Spinal Cord-Targeted Stimulation to Improve Hand Function in Hemiplegic Cerebral Palsy
Official title: Paired Stimulation of Hand Motor Cortex and Median Nerve to Induce Spinal Cord Plasticity in Hemiplegic Cerebral Palsy
Run by Columbia University · NCT07607665 · Data updated 2026-11-12
This study tests whether pairing hand motor cortex stimulation with median nerve stimulation can boost hand dexterity in adults with hemiplegic cerebral palsy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 25 (estimated) |
| Sponsor | Columbia University Academic / other |
| Locations | 1 site (New York, New York) |
| Status | Recruiting |
| Started | July 27, 2026 |
| Main results expected | May 2031 |
| Study ends | May 2032 |
| Registry record updated | September 14, 2026 |
| Trial ID | NCT07607665 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with hemiplegic cerebral palsy who have MACS levels I–III and can provide informed consent.
✕Probably not a fit
Individuals with a history of seizures in the last two years, those on medications lowering seizure threshold, or with implanted stimulators/pacemakers may not benefit and are excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial explores a non-invasive approach called spinal cord associative plasticity, combining stimulation of the hand motor cortex and the median nerve to induce plastic changes in the cervical spinal cord. Researchers will verify stimulation parameters that may promote sensorimotor plasticity and measure neurophysiological, biomechanical, and functional outcomes related to hand dexterity. If initial findings show meaningful improvements, results could justify a larger study to confirm benefits for upper limb movement. The study uses Paired brain and nerve stimulation with careful attention to safety and tolerability in adults with hCP.
Why it matters
Potential benefit: If successful, participants could experience improved hand and arm function through enhanced neural plasticity.
How similar studies have gone: Previous work in other populations suggests that paired brain and nerve stimulation can enhance motor responses, but this spinal cord-focused approach in hCP is exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Maintenance of caffeine and exercise levels at time of sessions * Ability to provide informed consent * Manual ability classification system (MACS) level I to III Exclusion Criteria: * History of seizures in last two years * Use of medications that lower seizure threshold * History of implanted equipment including stimulators/pacemakers
Where it's running
-
Columbia University Irving Medical Center
New York, New York, United States Recruiting
Study contacts
- Principal investigator: Jason Carmel, MD, PhD — Columbia University
- Study coordinator: Shaker Dukkipati, MD, PhD
- Email: sd3850@cumc.columbia.edu
- Phone: 2123046501
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Manual Therapy Before Neuromotor Rehab in Children with Cerebral Palsy
In this pilot study, researchers test whether 30 minutes of lower-limb manual therapy before functional neuromotor therapy helps improve gait and motor performance in children with spastic cerebral palsy.
-
Bootle Blast home-based video-game therapy for children with hemiplegic cerebral palsy
This pilot will test whether Bootle Blast, a movement-tracking video game played at home, can improve arm and hand function in children aged 6–17 with hemiplegic cerebral palsy.
-
Kinesiotherapy to improve arm function and daily activities in children with hemiplegic cerebral palsy
This program will test whether adding kinesiotherapy to regular physical therapy helps children ages 8–13 with hemiplegic cerebral palsy improve their affected arm function and everyday activities.
-
Comparing two therapies for children with hemiplegic cerebral palsy
This study is testing whether a hands-on therapy or virtual reality training can help improve movement in children with hemiplegic cerebral palsy.
-
Improving walking performance in children with cerebral palsy through a new therapy
This study is testing a new therapy to see if it can help children with cerebral palsy walk better by focusing on their personal walking goals with support from their caregivers.
-
Therapy Together program for children with unilateral cerebral palsy
This study tests if a new therapy program can help young children with unilateral cerebral palsy improve their hand skills and everyday activities better than standard care.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.