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Neuromodulation to Improve Grasping Function After SCI

Key facts

Who runs it
State University of New York at Buffalo
Where
Buffalo, United StatesSee the site
Trial code
Status
Recruiting
People taking part
54 people, planned
Started
1 Apr 2026
Expected to end
30 Jun 2027
Type of study
Interventional, 4 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • iTBS
  • Sham iTBS
  • PCMS
  • Sham PCMS
  • Exercise
Record updated
23 April 2026

Who can take part

Age
18 years to 75 years
Sex
Women and men
Healthy volunteers
Can take part

The registry criteria, word for word

Show all 13 criteriaShow less

Who can take part

  • For individuals with SCI:
  • Ages 18-75 years
  • Chronic SCI (≥1 year of injury)
  • Cervical injury at C8 or above
  • Individuals who have MEP responses in at least one FDI muscle

Who cannot take part

  • Receiving drugs acting primarily on the central nervous system, which lower the seizure threshold such as antipsychotic drugs
  • Uncontrolled medical problems including pulmonary or cardiovascular disease
  • History of head injury or stroke
  • History of seizures
  • Individuals who suffer from a spinal cord disease such as spinal stenosis, spinal bifida or herniated cervical
  • Premorbid, ongoing major depression or psychosis, altered cognitive status
  • Metal plate in skull
  • Pregnant females

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 75 years old?

Where in United States

  • The State University of New York at BuffaloBuffalo, United StatesContact: Karen BarnesTaking people

About the trial

What the trial wants to find out

The goal of this study is to restore the activities of late descending signals with a noninvasive stimulation approach in combination with hand motor training to improve hand function in persons with cervical SCI. The main question it aims to answer is if the inputs to late descending signals above the level of injury and the output of residual late descending signals below the level of injury could be increased. Specifically, in the first part of the study, 30 participants will complete 2 randomized sessions to compare the effect of intermittent theta burst stimulation combined with paired corticospinal motoneuronal stimulation. In the second part of the study, 24 participants will complete either combined stimulation protocol or sham stimulation protocol with exercise training.

The 4 groups in the trial

  • iTBS and PCMSExisting treatment, for comparison

    iTBS and PCMS will be administered and functional and physiological outcomes will be measured before and after the intervention.

    Treatment: iTBS and PCMS

  • Sham iTBS and PCMSSham treatment, for comparison

    Sham iTBS and PCMS will be administered and functional and physiological outcomes will be measured before and after the intervention.

    Treatment: Sham iTBS and PCMS

  • iTBS and PCMS with exerciseExisting treatment, for comparison

    Participants will complete iTBS and PCMS with exercise for 10 sessions.

    Treatment: iTBS, PCMS, and Exercise

  • Sham iTBS and sham PCMS with exerciseSham treatment, for comparison

    Participants will complete sham stimulation with exercise for 10 sessions.

    Treatment: Sham iTBS and Sham PCMS

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Neuromodulation to Improve Grasping Function After Spinal Cord Injury
Fit questions
Built from NCT07433959, who can take part
Record updated
23 April 2026