About this trial
The purpose of this study is to better understand how electrical or magnetic stimulation affect the nervous system by optimizing the way researchers measure muscle responses. The relationship between stimulation intensity and muscle response is described by "neural recruitment curves," which are critical for monitoring the state of the nervous system during therapies like transcranial magnetic stimulation (TMS) and spinal cord stimulation (SCS).
This study tests a new, real-time computational approach based on our previously developed methods (Hierarchical Bayesian models) to estimate these recruitment curves more efficiently. The primary goal is to use this model to dynamically guide the experiment, automatically selecting the optimal stimulation intensities to test.
The investigators hypothesize that this optimized approach will accurately estimate the entire recruitment curve, or specific targets components of it like the motor threshold, using significantly fewer samples than standard methods. By reducing the number of measurements required, this approach aims to decrease experimental time and minimize participant burden, making future TMS and SCS therapies and experiments more feasible and efficient.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
None
Disqualifiers
Presence of any neurological disorder
History of seizures
History of autonomic dysfunction
Current use of seizure-threshold lowering medications
Trial design
Single group
Treatments tested in this trial
Algorithm: Uniform Sampling
Other interventionStandard uniform distribution sampling used as a baseline comparison.
Algorithm: hbMEP-adaptive algorithm (version 1)
Other interventionAn active sampling algorithm for recruitment curve estimation.
Algorithm: hbMEP-adaptive algorithm (version 2)
Other interventionAn alternative active sampling algorithm for recruitment curve estimation.
ML-PEST
Other interventionAlgorithm: Adaptive threshold hunting using the Parameter Estimation by Sequential Testing (PEST) algorithm.
MagPro X100 Transcranial Magnetic Stimulation
DeviceThe proposed algorithms will deliver stimulation by using this magnetic stimulation methodology.
Digitimer DS8R Transcutaneous Electrical stimulation
DeviceThe proposed algorithms will deliver stimulation by using this electrical stimulation methodology.
Treatment groups
Trial outcomes
Primary outcomes
Mean absolute threshold error
The threshold error of the methods under comparison, with the ground truth computed from recruitment curves fitted subsequent to sampling using aggregated data.
Sponsors and contacts
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Columbia University
Lead sponsor
National Institute of Neurological Disorders and Stroke (NINDS)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: