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N/A N=13 Randomized Triple-blind Treatment

Effects of Transcutaneous Spinal Direct Current Stimulation in Incomplete Spinal Cord Injury

Incomplete Spinal Cord Injury

Enrolled (actual)
13
Serious AEs
2.2%
Results posted
Feb 2020
Primary outcome: Primary: Percent Change in Hmax — 27.85; 8.43; -4.91; 16.20 percent change in Hmax

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Anodal tsDCS (Device); Cathodal tsDCS (Device); Sham tsDCS (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
The University of Texas Health Science Center, Houston
Primary completion
Oct 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change in Hmax
27.85; 8.43; -4.91; 16.20; -3.99; 34.04
PRIMARY
Change in Somatosensory Evoked Potential (SSEP)
SECONDARY
Change Systolic Blood Pressure
7.90; 7.58; -4.00
SECONDARY
Change in Diastolic Blood Pressure
4.80; 2.16; -0.44
SECONDARY
Change in Heart Rate
-7.35; -6.53; -4.78

Summary

The purpose of the study is to investigate the effects of a novel therapeutic approach with transcutaneous spinal direct current stimulation (tsDCS) to promote functional recovery and spasticity in chronic spinal cord injury (SCI).

Eligibility Criteria

Inclusion Criteria

  • Providing written informed consent prior to any study related procedures
  • 18-65 years of age
  • Motor incomplete SCI classified as B, C or D by the American Spinal Injury Association Impairment Scale (AIS)
  • Traumatic lesion at or above T8-T9 neurological level
  • Body mass index ≤ 30 (in order to facilitate reliable location of body landmarks guiding stimulation);
  • Chronic SCI (time since injury>6 months)

Exclusion Criteria

  • Unstable cardiopulmonary conditions
  • History of seizure, head injury with loss of consciousness, severe alcohol or drug abuse, and/or psychiatric illness
  • Any joint contracture or severe spasticity, as measured by a Modified Ashworth Score 4
  • Subject who cannot provide self-transportation to the study location
  • Cardiac or neural pacemakers
  • Pregnancy
  • lower motor neuron injury (eg: peripheral neuropathy, cauda equina syndrome)
  • Uncontrolled diabetes with HbA1C>7
  • History of severe autonomic dysreflexia
  • No planned alteration in therapy or medication for muscle tone during the course of the study(No botulinum toxin injections in last 3 months, No phenol injections in last 6 months, intrathecal baclofen pump dose stable for past 3 months, etc)
  • Conditions for e.g., severe arthritis, extreme shoulder pain that would interfere with valid administration of the measures or with interpreting motor testing;
  • No contraindications to tsDCS
  • ferromagnetic material in the brain or in the spine (except for titanium used in segmental)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03249454). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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