after a short break (30 secs to 1 min). Total training time will be approximately 20 mins which is consistent with the duration of the locomotor intervention and duration of stimulation. Sham tDCS: The participants received a 20-minute session of "sham" tDCS.
Control
The control group watched an unrelated (non stimulating) video for a duration equal to the MI groups' intervention tasks.
Kinesthetic and Visual Imagery Questionnaire (KVIQ)
External Imagery
21.3 score on a scale
Standard Deviation 4.1
22.7 score on a scale
Standard Deviation 3.0
Kinesthetic and Visual Imagery Questionnaire (KVIQ)
Kinesthetic Imagery
22.9 score on a scale
Standard Deviation 4.7
21.7 score on a scale
Standard Deviation 4.5

Adverse Events

MI/Active tDCS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

MI/Sham tDCS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jared Skinner

Appalachian State University

Phone: 828-262-2512

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place