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Motor LearningIMAP-TMSNCT04784832

TMS-based Assessment of Mental Training Effects on Motor Learning in Healthy Participants

A study testing Transcranial magnetic stimulation, Peripheral Nerve Stimulation and Transcranial direct current stimulation in people with Motor Learning, run by Institut National de la Santé Et de la Recherche Médicale, France at 1 site in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The general purpose of this research project is to analyze the specific role of motor imagery on motor learning, assessed through corticospinal excitability measurements and behavioral data collection. This project is based on four sequences. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Motor Learning
What is being tested?
Transcranial magnetic stimulation, Peripheral Nerve Stimulation and Transcranial direct current stimulation
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
556 participants
Where
1 siteFrance
Study dates
8 Apr 2024to Apr 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female between 18 and 60 years old
  • Having given written informed consent
  • Affiliated to a social security scheme

Who cannot join

  • History of psychiatric illness (declarative)
  • Person under guardianship, curatorship, safeguard of justice
  • Neurological problem that could bias the results of the study (declarative)
  • Personal or family history of epilepsy
  • Person deprived of liberty by judicial or administrative decision
  • Person hospitalized without consent and not subject to legal protection, and person admitted to a health or social institution for purposes other than that of the research
Show all 15Show fewer
  • Person subject to an exclusion period for another research
  • Pregnant women or women of childbearing age not using known contraception
  • Breastfeeding women
  • Person on medication that could influence neurophysiological measures (neuroleptics, anxiolytics, antidepressants)
  • Person carrying :
  • pacemaker or other device that could interfere with the magnetic field
  • Implants (mechanical or electronic: cochlear implants, neural or cardiac pacemakers, infusion pumps, magnetic aneurysm clips, etc.)
  • Metallic foreign bodies in the eye or nervous system
  • Metallic objects (tattoos, piercings, etc.)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site, 1 recruiting
  • INSERM - U1093 Cognition, Action, and Sensorimotor Plasticity

    Dijon

    Florent Lebon, PhD, +33 3 80 39 67 49, Florent.Lebon@u-bourgogne.fr

    Recruiting

Other trials in France

About this study

Official title: Transcranial Magnetic Stimulation-based Assessment of Mental Training Effects on Motor Learning in Healthy Participants

The general purpose of this research project is to analyze the specific role of motor imagery on motor learning, assessed through corticospinal excitability measurements and behavioral data collection. This project is based on four sequences. For Sequence 1, the main objective is to examine the effect of mental training on movement speed and accuracy in a manual motor sequence task, as well as the influence of sensory feedback in immediate post-test (i.e., execution of a similar, but not identical, manual motor sequence, other manual tasks) on performance in delayed post-test. The secondary objective will be to examine corticospinal changes (i.e., amplitude of motor evoked potentials) induced by mental training, by measuring the amplitude of motor evoked potentials before and after mental training. For Sequence 2, the main objective is to examine the impact of a motor disturbance induced by a robotic arm at different intervals during the motor imagery process. The secondary objective will be to examine the corticospinal changes (i.e. amplitude of evoked motor potentials) induced by mental training as a function of the applied perturbations, before and after perturbation. For Sequence 3, the main objective will be to examine the influence of neuroplasticity on the quality of mental training. More specifically, the investigators will study the links between brain plasticity and motor learning through mental training. The secondary objective will be to examine the corticospinal changes (i.e. amplitude of evoked motor potentials) induced by mental training at different levels of the neuromuscular system (cortical, cervicomedullar, peripheral) after a training period. For Sequence 4, the main objective will be to examine the effect of short-term arm-immobilization of on the retention of motor learning induced by mental training. The secondary objective will be to examine the corticospinal changes (i.e., amplitude of motor evoked potentials) induced by of short-term arm-immobilization, or by transcranial direct current stimulation (tDCS), on motor learning. The results of this fundamental research project will allow a better understanding of neurophysiological and behavioral mechanisms that underlie motor learning through motor imagery. The results will allow to efficiently consider inter-individual specificities and will thus open up to clinical research perspectives, towards the establishment of adapted motor rehabilitation protocols.

