Effects of Transcranial Magnetic Stimulation on Object Recognition

This study is currently recruiting participants. (see Contacts and Locations)
Verified May 2014 by National Institutes of Health Clinical Center (CC)
Sponsor:
Information provided by (Responsible Party):
National Institutes of Health Clinical Center (CC) ( National Institute of Neurological Disorders and Stroke (NINDS) )
ClinicalTrials.gov Identifier:
NCT01747200
First received: December 8, 2012
Last updated: July 2, 2014
Last verified: May 2014
  Purpose

Background:

- The brain has natural rhythms called brain waves. An electroencephalogram (EEG) can record these rhythms. When people identify the picture of a familiar object shown on a computer screen, the communication between certain regions of the brain increases. An EEG can detect these communication brain waves. Transcranial magnetic stimulation (TMS) can affect these brain waves by slightly changing the brain s rhythms. Researchers want to see if changing brain rhythms with TMS interferes with the ability to identify pictures of familiar objects. This study will provide more information about how TMS can affect brain waves and behavior.

Objectives:

- To see if TMS can interfere with the brain s ability to identify pictures of familiar objects.

Eligibility:

- Healthy volunteers between 18 and 70 years of age.

Design:

  • This study requires two visits to the clinical center. The first visit will last about 2 hours. The second visit will last about 4 hours.
  • Participants will be screened with a physical exam and medical history.
  • At the first visit, participants will have an object recognition test. Participants will look at pictures of several objects on a computer screen. They will then have to state whether the objects they see on the screen are familiar. The object recognition test will be done along with TMS.
  • At the second visit, participants will have an EEG while taking the object recognition test. Brain waves will be monitored during the test. They will then repeat the test while having repetitive TMS to study its effect on object recognition. The participants will then take the object recognition test alone for a final time. This will make sure that TMS effects (if any) on the ability to identify familiar object images are no longer present.

Condition Intervention
Repetitive TMS (rTMS)
Sham rTMS
Bilateral rTMS
Unilateral rTMS
Procedure: Sham rTMS
Procedure: Bilateral rTMS at same frequency and in phase
Procedure: Bilateral rTMS at different frequencies
Procedure: Bilateral rTMSat same frequency and out of phase
Procedure: rTMS over TP8
Procedure: rTMS over TP7

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Single Blind
Primary Purpose: Basic Science
Official Title: Modulating Behavior in Humans by Entrainment With Rhythmic Transcranial Magnetic Stimulation

Further study details as provided by National Institutes of Health Clinical Center (CC):

Primary Outcome Measures:
  • Percentage of correct responses in the midline object recognition task. [ Time Frame: 4 hours ]

Secondary Outcome Measures:
  • Threshold intensity for blocking object recognition [ Time Frame: 4 hours ]
  • Individual coherence frequency [ Time Frame: 4 hours ]

Estimated Enrollment: 15
Study Start Date: November 2012
Estimated Study Completion Date: June 2016
Estimated Primary Completion Date: June 2016 (Final data collection date for primary outcome measure)
Intervention Details:
    Procedure: Sham rTMS
    N/A
    Procedure: Bilateral rTMS at same frequency and in phase
    N/A
    Procedure: Bilateral rTMS at different frequencies
    N/A
    Procedure: Bilateral rTMSat same frequency and out of phase
    N/A
    Procedure: rTMS over TP8
    N/A
    Procedure: rTMS over TP7
    N/A
Detailed Description:

Inter-hemispheric coherence (IHC) is one of the electroencephalography (EEG) parameters that measures synchronization of oscillations originating from brain regions of different hemispheres and thereby the functional connectivity between them. We know that object discrimination is associated with transient increase in IHC. In this study we will interfere with the transient IHC that is associated with midline object discrimination by using rhythmic repetitive transcranial magnetic stimulation (rTMS).

