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EEG and EMG Studies of Hand Dystonia

This study is currently recruiting participants.
Verified by National Institutes of Health Clinical Center (CC), October 2007

Sponsored by: National Institute of Neurological Disorders and Stroke (NINDS)
Information provided by: National Institutes of Health Clinical Center (CC)
ClinicalTrials.gov Identifier: NCT00025701
  Purpose

This study will examine how the brain operates during execution and control of voluntary movement and what goes wrong with these processes in disease. It will use electroencephalography (EEG) and electromyography (EMG) to compare brain function in normal subjects and in patients with focal hand dystonia. In dystonia, involuntary muscle movements, or spasms, cause uncontrolled twisting and repetitive movement or abnormal postures. Focal dystonia involves just one region of the body, such as the hand, neck or face.

EEG measures the electrical activity of the brain. The activity is recorded using wire electrodes attached to the scalp or mounted on a Lycra cap placed on the head. EMG measures electrical activity from muscles. It uses wire electrodes placed on the skin over the muscles.

Adult healthy normal volunteers and patients with focal hand dystonia may be eligible for this study. Patients will be selected from NINDS's dystonia patient database.

Participants will sit in a semi-reclining chair in a darkened room and be asked to move either their right index finger, right foot, or the angle of their mouth on the right side at a rate of one movement every 10 seconds. Brain and muscle activity will be measured during this task with EEG and EMG recordings.

...


Condition
Focal Dystonia

Genetics Home Reference related topics:   early-onset primary dystonia    familial paroxysmal nonkinesigenic dyskinesia   

MedlinePlus related topics:   Dystonia   

U.S. FDA Resources

Study Type:   Observational
Official Title:   EEG Study of Movement-Related Center-Surround Organization in Hand Dystonia

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

Estimated Enrollment:   80
Study Start Date:   October 2001

Detailed Description:

Objective

- To find and quantify EEG/MEG correlates of cortical center-surround organization and intracortical inhibition. To compare these between healthy volunteers and focal hand dystonia (FHD) patients.

Study Population

- Healthy volunteers and FHD patients.

Design

- The study has two separate arms aiming to examine the same question. In the first one subjects perform a 4-choice contingence negative variation (CNT) type motor task while multi-channel EEG and EMG are recorded. In the second arm somatosensory evoked potentials (SEPs) or fields (SEFs) are recorded to median nerve stimulation.

Outcome Measures

- First arm: EEG band-power difference between "center" and "surround". Second arm: number, amplitude, and power of high frequency oscillations (HFOs) component of SEPs/SEFs.

  Eligibility
Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Criteria
  • INCLUSION CRITERIA:

The study population will consist of (a) healthy volunteers; and (b) patients with focal hand dystonia.

Healthy subjects: Healthy volunteers who consented to participate in the study.

Patients diagnosed with focal hand dystonia: unilateral focal hand dystonia from our dystonia patient database who consented to participate in the study.

EXCLUSION CRITERIA:

Healthy subjects: abnormal neurological exam or history of past neurological disease.

Dystonia patients: the presence of a second neurological disease or condition; abnormal neurological findings on exam that are not related to their focal hand dystonia.

For MRI studies, patients with metallic implants will be excluded to remove potential risks from this procedure.

For MRI purposes, women who are pregnant are excluded from this part of the protocol. Therefore, all women of childbearing potential will have a pregnancy test performed prior to prospective MRI studies, which must be negative, before proceeding.

For TMS studies, healthy volunteers or focal hand dystonia patients who have a pacemaker, an implanted medical pump, a metal plate or metal object in the skull or eye (for example, after brain surgery), or who have a history of seizure disorder will be excluded from the trial.

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00025701

Contacts
Contact: Patient Recruitment and Public Liaison Office     (800) 411-1222     prpl@mail.cc.nih.gov    
Contact: TTY     1-866-411-1010    

Locations
United States, Maryland
National Institutes of Health Clinical Center, 9000 Rockville Pike     Recruiting
      Bethesda, Maryland, United States, 20892

Sponsors and Collaborators
  More Information


NIH Clinical Center Detailed Web Page  This link exits the ClinicalTrials.gov site
 

Publications:

Study ID Numbers:   020010, 02-N-0010
First Received:   October 11, 2001
Last Updated:   July 18, 2008
ClinicalTrials.gov Identifier:   NCT00025701
Health Authority:   United States: Federal Government

Keywords provided by National Institutes of Health Clinical Center (CC):
Cortex  
Inhibition  
Motor Control  
Event-Related Synchronization  
Event-Related Desynchronization  
Focal Hand Dystonia  
Focal Dystonia
Dystonia
Hand
Healthy Volunteer
HV

Study placed in the following topic categories:
Dystonic Disorders
Signs and Symptoms
Movement Disorders
Central Nervous System Diseases
Neurologic Manifestations
Dystonia
Healthy
Focal dystonia
Dyskinesias

Additional relevant MeSH terms:
Nervous System Diseases

ClinicalTrials.gov processed this record on September 23, 2008




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