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CompletedNCT02860403Updated May 28, 2019

Motor Imagery for Reach-to-grasp Rehabilitation After Tetraplegia

An interventional study of motor imagery in Tetraplegia C5-C6 and Tetraplegia C6-C7, sponsored by Hospices Civils de Lyon. Completed at 1 site in France. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-05-28.

Sponsored by Hospices Civils de Lyon · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
16
Allocation
Non-randomized
Ages
18 Years to 55 Years
Sex
All
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Study summary

Single center, pilot study, to evaluate the influence of Motor Imagery (MI) on functional rehabilitation and cerebral plasticity through the qualitative and quantitative mental practice approach. For this, the investigators will use magnetoencephalography (MEG) but also physiological and behavioral indicators developed by the Laboratoire de la Performance Motrice, Mentale et du Matériel (P3M) of Université Claude Bernard Lyon 1 and its partners.

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Conditions studied

  • Tetraplegia C5-C6
  • Tetraplegia C6-C7

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Keywords

  • Cervical spinal cord injury
  • Motor imagery
  • Magnetoencephalography
03

In context

Quadriplegia

189 studies on the registry are indexed under Quadriplegia; 72 are open to participants now.

This study's enrollment of 16 is above the median of 13 across 162 interventional studies indexed under Quadriplegia.

Browse Quadriplegia studies →

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,826 studies on the registry; 439 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 18-55 years old,
  • quadriplegia elicited by spinal cord injury (SCI) at the C5, C5-C6, C6, or C6-C7 level,
  • complete infra-lesional motor deficit according to the ASIA impairment scale with finger and forearm flexor muscles paralysis,
  • post-traumatic period >6 months (since a motor recovery plateau is usually reached at 6-month post-SCI

Exclusion criteria

Exclusion Criteria:

  • non-stabilized hypertension or pathological autonomic nervous system dysfunction (e.g., orthostatic hypotension),
  • cerebral damage and/or cognitive deficit,
  • elbow or shoulder joint amplitude restriction, upper limb para-osteoarthropathy,
  • participation to another study
  • presence of metallic objects within the body incompatible with MEG or functional magnetic resonance imaging (fMRI) recordings.
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    C6-C7 patients

    C6-C7 patients able to recover tenodesis grasp.

    Procedure: motor imagery

  • Experimental
    C5-C6 patients

    C5-C6 patients for whom surgery for rehabilitation of an upper limb is indicated with a upper limit of one year after trauma, and after complete clinical and functional evaluation

    Procedure: motor imagery

  • No intervention
    Control group

    a control group (n=6) matched on age and sex to C6-C7 without medical history or neurological disorder

Interventions

  • Proceduremotor imagery

    Intervention consisted of supervised MI during which the participants were trained to imagine performing a single-joint wrist extension movement and a multiple-joint reach-to-grasp movement using tenodesis. The two movements were practiced in separate blocks and each 45 minute MI session consisted of six to eight blocks. Within a given block patients; i) performed the movement once, ii) imagined it using visual imagery (between five and ten repetitions), iii) performed the movement again, and iv) imagined it using kinesthetic imagery (between five and ten repetitions). All movements (performed and imagined) were timed by the experimenter to ensure that the durations of both imagined and physically practiced movements were similar. Imagery vividness was controlled with self-rated assessments using a visual analogic scale (from 0, the image or feeling was absent, to 10 when it was as clear or intense as physical practice).

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What researchers measure

Primary outcomes

  1. Motor imagery ability

    Motor imagery ability assessed by magnetoencephalography measurements

    Time frame: 10 weeks

Secondary outcomes

  1. Movement time (MT)

    Kinematic parameters of movement: temporal parameters: movement time (MT)

    Time frame: 10 weeks

  2. absolute time to peak velocity

    Kinematic parameters of movement: temporal parameters: absolute time to peak velocity

    Time frame: 10 weeks

  3. movement amplitude at peak velocity

    Kinematic parameters of movement: temporal parameters: movement amplitude at peak velocity

    Time frame: 10 weeks

  4. time to opening

    Kinematic parameters of movement: temporal parameters: time to opening

    Time frame: 10 weeks

  5. time to maximal opening

    Kinematic parameters of movement: temporal parameters: time to maximal opening

    Time frame: 10 weeks

  6. amplitude of maximal opening

    Kinematic parameters of movement: temporal parameters: amplitude of maximal opening

    Time frame: 10 weeks

  7. Trajectory of movement measured in the XY plane

    Kinematic parameters of movement: spatial parameters: Trajectory of movement measured in the XY plane

    Time frame: 10 weeks

  8. height of elbow and wrist at the moment of grasping an object, measured in mm in the YZ plane

    Kinematic parameters of movement: spatial parameters: height of elbow and wrist at the moment of grasping an object, measured in mm in the YZ plane

    Time frame: 10 weeks

  9. muscular force evaluated by muscle testing performed by a physiotherapist

    muscular force evaluated by muscle testing performed by a physiotherapist (score from 0 to 5)

    Time frame: 10 weeks

  10. joint amplitude evaluated in degrees (°) by the physiotherapist

    Time frame: 10 weeks

  11. Box and Block test

    Box and Block test performed by an occupational therapist

    Time frame: 10 weeks

  12. Minnesota test.

    Minnesota test performed by an occupational therapist

    Time frame: 10 weeks

  13. amplitude of electrodermal responses

    mental chronometric assessment associated with acquisition of electrodermal responses

    Time frame: 10 weeks

  14. duration of electrodermal responses

    mental chronometric assessment associated with acquisition of electrodermal responses

    Time frame: 10 weeks

  15. Kinesthetic and Visual Imagery Questionnaire

    The Kinesthetic and Visual Imagery Questionnaire (KVIQ) will allow a qualitative evaluation of the mental representation capacity of patients

    Time frame: 10 weeks

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Study locations

1 site
  • Hôpital Henry Gabrielle - Médecine physique et Réadaptation, Hospices Civils de Lyon, 20 Route de Vourles,
    Saint-Genis-Laval, 69230, France
08

References and documents

Publications

  • Mateo S, Reilly KT, Collet C, Rode G. Descriptive pilot study of vividness and temporal equivalence during motor imagery training after quadriplegia. Ann Phys Rehabil Med. 2018 Sep;61(5):300-308. doi: 10.1016/j.rehab.2018.06.003. Epub 2018 Jun 23. PubMed 29944923 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02860403
Lead sponsor
Hospices Civils de Lyon
Responsible party
Sponsor
First posted
Aug 9, 2016
Start date
Feb 2013
Primary completion
Mar 2013
Completion
Mar 2013
Last update
May 28, 2019

Study contacts

Gilles RODE, Pr
principal investigator · Hospices Civils de Lyon

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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