TMS-based Assessment of Mental Training Effects on Motor Learning in Healthy Participants (IMAP-TMS)

Transcranial Magnetic Stimulation-based Assessment of Mental Training Effects on Motor Learning in Healthy Participants

The general purpose of this research project is to analyze the specific role of motor imagery on motor learning, assessed through corticospinal excitability measurements and behavioral data collection. This project is based on four sequences. For Sequence 1, the main objective is to examine the effect of mental training on movement speed and accuracy in a manual motor sequence task, as well as the influence of sensory feedback in immediate post-test (i.e., execution of a similar, but not identical, manual motor sequence, other manual tasks) on performance in delayed post-test. The secondary objective will be to examine corticospinal changes (i.e., amplitude of motor evoked potentials) induced by mental training, by measuring the amplitude of motor evoked potentials before and after mental training. For Sequence 2, the main objective is to examine the impact of a motor disturbance induced by a robotic arm at different intervals during the motor imagery process. The secondary objective will be to examine the corticospinal changes (i.e. amplitude of evoked motor potentials) induced by mental training as a function of the applied perturbations, before and after perturbation. For Sequence 3, the main objective will be to examine the influence of neuroplasticity on the quality of mental training. More specifically, the investigators will study the links between brain plasticity and motor learning through mental training. The secondary objective will be to examine the corticospinal changes (i.e. amplitude of evoked motor potentials) induced by mental training at different levels of the neuromuscular system (cortical, cervicomedullar, peripheral) after a training period. For Sequence 4, the main objective will be to examine the effect of short-term arm-immobilization of on the retention of motor learning induced by mental training. The secondary objective will be to examine the corticospinal changes (i.e., amplitude of motor evoked potentials) induced by of short-term arm-immobilization, or by transcranial direct current stimulation (tDCS), on motor learning. The results of this fundamental research project will allow a better understanding of neurophysiological and behavioral mechanisms that underlie motor learning through motor imagery. The results will allow to efficiently consider inter-individual specificities and will thus open up to clinical research perspectives, towards the establishment of adapted motor rehabilitation protocols.

Study Overview

Study Type

Interventional

Enrollment (Estimated)

556

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Dijon, France
        • Recruiting
        • INSERM - U1093 Cognition, Action, and Sensorimotor Plasticity
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 60 years (Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Male or female between 18 and 60 years old
  • Having given written informed consent
  • Affiliated to a social security scheme

Exclusion Criteria:

