N/A
N=40
Learning in Stroke
Stroke · Sensorimotor Impairment
Bottom Line
View on ClinicalTrials.gov: NCT05511467 ↗Enrolled (actual)
40
Serious AEs
0.0%
Results posted
Sep 2025
Primary outcome: Primary: Learning Rate as Indexed by Change in the Precision of Visuomotor Grip Force Adjustment (i.e., Reduction of Precision Error in Force Adjustment) — -1.48; 0.303 Percentage deviation from target force
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- Visuomotor learning task (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Medical University of South Carolina
- Primary completion
- Mar 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Learning Rate as Indexed by Change in the Precision of Visuomotor Grip Force Adjustment (i.e., Reduction of Precision Error in Force Adjustment) |
-1.48; 0.303 | — |
| PRIMARY Change in Blood-oxygen-level-dependent (BOLD) Signal Derived Multi-voxel Brain Activation |
2.6; 3.25 | — |
Summary
After a stroke, plasticity occurs in the brain from microscopic to network level with positive but also negative consequences for functional recovery. Why post-stroke plasticity takes a beneficial or a maladaptive direction is still incompletely understood. Because the biological mechanisms underlying sensorimotor learning parallel those observed during recovery, learning mechanisms could be potential modifiers of post-stroke neuroplasticity and have a discrete mal-/adaptive impact on the recovery of sensorimotor function. This project seeks to further the understanding of the link between brain circuits that control the integration of new information during procedural learning in the injured brain and those circuits that are involved in adaptive plastic changes during recovery of sensorimotor function post-stroke. The project's methodological approach will allow the characterization of procedural learning-related neural network dynamics based on functional magnetic resonance imaging (MRI) in human volunteers with and without neurologically impairment post-stroke. Through multivariate integration of behavioral and biological descriptors of sensorimotor recovery, the project will investigate the association between motor learning-related network dynamics and descriptors of recovery.
Eligibility Criteria
INCLUSION CRITERIA
For all participants:
- adult volunteers (age ≥18 years)
- right-hand dominance as defined by the Edinburgh Handedness Inventory
Stroke-specific inclusion criteria:
- ischemic or hemorrhagic lesion
- subcortical or cortical tissue involvement
- chronic phase (>6 months) after their index lesion
- voluntary whole-hand grip force (MRC, Medical Research Council scale for muscle force ≥2)
- repeated release (standardized as a reduction of 50% of maximum voluntary contraction measured with a dynamometer)
EXCLUSION CRITERIA
For all participants:
- Presence of any MRI risk factors
- substance use disorder
- psychotic disorders
Stroke-group specific exclusion criteria:
- Primary intracerebral hematoma
- subarachnoid hemorrhage
- bi-hemispheric or cerebellar strokes
- other concomitant neurological disorders affecting upper extremity motor function
- documented history of dementia before or after stroke
- severe aphasia, particularly of receptive nature (NIHSS Language subsection ≥2), affecting their ability to understand the purpose of the study and give informed consent
- uncontrolled hypertension despite treatment
- intake of tricyclic anti-depressants or neuroleptic medication.
Data sourced from ClinicalTrials.gov (NCT05511467). 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.