rTMS: A Treatment to Restore Function After Severe TBI

Abstract

This study is a double blind randomized placebo-controlled clinical trial using repeated measures. The objective is to improve recovery offunctional skills for persons living in states of seriously impaired consciousness 3 to 12 months after severe TBI. This will be achieved bydetermining the neurobehavioral and neural effects of repetitive transcranial magnetic stimulation (rTMS), which is a non-invasive technique tostimulate the brain. The evidence of therapeutic efficacy from the literature in non-TBI related neurologic populations combined with ourpreliminary findings with severe TBI, indicate that rTMS merits investigation as a neurotherapeutic for severe TBI and that the proposed repetitiveTMS protocol should be examined to determine effectiveness in inducing structural and functional neural plasticity and improvingneurobehavioral recovery after severe TBI. Specific Aims: Aim I will determine presence, direction and sustainability of rTMS-inducedneurobehavioral effects measured with the Disability Rating Scale. Aim II will determine the presence, direction and sustainability of rTMSx2;induced changes in functional neural activation and whether or not these changes correlate with improving neurobehavioral function. Aim III willexamine the effect of rTMS on white fiber tracts and whether or not the rTMS-related effects correlate with improving neurobehavioral function.Aim IV addresses the need to confirm rTMS safety for severe TBI.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2020
Accession Number
AD1130713

Entities

People

  • Theresa Pape

Organizations

  • Chicago Association for Research and Education in Science

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  • Acquisition
  • Active Duty
  • Biomedical Research
  • Brain Injuries
  • Clinical Trials
  • Consciousness
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  • Medicine

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  • Neuroscience
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.