  • History of psychiatric illness (declarative)
  • Person under guardianship, curatorship, safeguard of justice
  • Neurological problem that could bias the results of the study (declarative)
  • Personal or family history of epilepsy
  • Person deprived of liberty by judicial or administrative decision
  • Person hospitalized without consent and not subject to legal protection, and person admitted to a health or social institution for purposes other than that of the research
  • Person subject to an exclusion period for another research
  • Pregnant women or women of childbearing age not using known contraception
  • Breastfeeding women
  • Person on medication that could influence neurophysiological measures (neuroleptics, anxiolytics, antidepressants)
  • Person carrying :
  • pacemaker or other device that could interfere with the magnetic field
  • Implants (mechanical or electronic: cochlear implants, neural or cardiac pacemakers, infusion pumps, magnetic aneurysm clips, etc.)
  • Metallic foreign bodies in the eye or nervous system
  • Metallic objects (tattoos, piercings, etc.)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Factorial Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Sequence 3 - Control 2
Paired Associative Stimulation Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the nerves
Combined magnetic and electric stimulation of cortex and nerve, respectively
Other Names:
  • PAS
Electric stimulation of the muscle
Sham Comparator: Sequence 4 - Control
Transcranial magnetic stimulation Motor task Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Training to perform the task by imaging doing the task
Experimental: Sequence 1 - Training with same task - Long follow-up
Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Training to perform the task by imaging doing the task
Experimental: Sequence 1 - Training with same task - Short follow-up
Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Training to perform the task by imaging doing the task
Experimental: Sequence 1 - Training with different tasks - Long follow-up
Motor task (different task in immediate post test) Transcranial magnetic stimulation Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Training to perform the task by imaging doing the task
Experimental: Sequence 1 - Training with different tasks - Short follow-up
Motor task (different task in immediate post test) Transcranial magnetic stimulation Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Training to perform the task by imaging doing the task
Experimental: Sequence 1 - Training with muscle contractions - Long follow-up
Motor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Training to perform the task by imaging doing the task
Experimental: Sequence 1 - Training with muscle contractions - Short follow-up
Motor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Training to perform the task by imaging doing the task
Active Comparator: Sequence 1 - Control
Motor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation No mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Active Comparator: Sequence 2 - Physical training with perturbation during preparation - Long follow-up
Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training
Magnetic stimulation of the cortex
Other Names:
  • TMS
External perturbation of force field induced by robotic arm
Training to perform the task by actually doing the task
Active Comparator: Sequence 2 - Physical training with perturbation during preparation - Short follow-up
Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training
Magnetic stimulation of the cortex
Other Names:
  • TMS
External perturbation of force field induced by robotic arm
Training to perform the task by actually doing the task
Active Comparator: Sequence 2 - Physical training with perturbation after preparation - Long follow-up
Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training
Magnetic stimulation of the cortex
Other Names:
  • TMS
External perturbation of force field induced by robotic arm
Training to perform the task by actually doing the task
Active Comparator: Sequence 2 - Physical training with perturbation after preparation - Short follow-up
Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training
Magnetic stimulation of the cortex
Other Names:
  • TMS
External perturbation of force field induced by robotic arm
Training to perform the task by actually doing the task
Experimental: Sequence 2 - Mental training with perturbation during preparation - Long follow-up
Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
External perturbation of force field induced by robotic arm
Training to perform the task by imaging doing the task
Experimental: Sequence 2 - Mental training with perturbation during preparation - Short follow-up
Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
External perturbation of force field induced by robotic arm
Training to perform the task by imaging doing the task
Experimental: Sequence 2 - Mental training with perturbation after preparation - Long follow-up
Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
External perturbation of force field induced by robotic arm
Training to perform the task by imaging doing the task
Experimental: Sequence 2 - Mental training with perturbation after preparation - Short follow-up
Motor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
External perturbation of force field induced by robotic arm
Training to perform the task by imaging doing the task
Experimental: Sequence 3 - Training (same task) - Long follow-up
Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the nerves
Combined magnetic and electric stimulation of cortex and nerve, respectively
Other Names:
  • PAS
Training to perform the task by imaging doing the task
Electric stimulation of the muscle
Experimental: Sequence 3 - Training (same task) - Short follow-up
Paired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the nerves
Combined magnetic and electric stimulation of cortex and nerve, respectively
Other Names:
  • PAS
Training to perform the task by imaging doing the task
Electric stimulation of the muscle
Experimental: Sequence 3 - Training (different task) - Long follow-up
Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the nerves
Combined magnetic and electric stimulation of cortex and nerve, respectively
Other Names:
  • PAS
Training to perform the task by imaging doing the task
Electric stimulation of the muscle
Experimental: Sequence 3 - Training (different task) - Short follow-up
Paired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the nerves
Combined magnetic and electric stimulation of cortex and nerve, respectively
Other Names:
  • PAS
Training to perform the task by imaging doing the task
Electric stimulation of the muscle
Active Comparator: Sequence 3 - Control 1
Mental Training Motor task (same as the motor task) Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the nerves
Training to perform the task by imaging doing the task
Electric stimulation of the muscle
Experimental: Sequence 4 - Immobilization - Short follow-up
Transcranial magnetic stimulation Arm immobilization Motor task Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Short-term immobilization of the arm
Training to perform the task by imaging doing the task
Experimental: Sequence 4 - Immobilization - Long follow-up
Transcranial magnetic stimulation Arm immobilization Motor task Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Short-term immobilization of the arm
Training to perform the task by imaging doing the task
Experimental: Sequence 4 - Cathodal - Short follow-up
Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the cortex
Other Names:
  • tDCS
Training to perform the task by imaging doing the task
Experimental: Sequence 4 - Cathodal - Long follow-up
Transcranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the cortex
Other Names:
  • tDCS
Training to perform the task by imaging doing the task
Experimental: Sequence 4 - Anodal - Short follow-up
Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the cortex
Other Names:
  • tDCS
Training to perform the task by imaging doing the task
Experimental: Sequence 4 - Anodal - Long follow-up
Transcranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training
Magnetic stimulation of the cortex
Other Names:
  • TMS
Electric stimulation of the cortex
Other Names:
  • tDCS
Training to perform the task by imaging doing the task

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Evolution of movement speed - Sequence 1
Time Frame: Each day in Sequence 1 (Sequence 1 is 11 days)
The duration of performed movement sequences
Each day in Sequence 1 (Sequence 1 is 11 days)
Evolution of movement accuracy - Sequence 1
Time Frame: Each day in Sequence 1 (Sequence 1 is 11 days)
The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).
Each day in Sequence 1 (Sequence 1 is 11 days)
Evolution of trajectory error - Sequence 2
Time Frame: Each day in Sequence 2 (Sequence 1 is 10 days)
The area under the curve of hand's trajectory according to the straight line joining the starting target and the final target.
Each day in Sequence 2 (Sequence 1 is 10 days)
Evolution of maximal deviation - Sequence 2
Time Frame: Each day in Sequence 2 (Sequence 1 is 10 days)
The maximal perpendicular distance between the position of the hand and the straight line joining the starting target and the final target
Each day in Sequence 2 (Sequence 1 is 10 days)
Evolution of final error - Sequence 2
Time Frame: Each day in Sequence 2 (Sequence 1 is 10 days)
The distance between the final position of the hand and the position of the final target.
Each day in Sequence 2 (Sequence 1 is 10 days)
Evolution of movement speed - Sequence 3
Time Frame: Each day from day 2 to day 11 of Sequence 3 (Sequence 3 is 11 days)
The duration of performed movement sequences
Each day from day 2 to day 11 of Sequence 3 (Sequence 3 is 11 days)
Evolution of movement accuracy - Sequence 3
Time Frame: Each day from day 2 to day 11 of Sequence 3 (Sequence 3 is 11 days)
The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).
Each day from day 2 to day 11 of Sequence 3 (Sequence 3 is 11 days)
Evolution of movement speed - Sequence 4
Time Frame: Each day in Sequence 4 (Sequence 4 is 6 days)
The duration of performed movement sequences
Each day in Sequence 4 (Sequence 4 is 6 days)
Evolution of movement accuracy - Sequence 4
Time Frame: Each day in Sequence 4 (Sequence 4 is 6 days)
The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).
Each day in Sequence 4 (Sequence 4 is 6 days)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Evolution of motor evoked potentials amplitude - Sequence 2
Time Frame: Each day in Sequence 2 (Sequence 2 is 10 days)
Peak-to-peak amplitude of motor evoked potentials
Each day in Sequence 2 (Sequence 2 is 10 days)
Evolution of motor evoked potentials amplitude - Sequence 3
Time Frame: Day 1, 5, 6, 10 and 11 in Sequence 3 (Sequence 1 is 11 days)
Peak-to-peak amplitude of motor evoked potentials
Day 1, 5, 6, 10 and 11 in Sequence 3 (Sequence 1 is 11 days)
Evolution of motor evoked potentials amplitude - Sequence 4
Time Frame: Days 1, 5, and 6 in Sequence 4 (Sequence 4 is 6 days)
Peak-to-peak amplitude of motor evoked potentials
Days 1, 5, and 6 in Sequence 4 (Sequence 4 is 6 days)
Evolution of motor evoked potentials amplitude - Sequence 1
Time Frame: Day 1, 5, 6, 10 and 11 in Sequence 1 (Sequence 1 is 11 days).
Peak-to-peak amplitude of motor evoked potentials
Day 1, 5, 6, 10 and 11 in Sequence 1 (Sequence 1 is 11 days).

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Florent Lebon, PhD, Institut National de la Santé Et de la Recherche Médicale, France

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 8, 2024

Primary Completion (Estimated)

April 1, 2027

Study Completion (Estimated)

April 1, 2029

Study Registration Dates

First Submitted

December 7, 2020

First Submitted That Met QC Criteria

March 2, 2021

First Posted (Actual)

March 5, 2021

Study Record Updates

Last Update Posted (Actual)

April 20, 2026

Last Update Submitted That Met QC Criteria

April 15, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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