Clinical trial Recruiting at 1 site Interventional Ages 18 to 80

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 typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment25 (estimated)
SponsorColumbia University
Academic / other
Locations1 site (New York, New York)
StatusRecruiting
StartedJuly 27, 2026
Main results expectedMay 2031
Study endsMay 2032
Registry record updatedSeptember 14, 2026
Trial IDNCT07607665 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

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.