ClinicalTrials.gg
RecruitingNCT05237973Updated Sep 17, 2026

Investigational Use of Neuromuscular Ultrasound

An observational study in Muscular Dystrophy, Peripheral Neuropathy and Motor Neuron Disorder, sponsored by National Institute of Neurological Disorders and Stroke (NINDS). Recruiting at 1 site in United States. Open to participants aged 18 Years to 110 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by National Institute of Neurological Disorders and Stroke (NINDS) · Observational

From the registry’s dates

  • Started Apr 2022; still recruiting 4 years 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
18 Years to 110 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 127 studies in Muscular Dystrophies with a site in United States — 32 open to participants now, 43 under way, 2 of them phase 3. Muscular Dystrophies · United States.

Planned enrollment
20th of 44
150 · median 109
Started
2022
with 12 others
Observational
45 of 127
17 open now
Primary completion
2027-08
later than 12 of 41 live
Registered
90th of 127
by date
Lead sponsor
5 of 127
National Institute of Neurological Disorders and Stroke (NINDS)

Among the 127 studies in Muscular Dystrophies with a site in United States, this one is the 20th largest by planned enrollment of the 44 observational ones that give a count, is one of 13 that started in 2022, is one of 45 observational ones, reaches primary completion later than 12 of the 41 other live ones, and was the 90th registered.

Muscular Dystrophies

224 studies on the registry are indexed under Muscular Dystrophies; 48 are open to participants now.

Browse Muscular Dystrophies studies →

Open to participants now

32 of the 127 studies in Muscular Dystrophies with a site in United States are open now. Recruiting first, the newest first:

26 more — sign in →

All 32 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 38 Muscular Dystrophies studies recruiting now, 14 (37%) set no upper age limit and 15 (39%) stop at 75 or younger; 24 take children under 18; 7 take healthy volunteers.

This study: 18 Years to 110 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 127 studies in Muscular Dystrophies with a site in United States, or all of them as a file.
02

Study summary

Background:

Current techniques used to measure the health and function of a person s nerves and muscles are generally effective, but they do have limits. Researchers are looking for ways to improve the ability to observe nerves and muscles and how they function in this natural history protocol.

Objective:

To study the use of ultrasound (sound waves) to learn more about nerves and muscles.

Eligibility:

Healthy adults, aged 18 and older, with no history of stroke, nerve or muscular disorders, or spine surgery are also needed. A smaller population of adults aged 18 and older who have a neuromuscular disorder or show symptoms of nerve or muscle disorder will also be evaluated.

Design:

Participants will be screened with a medical record review.

Participants will have up to 5 outpatient clinic visits. Most participants will have 1 or 2 visits. Visits will last for less than 3-4 hours each.

During each visit, participants will give a brief medical history and have a physical exam.

Participants will have ultrasounds to get pictures and measurements of their nerves and muscles. Gel will be applied to their skin. A probe will be placed on the skin surface. Sound waves sent through the probe will be used to create pictures.

Participants may have nerve conduction studies. Wires will be taped to the skin surface near a muscle or nerve in the arm or leg. The nerve will be stimulated with a small electric current that feels like a rubber band flick. The response will be recorded through the wires.

Read the detailed description

Study Description:

Currently there are a limited number of biomarkers that can provide quantitative, reliable information about nerve and muscle function and structure in patients with neuromuscular diseases. This protocol aims to investigate and define specific ultrasound imaging techniques of nerves and muscles that may be useful as biomarkers in clinical trials. For nerve studies, we aim to evaluate the use of high resolution ultrasound probes for B-mode imaging including cross sectional area, diameter and nerve fascicle counts. Additional imaging modalities will be evaluated including shear wave elastography and low flow microvascular imaging. Ultrasound modalities for muscle imaging will include B-mode imaging, muscle thickness, echo-intensity and or shear wave imaging and low flow microvascular imaging. The hypothesis for incorporating these ultrasound imaging modalities into neuromuscular evaluations is these techniques can provide unique quantitative, reproducible data about the structure of nerves and muscles. This information can be used to compare patients with controls and measure change in these modalities in neuromuscular disease states and determine if these measures can serve as a reliable biomarker in neuromuscular diseases.

Objectives:

Primary Objectives:

  • To acquire normative values for elastography of muscle in a population of healthy volunteers
  • To acquire normative values for elastography of nerve in a population of healthy volunteers
  • To acquire normative values of nerve fascicular count in a population of healthy volunteers
  • To collect normal values of M-mode diaphragm imaging during quiet and deep breathing and voluntary sniff testing in a population of health controls to establish normal values.

Secondary Objectives:

  • To determine the reproducibility of specialized techniques involving ultrasound of muscle and nerve: shear wave elastography in muscles and nerves, nerve fascicle counts
  • To determine the presence or absence of low flow microvascular flow within nerves of a population of healthy volunteers

Exploratory Objectives:

  • To compare shear wave elastography values (kPa, meters/second) with standard nerve conduction values; amplitude and nerve conduction velocities in healthy controls and participants with neuromuscular diseases.
  • To compare shear wave elastography values with muscle thickness, echotexture and Heckmatt Scale values
  • To compare shear wave elastography values (kPa, meters/second), nerve fascicle count and microvascular flow between volunteers with participants with neuromuscular disorders
  • To compare B-mode quantitative measures of muscle in healthy controls and participants with neuromuscular diseases.
  • To compare M-mode imaging values of diaphragm (excursion of movement) during quiet and deep breathing and voluntary sniff tests in healthy controls and patients with neuromuscular diseases.
  • To quantitate the low flow microvascularity in nerves and muscles in healthy volunteers
  • To develop a method for automated analysis of peripheral nerves that would allow for reproducible and refined imaging of nerves.

Endpoints:

Primary Endpoint:

  • Muscle (deltoid, triceps, bicep, flexor carpi radialis, extensor digitorum communis, first dorsal interossei, rectus femoris, semimembranosus, tibialis anterior, medial gastrocnemius)elastography (m/s)
  • Nerve (median and ulnar in the forearm, tibial in the calf) elastography (m/s)
  • Nerve fascicular count (median and ulnar at wrist, tibial at ankle) in a population of normal volunteers (binary)
  • M-mode diaphragm imaging during quiet and deep breathing and voluntary sniff testing in a population of health volunteers

Secondary Endpoints:

  • Reproducibility

    • Muscle elastography (m/s)
    • Nerve elastography (m/s)
    • Nerve fascicle counts (#)
  • Presence of low flow microvascularity in nerves (binary value)

Exploratory Endpoint:

  • Amplitude (mV) and conduction velocity (m/s) obtained from standard nerve conduction studies and nerve elastography values (m/s) obtained from specialized techniques (median, ulnar, tibial)
  • Ultrasound data on muscle thickness (mm) and Heckmatt Scale values (1-4)
  • Nerve elastography (m/s), fascicular count (#), and microvascular flow (binary-yes/no)
  • Muscle elastography (m/s), thickness (mm), Heckmatt scale
  • M-mode imaging values of diaphragm (excursion of movement) during quiet and deep breathing and voluntary sniff tests
  • Quantitative values of low flow microvascularity in muscles and nerves
  • Reproducible ability to identify nerve and/or nerve associated structures using automated analysis
03

Conditions studied

  • Muscular Dystrophy
  • Peripheral Neuropathy
  • Motor Neuron Disorder
  • Normal Physiology

Keywords

  • Neuromuscular
  • Ultrasound
  • Elastography
  • Muscle
  • Nerve
  • Natural History
04

Who can participate

Ages eligible
18 Years to 110 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Community and participants on other NIH protocols that have neuromuscular disorders.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

In order to be eligible to participate in this study, an individual must meet all of the following criteria:

  1. Healthy Volunteers-Adults

    1. Healthy adults, male or female, aged 18 years old or older,
    2. In good general health as evidenced by medical history, medical conditions under control such as hypertension acceptable.
    3. Stated willingness to comply with all study procedures and availability for the duration of the study.
    4. Ability of subject to understand and the willingness to sign a written document.
  2. Participants with neuromuscular disorders

    1. Adults, male or female, aged 18 years old or older,
    2. Diagnosed with a neuromuscular disorder or have signs and symptoms of nerve or muscle disorder or neuromuscular diaphragm dysfunction.
    3. Stated willingness to comply with all study procedures and availability for the duration of the study.
    4. Ability of subject to understand and the willingness to sign a written informed consent document.

