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Noninvasive stimulation of the central nervous system, including transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), has been increasingly used in the investigation of cortical plasticity. The purpose of our study is to understand mechanistically-at the neurophysiological and systems levels-how the brain learns new motor skills. We propose to study the acquisition, consolidation, and retention of motor skill learning in healthy subjects. At the behavioral level, we will use movement kinematics to quantify and characterize movement, which allow us to infer functional strategies used by the brain to reduce movement errors. At a neurophysiological level, we will use TMS to document changes in cortical circuitry, which will allow us to infer neuroplastic changes possibly subserving these strategies. At a systems level, we will enhance motor system excitability using tDCS, which will enable us to infer the contribution of the stimulated area to the motor system's ability to learn new skills.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transcranial direct current stimulator (tDCS) | Active Comparator | tDCS is delivered noninvasively via electrodes applied to the surface of the head, and a mild electrical current is given during motor training. |
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| Transcranial magnetic stimulation (TMS) | Active Comparator | TMS is delivered noninvasively via a hand-held coil applied to the surface of the head, and a magnetic pulse probes cortical circuitry [this is not repetitive TMS and so does NOT modulate brain excitability.] |
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| Sham-tDCS | Placebo Comparator | delivered by briefly turning on and off the stimulator at the beginning of training, which mimics the sensation of true stimulation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tDCS-NeuroConn. | Procedure | tDCS is delivered noninvasively via electrodes applied to the surface of the head, and a mild electrical current is given during motor training. |
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| Measure | Description | Time Frame |
|---|---|---|
| Motor skill gain from day 1 to day 5 | defined as an improvement in performance accuracy at fixed movement speeds (see 5.2 for description of task and outcome). The delta in accuracy between day 1 and day 5 equates to motor skill learning. | 5 Days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Heidi Schambra-Griesemer, MD | NYU Langone Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New York University School of Medicine | New York | New York | 10016 | United States |
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| TMS - Magstim. | Procedure | TMS is delivered noninvasively via a hand-held coil applied to the surface of the head, and a magnetic pulse probes cortical circuitry [this is not repetitive TMS and so does NOT modulate brain excitability](streamdown:incomplete-link) |
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| Sham tDCS | Procedure | delivered by briefly turning on and off the stimulator at the beginning of training, which mimics the sensation of true stimulation. |
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