Pilot Testing of Vagus Nerve Stimulation for Early Spinal Cord Injury Recovery

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-89
SponsorUniversity of Alabama at Birmingham

About this trial

This study looks at a treatment called transcutaneous auricular vagus nerve stimulation, or taVNS. taVNS uses a small device worn on the ear to gently stimulate a nerve. Researchers want to find out if this treatment is safe and well-tolerated for people who recently had a spinal cord injury (SCI).

This study will also help researchers learn whether taVNS can be safely added to standard mobility therapy, and whether it might help improve mobility.

This study has two main goals:

1. To find out whether taVNS is safe and comfortable for people with a recent spinal cord injury. 2. To get information on whether taVNS may help improve mobility when compared to people who completed rehabilitation before this study started.

This study has two parts.

In the first part, participants will wear the taVNS device once for a short period of time. During this part investigators will measure how participant's heart rate and blood pressure may change before, during, and after the stimulation. Investigators will also ask about how the stimulation made participants feel.

In the second part, participants will wear the taVNS device for a short time right before a mobility therapy session. During this part investigators will measure how participants heart rate and blood pressure may change before, during, and after the stimulation and during and after the walking therapy. Investigators will also ask about how the stimulation made participants feel.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Phase 1 Age 18 years older SCI (traumatic or non traumatic) undergoing initial inpatient rehabilitation for the SCI Any AIS severity level (A, B, C, D)

Phase 2 Completed phase I Participant willing to complete phase II Study physician approves participation in phase II Receives intensive gait training as a part of the care plan

Disqualifiers

Phase 1 Age >89 years Pregnant Implanted medical device (e.g. pacemaker, cochlear implant) epilepsy Parkinson's Disease Multiple Sclerosis cerebral shunts documented arrhythmia Ear skin irritation or damage at the electrode contact location intracranial metal implants

Phase 2 no exclusion criteria for those who meet inclusion criteria

Trial design

Design model

Single group

Treatments tested in this trial

  • Transauricular vagus nerve stimulation

    Device

    bilateral transauricular vagal nerve stimulation

Treatment groups

50 Participants
are divided into 1 treatment group
Group A: taVNS applicationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Phase 1 Hypotension Symptoms Immediately before taVNS is applied

Six questions about hypotensive symptoms rated on a 0 to 10 scale, with 0 as none and 10 worst possible

Time frame
Immediately before Phase 1 taVNS application
2

Phase 1 Hypotension Symptoms during taVNS spplication

Six questions about hypotensive symptoms rated on a 0 to 10 scale, with 0 as none and 10 worst possible

Time frame
During application of Phase 1 taVNS
3

Phase 1 Hypotension Symptoms Immediately after taVNS is stopped

Six questions about hypotensive symptoms rated on a 0 to 10 scale, with 0 as none and 10 worst possible

Time frame
Immediately after Phase 1 taVNS is stopped
4

Phase 1 Hypotension Symptoms 5 minutes after taVNS is stopped

Six questions about hypotensive symptoms rated on a 0 to 10 scale, with 0 as none and 10 worst possible

Time frame
5 minutes after Phase 1 taVNS is stopped

Secondary outcomes

1

Phase 1 Blood Pressure Immediately before taVNS is applied

Systolic and Diastolic Blood Pressure (mmHg)

Time frame
Immediately before taVNS Phase 1 application is applied
2

Phase 1 Blood Pressure during taVNS application

Systolic and Diastolic Blood Pressure (mmHg)

Time frame
During taVNS Phase 1 application
3

Phase 1 Blood Pressure Immediately after taVNS is stopped

Systolic and Diastolic Blood Pressure (mmHg)

Time frame
Immediately after taVNS Phase 1 application is stopped
4

Phase 1 Blood Pressure 5 minutes after taVNS is stopped

Systolic and Diastolic Blood Pressure (mmHg)

Time frame
5 minutes after taVNS Phase 1 application is stopped

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: