Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Personalized EEG‑guided brain stimulation during hand‑eye coordination

Official title: State-dependent Entrainment of Intrinsic Brain Rhythms to Improve Interregional Functional Coupling.

Run by Medical University of South Carolina · NCT07249801 · Data updated 2026-11-12

We will try a personalized, EEG‑guided repetitive brain stimulation approach to improve hand‑eye force control in adults with upper limb sensorimotor impairment.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment20 (estimated)
SponsorMedical University of South Carolina
Academic / other
Locations1 site (Charleston, South Carolina)
StatusRecruiting
StartedNovember 1, 2025
Main results expectedFebruary 28, 2027
Study endsFebruary 28, 2027
Registry record updatedSeptember 15, 2026
Trial IDNCT07249801 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18 years) who are right‑hand dominant with upper extremity sensorimotor impairment affecting eye‑hand control and who can voluntarily produce and repeatedly track whole‑hand grip force are ideal candidates.

Probably not a fit

Patients with contraindications to rTMS or MRI (for example, implanted electrically sensitive devices, a history of seizures, or other neurological/psychiatric conditions affecting cognition) or those unable to generate the required grip force are unlikely to benefit or be eligible.

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

What this trial studies

This is a within‑subject, crossover pilot using closed‑loop repetitive transcranial magnetic stimulation (rTMS) timed to each participant's EEG rhythms during bimanual visuomotor force tracking. The protocol compares phase‑locked rTMS targeting two key nodes of the frontoparietal network while participants perform goal‑directed eye‑hand control tasks. Stimulation pulses are delivered in a personalized, state‑based manner so they align with intrinsic neural oscillation phase during behavior. The aim is to develop methods suitable for precision neural‑circuit based rehabilitation trials.

Why it matters

Potential benefit: If successful, the approach could improve coordination and force control of the affected upper limb by strengthening timing and coupling in relevant brain networks.

How similar studies have gone: Prior rTMS and EEG work shows neuromodulation can change neural oscillations and behavior, but closed‑loop, phase‑locked rTMS for personalized visuomotor rehabilitation remains an early, pilot area of research.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* adult volunteers (age ≥18 years)
* right-hand dominance (defined with the Edinburg Handedness Scale)
* voluntary whole-hand grip force (Medical Research Council scale for muscle force ≥2)
* capable of repeated grasp and release with 5% of maximum voluntary contraction (standardized with an in-house computer-based assessment involving whole-hand grip force tracking upon visual cues with a digital dynamometer).

Exclusion Criteria:

* presence of any MRI risk factors (such as an electrically, magnetically, mechanically activated metal or nonmetal implant including cardiac pacemaker, intracerebral vascular clips, any other electrically sensitive support system, or claustrophobia)
* presence of any contraindications to repetitive transcranial magnetic stimulation, rTMS (e.g., history of seizures or epileptic activity, currently taking medications that lower seizure thresholds)
* any neurological or psychiatric disorders affecting cognitive function (e.g., established dementia) affecting the ability to understand the purpose of the study and give informed consent or ability to complete cognitive testing
* substance use disorder
* visual impairment that precludes completion of scanner tasks
* uncontrolled hypertension despite treatment
* intake of tricyclic anti-depressants
* musculoskeletal disorders affecting bimanual grasp- and release
* pregnancy (or suspected/possible pregnancy or plan to become pregnant in the short term). If the participant is a woman of childbearing potential, a urine pregnancy test will be performed on a standard basis.
* severe aphasia affecting particularly of receptive nature (NIH Stroke Scale, NIHSS Language subsection ≥2) affecting the ability to understand the purpose of the study and give informed consent
* pregnancy

Where it's running

  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting

Study contacts

  • Principal investigator: Kirstin-Friederike Heise, Ph.D. — Medical University of South Carolina
  • Study coordinator: Kirstin-Friederike Heise, PhD
  • Email: heisek@musc.edu
  • Phone: 843-792-3435

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.