Exclusion criteria

EXCLUSION CRITERIA:

  1. Healthy Volunteers-Adults

    History of stroke, muscle disorders, peripheral neuropathy, or spine surgery

  2. Participants with neuromuscular disorders

No clinical evidence of a neuromuscular disorder on clinical evaluation.

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
150 participants (estimated)

Groups and cohorts

  • Neuromuscular disorders

    Diagnosed with a neuromuscular disorder such as motor neuron disorder, myopathy or have findings consistent with a peripheral neuropathy.

  • Normal volunteers

    No known abnormal muscle or nerve disorders

06

What researchers measure

Primary outcomes

  1. To collect normal values of M-mode diaphragm imaging during quiet and deep breathing and voluntary sniff testing in a population of health controls to establish normal values.

    Normative values for M-mode imaging of the diaphragm in a population of healthy controls.

    Time frame: ongoing

  2. To acquire normative values for B-mode imaging of nerves (fascicle count) and muscles (quantitative echotexture measurement) and shear wave elastography data on muscle and nerve stiffness/speed of sound in a population of healthy volunteers.

    Normative values for muscle and nerve shear wave elastography in a population of normal volunteers Normative values for nerve fascicular count in a population of normal volunteers

    Time frame: ongoing

Secondary outcomes

  1. To determine the reproducibility of specialized techniques involving ultrasound of muscle and nerve: shear wave elastography in muscles and nerves, nerve fascicle counts

    Reproducibility of muscle and nerve shear wave elastography (meters/sec or kPa ) Reproducibility of nerve fascicle counts

    Time frame: ongoing

  2. To determine the presence or absence of low flow microvascular flow within nerves of a population of healthy volunteers

    Presence of low flow microvascularity in nerves in healthy volunteers

    Time frame: ongoing

07

Study locations

1 of 1 sites recruiting
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
    Recruiting
    • For more information at the NIH Clinical Center contact Office of Patient Recruitment (OPR) · Contactccopr@nih.gov · 800-411-1222
08

References and documents

Publications

  • Creze M, Nordez A, Soubeyrand M, Rocher L, Maitre X, Bellin MF. Shear wave sonoelastography of skeletal muscle: basic principles, biomechanical concepts, clinical applications, and future perspectives. Skeletal Radiol. 2018 Apr;47(4):457-471. doi: 10.1007/s00256-017-2843-y. Epub 2017 Dec 9. PubMed 29224123 ↗
  • Saade DN, Neuhaus SB, Foley AR, Bonnemann CG. The Use of Muscle Ultrasound in the Diagnosis and Differential Diagnosis of Congenital Disorders of Muscle in the Age of Next Generation Genetics. Semin Pediatr Neurol. 2019 Apr;29:44-54. doi: 10.1016/j.spen.2019.01.001. Epub 2019 Jan 16. PubMed 31060725 ↗
  • Hobson-Webb LD. Emerging technologies in neuromuscular ultrasound. Muscle Nerve. 2020 Jun;61(6):719-725. doi: 10.1002/mus.26819. PubMed 32012298 ↗

Individual participant data

Plan to share: Undecided — Specific plan to make the IPD has not be made. This will have to be considered if the data is involved in a publication or other larger analysis.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2022 (actual). Primary completion is estimated for Aug 2027, 63 months after the start.

Of 37 observational studies under Muscular Dystrophies, half reached primary completion within 113 months of starting (the median), counting those still running; a quarter within 38. This study's planned 63 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 9, 2022
First posted
Feb 14, 2022
StartActual
Apr 18, 2022
Primary completionEst.
Aug 3, 2027
CompletionEst.
Aug 3, 2027
Last update
Sep 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05237973
Responsible party
Sponsor
First posted
Feb 14, 2022
Start date
Apr 18, 2022
Primary completion
Aug 3, 2027 (estimated)
Completion
Aug 3, 2027 (estimated)
Last update
Sep 17, 2026

Study contacts

Candida C Silva
Contact
candida.silva@nih.gov
(301) 496-7428
Tanya J Lehky, M.D.
Contact
lehkyt@ninds.nih.gov
(301) 496-7428
Tanya J Lehky, M.D.
principal investigator · National Institute of Neurological Disorders and Stroke (NINDS)

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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