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Effectiveness of NEUROM and tDCS for Motor Recovery in Chronic Paraplegia

Key facts

Who runs it
Lebanese University
Where
Lebanon1 site in 1 countryChoose a country to see its sites
Trial code
Status
Completed
People taking part
56 people enrolled
Started
1 Dec 2022
Ended
1 Oct 2024
Type of study
Interventional, 3 groupsOne group gets a sham (pretend) treatment, for comparison.
Treatments tested
  • Conventional Rehabilitation
  • NEUROM + tDCS
  • NEUROM
Record updated
12 February 2026

Who can take part

Age
16 years to 45 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

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Who can take part

  • Age: Between 16 and 45 years
  • Diagnosis: Chronic spinal cord injury (at least 3 months post-injury)
  • Level of Injury: Lower dorsal (below T10) or lumbar
  • Classification: American Spinal Injury Association Impairment Scale (AIS) grade A, B, or C
  • Signed Informed Consent

Who cannot take part

  • Concurrent Treatment: Involvement in any specific rehabilitation program other than the conventional protocol since injury
  • tDCS Contraindications: Presence of metal in the head or implanted medical devices (e.g., pacemaker, cochlear implant)
  • Seizure History: Any history of epilepsy or seizures
  • Medications: Current use of medications containing sodium channel blockers (e.g., carbamazepine) or history of substance abuse
  • Comorbidities: Neuropsychiatric comorbidities or Traumatic Brain Injury (TBI)
  • Spasticity: Severe spasticity defined as a Modified Ashworth Scale score ≥ 3; Crucial Data Fixes (You must update these fields in the registry UI):

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

Traumatic Spinal Cord Injury (TSCI) is a catastrophic, unexpected, and devastating event that can occur along the spinal column (cervical, thoracic, and lumbar). Traditional views describe the spinal cord as a protected bundle of nerves connecting the brain to the body. TSCI often results in life-threatening conditions including varying degrees of motor paralysis, sensory loss, and impairment of bowel, bladder, sexual, and other physiologic functions.

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In this study, the investigators propose a new experimental rehabilitative protocol for TSCI patients called the Neural Motor Recruitment Method (NEUROM). This method is based on histological and functional reorganization models following TSCI, Motor Imagery (MI) concepts, and targeted sensory inputs related to motor recovery. It is hypothesized that this new method can enhance sparing-induced plasticity and increase motor and sensory recovery in SCI patients, especially when combined with Transcranial Direct Current Stimulation (tDCS).

The 3 groups in the trial

  • Conventional GroupSham treatment, for comparison

    Conventional usual Rehabilitation is administered to a group of patients without any effect on their recovery

    Treatment: Conventional Rehabilitation

  • NEUROMTreatment being tested

    participants received the new protocol of a method called NEUROM consisting of 3 phases of treatment : Motor Imagery training, active rehabilitation and functional rehabilitation

  • NEUROM combined with tDCSTreatment being tested

    same as the second arm of NEUROM combined with transcranial direct stimulation

    Treatment: NEUROM + tDCS

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Synergistic Effect of tDCS and Neuromotor Recruitment on Functional Recovery in Chronic Paraplegia: A Randomized Controlled Trial
Publications
Record updated
12 February 2026