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Vibrotactile Coordinated Reset for Spasticity After Spinal Cord Injury

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Stanford University

Status

Begins enrollment in 8 months

Conditions

Spasticity, Muscle
Spinal Cord Injuries

Treatments

Device: Vibrotactile Coordinated Reset

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The purpose of our study is to evaluate vibrotactile Coordinated Reset (vCR) and its effects on spasticity symptoms in incomplete spinal cord injured patients. vCR will be administered with a device called the Stanford CR Glove. vCR is expected to provide patients with a non-invasive alternative to the most widely used treatments such as oral baclofen and or deep brain stimulation. Patients will be followed for three months and will be asked to come to the lab for clinical testing 4 times during this period. A total of 30 patients will be included in the study.

Enrollment

30 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Age at the time of enrollment: Any adult ages 18 and over
  2. Spinal Cord Injury: ASIA C or D injury at level C1-T1
  3. Duration of incomplete spinal cord injury minimum 1 years clinical/fundamental
  4. Spasticity with a of MAS score >3 present in upper extremities.
  5. Fluent in English
  6. If patient is on medication that affects brain function or alters EEG activity, the patient must feel comfortable going off this medication prior to EEG recording.
  7. Appropriate social support if required during an off-medication state.
  8. Comfortable with technology; can use a computer, check email, and access the internet; can initiate and engage in a virtual meeting for training and monitoring purposes.
  9. Feels comfortable going off certain spasticity related medication during in-person study visits
  10. Lives in the United States

Exclusion criteria

  1. Sensory deficits in palma manus resulting in missing inter digit discrimination of the fingertips.
  2. Any significant neuro-psychiatric problems, including acute confusional state, ongoing psychosis, or suicidal tendencies.
  3. Any current drug or alcohol abuse.
  4. Participation in another drug, device, or biologics trial concurrently or within the preceding 30 days. Any other trial participation should be approved by the Principal Investigators.
  5. Pregnancy, breast-feeding or wanting to become pregnant.
  6. Physical limitations unrelated to spasticity that would affect motor ratings.
  7. Craniotomy
  8. Brain surgery
  9. Patient is unable to communicate properly with staff (i.e., severe speech problems)
  10. Medications that may affect relevant synaptic plasticity
  11. Concurrent Botox treatment
  12. A type of hairstyle that would impede the use of an EEG cap.

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

30 participants in 1 patient group

Vibrotactile Coordinated Reset stimulation
Experimental group
Description:
Participants will receive vCR stimulation, involving vibratory stimulation of the fingertips, with the Stanford CR Glove on a daily or weekly basis.
Treatment:
Device: Vibrotactile Coordinated Reset

Trial contacts and locations

1

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Central trial contact

Jessica Yankulova

Data sourced from clinicaltrials.gov

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