Assessing the Effects of Hormones on Noninvasive Transcranial Stimulation
At a glance
Conditions
Where it's being run
1 sites across 1 statesWho to contact
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What this trial measures
- Motor Evoked Potential Amplitude ChangeMEP recorded at the same time as the diagnostic TMS pre-intervention and post-intervention of the 2,000 pulse stimulation at every session for at most 8 months / 24 sessions. Delta/change assessed after each session.
Motor evoked potential (MEP) amplitude is recorded via surface EMG electrodes placed on the upper or lower limb musculature in response to single-pulse diagnostic TMS delivered to the primary motor cortex (M1). MEP amplitude is measured as the peak-to-peak voltage of the evoked muscle response in millivolts. The primary outcome is the change in trial-averaged MEP amplitude from before to after a train of up to 2,000 pulses of TMS, TES, or combined TMS+TES. This delta is compared across two hormonal phases of the menstrual cycle - estrogen nadir (days 1-3) and the late follicular phase (days 10-14) - and across the three intervention arms. A larger positive delta indicates greater corticospinal excitability / synpatic potentiation following stimulation, while a negative delta indicates suppression of corticospinal excitability / synpatic potentiation.