Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Mapping brain activity during shoulder movement in stroke patients

Official title: Mapping Corticoreticulospinal Motor Control Using Brainstem and Spinal Cord fMRI in Chronic Hemiparetic Stroke

Run by Northwestern University · NCT06598150 · Data updated 2026-11-12

This study is testing how the brain works during shoulder movements in stroke survivors to find new ways to help them regain control of their movements.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment32 (estimated)
SponsorNorthwestern University
Academic / other
Drugs / interventionsradiation
Locations1 site (Chicago, Illinois)
StatusRecruiting
StartedMay 20, 2023
Main results expectedAugust 31, 2026
Study endsAugust 31, 2026
Registry record updatedOctober 1, 2025
Trial IDNCT06598150 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older who have experienced a unilateral stroke with moderate-to-severe upper limb motor impairment.

Probably not a fit

Patients with severe concurrent medical problems, significant brainstem or cerebellar lesions, or those unable to undergo MRI will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study utilizes functional magnetic resonance imaging (fMRI) to investigate the neural pathways involved in shoulder abduction tasks among individuals who have experienced a stroke. By focusing on the corticospinal and corticoreticular tracts, the research aims to identify which motor pathways are activated during movement, potentially revealing alternative pathways that could be targeted for rehabilitation. The study seeks to generate a novel dataset that can inform future interventions aimed at improving motor control in stroke survivors. Participants will be screened for eligibility based on their ability to perform the task and their medical history.

Why it matters

Potential benefit: If successful, this study could lead to improved rehabilitation strategies for stroke survivors, enhancing their upper limb motor control.

How similar studies have gone: While there has been research on cortical activity post-stroke, this approach of directly mapping descending motor pathways using fMRI is relatively novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults aged at least 18y
* Able to perform shoulder abduction task (confirmed during screening and initial examination)
* Safe to undergo MRI
* Able to follow visual instructions using MRI-compatible vision correction goggles
* No brainstem or cerebellar lesions
* No severe concurrent medical problems
* Cognitive/attentional capacity to focus on a task
* Able to communicate in English or Spanish

Additional inclusion criteria for stroke participants:

* Have sustained only one unilateral subcortical, ischemic lesion in the territory supplied by the Middle Cerebral Artery (confirmed by clinical or radiological reports) at least one year prior to participation in this project
* Paresis confined to one side, with moderate-to-severe motor impairment of the upper limb (Upper Extremity Fugl-Meyer score between 10 and 45).

Exclusion Criteria:

* MRI contraindications
* Severe claustrophobia
* Pregnant women
* Prisoners
* Vulnerable populations
* Diagnosis/history of:
* multiple sclerosis
* brain tumor
* brain radiation
* traumatic brain injury
* dementia
* Parkinson's disease
* Concurrent enrollment in an intervention study
* Concurrent use of medications known to suppress central nervous system activity

Where it's running

  • Northwestern University
    Chicago, Illinois, United States
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.