We will study the effects of entrainment by unilateral or bilateral, synchronous or asynchronous TMS pulses on behavior. The goal of the study is to determine if entrainment by TMS will affect task performance. If the results show that TMS by entrainment influenced behavior, then we can expect TMS to be a useful technique to explore the behavioral impact of specific neuronal oscillations under physiological as well as pathological conditions. Further, TMS could also find applications in rehabilitation or treatment of behavioral symptoms in patients with neuropsychiatric diseases.

STUDY POPULATION:

We intend to study 11 adult healthy volunteers on an outpatient basis.

STUDY DESIGN:

All the subjects will first participate in a screening session where the threshold TMS intensity for blocking object discrimination and the optimal coil orientation will be determined using single pulse TMS. Later they will attend the main experiment session where they will be asked to perform the object discrimination task in four blocks, of which the second, third and fourth will be in random order. During the first block, the individual coherence frequency will be determined by recording EEG during the task. During the second, third and fourth blocks, the subjects will receive either unilateral, bilateral or sham rTMS in a random order. Short trains of 7 TMS pulses will be delivered during each trial. TMS pulses will be administered over TP7 and/or TP8 at 80% of threshold intensity blocking object discrimination.

OUTCOME MEASURES:

We expect that short trains of TMS will affect IHC depending on whether the pulses are synchronous or asynchronous. By modulating IHC, we expect changes in object discrimination task performance. The primary outcome measure in this study includes object discrimination task performance. During the study, we will also compute the individual frequency at which maximum coherence occurs and the threshold intensity and optimal coil direction for blocking object discrimination.

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria
  • INCLUSION CRITERIA:
  • Age between 18 - 70 years.
  • Able to give his/her own consent to participate in the study.

EXCLUSION CRITERIA:

  • Presence of cardiac pacemaker, brain stimulator, shrapnel, surgical metal, clips in the brain, cochlear implants, metal fragments in the eye.
  • Pregnancy or lactation.
  • History of any serious medical illness or hearing problems
  • Intake of medication that affect the central nervous system like anti depressants, antihistamines, antipsychotics, dopamine agonists, benzodiazepines and antiepileptics in the past 3 months.
  • Presence of neurological or psychiatric illnesses like brain tumor, migraine, depression, bipolar disorder, schizophrenia.
  • History of any seizure.
  • Use or abuse of any drug in the past 6 months or intake of more than 7 alcoholic drinks a week in females and more than 14 alcoholic drinks a week in males.

Exclusion criteria specific for MRI::

  • Presence of metal in the body, such as a cardiac pacemaker, brain stimulator, shrapnel, surgical metal, clips in the brain or on blood vessels, cochlear implants, artificial heart valves or metal fragments in the eye as these make having an MRI unsafe.
  • Presence of metallic dental fillings which are likely to cause MRI artifacts
  • Uncomfortable being in a small space for up to 2 hours.
  • Unable to lie flat on the back for up to 2 hours
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01747200

Contacts
Contact: Elaine P Considine, R.N. (301) 435-8518 considinee@ninds.nih.gov
Contact: Mark Hallett, M.D. (301) 496-9526 hallettm@ninds.nih.gov

Locations
United States, Maryland
National Institutes of Health Clinical Center, 9000 Rockville Pike Recruiting
Bethesda, Maryland, United States, 20892
Contact: For more information at the NIH Clinical Center contact Patient Recruitment and Public Liaison Office (PRPL)    800-411-1222 ext TTY8664111010    prpl@mail.cc.nih.gov   
Sponsors and Collaborators
Investigators
Principal Investigator: Mark Hallett, M.D. National Institute of Neurological Disorders and Stroke (NINDS)
  More Information

Additional Information:
Publications:
Responsible Party: National Institutes of Health Clinical Center (CC) ( National Institute of Neurological Disorders and Stroke (NINDS) )
ClinicalTrials.gov Identifier: NCT01747200     History of Changes
Other Study ID Numbers: 130035, 13-N-0035
Study First Received: December 8, 2012
Last Updated: July 2, 2014
Health Authority: United States: Federal Government

Keywords provided by National Institutes of Health Clinical Center (CC):
Repetitive TMS (rTMS)

ClinicalTrials.gov processed this record on October 19, 2014