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Recruiting NCT06108336

Cerebellar Involvement in Cognitive Sequencing

No phase Interventional Effects of Cerebellar Stimulation on Brain Activation

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: TMS during sequence-demanding task, No TMS during sequence-demanding task, TMS during non-sequence-demanding task, No TMS during non-sequence-demanding task.
Who it may be relevant to
Registry conditions: Effects of Cerebellar Stimulation on Brain Activation. Basic parameters: 18 years — 50 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Investigation of Cerebellar Involvement in Cognitive Sequencing

Overview

Although there is increasing recognition that the cerebellum is involved in cognition as well as motor function, the manner in which the cerebellum contributes to cognition is uncertain. One theory that might account for both motor and cognitive contributions of the cerebellum is that the cerebellum is involved in sequencing of relevant events or stimuli. Previous experiments have suggested that disruption of the cerebellum impairs the prediction of the next event in a sequence. The present experiment will examine the impact of cerebellar stimulation on brain activation during the performance of both sequence-demanding and non-sequence-demanding tasks.

Detailed description

Although there is increasing recognition that the cerebellum, which contains half of the brain's neurons, is involved in cognition as well as motor function, the manner in which the cerebellum contributes to cognition is uncertain. The uniform circuitry of the cerebellum and the extensive connectivity of the cerebellum with numerous neocortical regions has suggested to some researchers that there is a common computation that the cerebellum performs for both motor and cognitive functions. The cerebellar sequencing hypothesis posits that the cerebellum acquires sequence information, makes sequence predictions, and detects sequence violations. These functions, executed via a forward model, could underlie cerebellar involvement in both motor and cognitive behavior. In motor control, such predictions can be used to guide limb trajectory without reliance on movement-generated sensory feedback. In cognition, sequencing requirements are prominent in both verbal working memory (VWM) and language acquisition; eg, in VWM, keeping a phone number in mind requires encoding and rehearsing a sequence of digits. In language, words consist of sequences of syllables, and the learning of syllable transition probabilities is an important component of recognizing legal words in a language. Importantly, prominent cerebellar activation has been observed in many functional MRI (fMRI) VWM and language studies. However, the brainstem/cerebellar neural correlates of sequencing in cognition, and the influence of cerebellar sequence predictions on neocortical targets, are poorly understood. In this experiment, studying healthy individuals the investigators will Investigate the cerebellum as a source of sequence prediction and its influence on forebrain areas. The cerebellum is hypothesized to provide its forward model sequence prediction to forebrain targets, but to date no study has attempted to visualize with concurrent TMS/fMRI the consequences of disrupting this cerebellar input on forebrain activation. In the investigators previous work, the investigators show that transcranial magnetic stimulation (TMS) during the rehearsal of a sequence of letters results in errors in determining if a probe letter matches the next letter in the sequence, suggesting that TMS disrupted this predictive input. In accordance with this finding, the investigators hypothesize that, using concurrent TMS/fMRI, TMS disruption during a sequencing task will produce greater changes in neocortical activation relative to an analogous control task that does not have the predictive component brought out by sequencing demands. The investigators further hypothesize that different patterns of neocortical activations in response to cerebellar TMS will be observed depending on whether a probe letter matches the expected next letter in a sequence.

Interventions

  • Procedure TMS during sequence-demanding task
    TMS is administered during the execution of sequence-demanding task. Transcranial magnetic stimulation (TMS) is a safe and non-invasive technique for transiently modulating brain activity
  • Procedure No TMS during sequence-demanding task
    TMS is not administered during the execution of sequence-demanding task.
  • Procedure TMS during non-sequence-demanding task
    TMS is administered during the execution of non-sequence-demanding task. Transcranial magnetic stimulation (TMS) is a safe and non-invasive technique for transiently modulating brain activity
  • Procedure No TMS during non-sequence-demanding task
    TMS is not administered during the execution of non-sequence-demanding task

Primary outcome measures

  • functional magnetic resonance imaging brain activation [Time frame: during scan up to 1 hour]
Secondary outcome measures (2)
  • percent correct of behavioral responses [Time frame: during scan up to 1 hour]
  • behavioral reaction time (milliseconds) [Time frame: during scan up to 1 hour]

Eligibility criteria

Inclusion criteria

  • 1\) Age 18-50;
  • 2\) educational attainment of at least 8 years;
  • 3\) capable of giving informed consent;
  • 4\) fluent speaker of English by self-report;
  • 5\) right handed.

Exclusion criteria

  • 1\) illicit drug use within 30 days of MRI scanning;
  • 2\) neurological or systemic disorder which can cause dementia or cognitive dysfunction;
  • 3\) history of an Axis I psychiatric disorder including substance use disorder;
  • 4\) history of definite stroke;
  • 5\) focal lesion on MRI exam;
  • 6\) uncorrected visual deficits by self-report
  • 7\) contraindications for MRI scanning
  • 8\) use of anxiolytic, antidepressant, neuroleptic, or sedative medication
  • 9\) Additional exclusion criteria recommended by Wassermann for TMS neuromodulation, including: History of seizure or a family history of epilepsy, heart disease, intracardiac lines, increased intracranial pressure, history of head trauma, and history of respiratory disease

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation
Non-randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Basic science

Study locations

United States · 1 center
  • Johns Hopkins University School of Medicine — Baltimore

Identifiers

NCT: NCT06108336 · IRB00328214 · R01MH128278

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