Conditions
Motor Learning
Being tested
Transcranial magnetic stimulation, Peripheral Nerve Stimulation, Transcranial direct current stimulation, Paired Associative Stimulation, Wrist

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Transcranial magnetic stimulationDevice

    Also called TMS

    Magnetic stimulation of the cortex

  • Peripheral Nerve StimulationDevice

    Electric stimulation of the nerves

  • Transcranial direct current stimulationDevice

    Also called tDCS

    Electric stimulation of the cortex

  • Paired Associative StimulationDevice

    Also called PAS

    Combined magnetic and electric stimulation of cortex and nerve, respectively

  • WristDevice

    Short-term immobilization of the arm

  • Robotic armDevice

    External perturbation of force field induced by robotic arm

  • Cervicomedullar stimulationDevice

    Electric stimulation of the muscle

  • Physical trainingOther

    Training to perform the task by actually doing the task

  • Mental trainingOther

    Training to perform the task by imaging doing the task

Study groups in NCT04784832
Study groupRoleWhat they receive
Sequence 1 - Training with same task - Long follow-upExperimentalMotor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training
Receives: Device: Transcranial magnetic stimulation; Other: Mental training
Sequence 1 - Training with same task - Short follow-upExperimentalMotor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation Mental training
Receives: Device: Transcranial magnetic stimulation; Other: Mental training
Sequence 1 - Training with different tasks - Long follow-upExperimentalMotor task (different task in immediate post test) Transcranial magnetic stimulation Mental training
Receives: Device: Transcranial magnetic stimulation; Other: Mental training
Sequence 1 - Training with different tasks - Short follow-upExperimentalMotor task (different task in immediate post test) Transcranial magnetic stimulation Mental training
Receives: Device: Transcranial magnetic stimulation; Other: Mental training
Sequence 1 - Training with muscle contractions - Long follow-upExperimentalMotor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training
Receives: Device: Transcranial magnetic stimulation; Other: Mental training
Sequence 1 - Training with muscle contractions - Short follow-upExperimentalMotor task (isometric muscle contractions in immediate post test) Transcranial magnetic stimulation Mental training
Receives: Device: Transcranial magnetic stimulation; Other: Mental training
Sequence 1 - ControlActive comparatorMotor task (Pretest and Posttests on the same task) Transcranial magnetic stimulation No mental training
Receives: Device: Transcranial magnetic stimulation
Sequence 2 - Physical training with perturbation during preparation - Long follow-upActive comparatorMotor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training
Receives: Device: Transcranial magnetic stimulation; Device: Robotic arm; Other: Physical training
Sequence 2 - Physical training with perturbation during preparation - Short follow-upActive comparatorMotor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training
Receives: Device: Transcranial magnetic stimulation; Device: Robotic arm; Other: Physical training
Sequence 2 - Physical training with perturbation after preparation - Long follow-upActive comparatorMotor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training
Receives: Device: Transcranial magnetic stimulation; Device: Robotic arm; Other: Physical training
Sequence 2 - Physical training with perturbation after preparation - Short follow-upActive comparatorMotor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Physical training
Receives: Device: Transcranial magnetic stimulation; Device: Robotic arm; Other: Physical training
Sequence 2 - Mental training with perturbation during preparation - Long follow-upExperimentalMotor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Robotic arm; Other: Mental training
Sequence 2 - Mental training with perturbation during preparation - Short follow-upExperimentalMotor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Robotic arm; Other: Mental training
Sequence 2 - Mental training with perturbation after preparation - Long follow-upExperimentalMotor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Robotic arm; Other: Mental training
Sequence 2 - Mental training with perturbation after preparation - Short follow-upExperimentalMotor task (Pretest and Posttests) Transcranial magnetic stimulation External pertubation (robotic arm) Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Robotic arm; Other: Mental training
Sequence 3 - Training (same task) - Long follow-upExperimentalPaired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Receives: Device: Transcranial magnetic stimulation; Device: Peripheral Nerve Stimulation; Device: Paired Associative Stimulation; Device: Cervicomedullar stimulation; Other: Mental training
Sequence 3 - Training (same task) - Short follow-upExperimentalPaired Associative Stimulation Mental training (same as the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Receives: Device: Transcranial magnetic stimulation; Device: Peripheral Nerve Stimulation; Device: Paired Associative Stimulation; Device: Cervicomedullar stimulation; Other: Mental training
Sequence 3 - Training (different task) - Long follow-upExperimentalPaired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Receives: Device: Transcranial magnetic stimulation; Device: Peripheral Nerve Stimulation; Device: Paired Associative Stimulation; Device: Cervicomedullar stimulation; Other: Mental training
Sequence 3 - Training (different task) - Short follow-upExperimentalPaired Associative Stimulation Mental training (different of the motor task) Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Receives: Device: Transcranial magnetic stimulation; Device: Peripheral Nerve Stimulation; Device: Paired Associative Stimulation; Device: Cervicomedullar stimulation; Other: Mental training
Sequence 3 - Control 1Active comparatorMental Training Motor task (same as the motor task) Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Receives: Device: Transcranial magnetic stimulation; Device: Peripheral Nerve Stimulation; Device: Cervicomedullar stimulation; Other: Mental training
Sequence 3 - Control 2Active comparatorPaired Associative Stimulation Motor task Transcranial magnetic stimulation Peripheral nerve stimulation Cervicomedullar stimulation
Receives: Device: Transcranial magnetic stimulation; Device: Peripheral Nerve Stimulation; Device: Paired Associative Stimulation; Device: Cervicomedullar stimulation
Sequence 4 - Immobilization - Short follow-upExperimentalTranscranial magnetic stimulation Arm immobilization Motor task Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Wrist; Other: Mental training
Sequence 4 - Immobilization - Long follow-upExperimentalTranscranial magnetic stimulation Arm immobilization Motor task Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Wrist; Other: Mental training
Sequence 4 - Cathodal - Short follow-upExperimentalTranscranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Transcranial direct current stimulation; Other: Mental training
Sequence 4 - Cathodal - Long follow-upExperimentalTranscranial magnetic stimulation Cathodal transcranial direct current stimulation Motor task Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Transcranial direct current stimulation; Other: Mental training
Sequence 4 - Anodal - Short follow-upExperimentalTranscranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Transcranial direct current stimulation; Other: Mental training
Sequence 4 - Anodal - Long follow-upExperimentalTranscranial magnetic stimulation Anodal transcranial direct current stimulation Motor task Mental training
Receives: Device: Transcranial magnetic stimulation; Device: Transcranial direct current stimulation; Other: Mental training
Sequence 4 - ControlSham comparatorTranscranial magnetic stimulation Motor task Mental training
Receives: Device: Transcranial magnetic stimulation; Other: Mental training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evolution of movement speed - Sequence 1

    The duration of performed movement sequences

    Measured: Each day in Sequence 1 (Sequence 1 is 11 days)

  2. Evolution of movement accuracy - Sequence 1

    The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).

    Measured: Each day in Sequence 1 (Sequence 1 is 11 days)

  3. Evolution of trajectory error - Sequence 2

    The area under the curve of hand's trajectory according to the straight line joining the starting target and the final target.

    Measured: Each day in Sequence 2 (Sequence 1 is 10 days)

  4. Evolution of maximal deviation - Sequence 2

    The maximal perpendicular distance between the position of the hand and the straight line joining the starting target and the final target

    Measured: Each day in Sequence 2 (Sequence 1 is 10 days)

  5. Evolution of final error - Sequence 2

    The distance between the final position of the hand and the position of the final target.

    Measured: Each day in Sequence 2 (Sequence 1 is 10 days)

  6. Evolution of movement speed - Sequence 3

    The duration of performed movement sequences

    Measured: Each day from day 2 to day 11 of Sequence 3 (Sequence 3 is 11 days)

  7. Evolution of movement accuracy - Sequence 3

    The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).

    Measured: Each day from day 2 to day 11 of Sequence 3 (Sequence 3 is 11 days)

  8. Evolution of movement speed - Sequence 4

    The duration of performed movement sequences

    Measured: Each day in Sequence 4 (Sequence 4 is 6 days)

  9. Evolution of movement accuracy - Sequence 4

    The accuracy of performed movement sequences (i.e., the correspondence between the performed finger motor sequences and the requested finger motor sequence).

    Measured: Each day in Sequence 4 (Sequence 4 is 6 days)

Secondary outcomes (4)
  1. Evolution of motor evoked potentials amplitude - Sequence 1

    Peak-to-peak amplitude of motor evoked potentials

    Measured: Day 1, 5, 6, 10 and 11 in Sequence 1 (Sequence 1 is 11 days).

  2. Evolution of motor evoked potentials amplitude - Sequence 2

    Peak-to-peak amplitude of motor evoked potentials

    Measured: Each day in Sequence 2 (Sequence 2 is 10 days)

  3. Evolution of motor evoked potentials amplitude - Sequence 3

    Peak-to-peak amplitude of motor evoked potentials

    Measured: Day 1, 5, 6, 10 and 11 in Sequence 3 (Sequence 1 is 11 days)

  4. Evolution of motor evoked potentials amplitude - Sequence 4

    Peak-to-peak amplitude of motor evoked potentials

    Measured: Days 1, 5, and 6 in Sequence 4 (Sequence 4 is 6 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Mar 2021
  2. Study start8 Apr 2024
  3. Primary completionApr 2027 (estimated)
  4. Study completionApr 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
556 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04784832
Sponsor's protocol ID
C19-19
Other IDs
2020-A00305-34 / 1
Acronym
IMAP-TMS
Status last verified
Apr 2026
First submitted
7 Dec 2020
Last updated
20 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Abraham WC. Metaplasticity: tuning synapses and networks for plasticity. Nat Rev Neurosci. 2008 May;9(5):387. doi: 10.1038/nrn2356.

    PubMed 18401345
  • Anwar MN, Khan SH. Trial-by-trial adaptation of movements during mental practice under force field. Comput Math Methods Med. 2013;2013:109497. doi: 10.1155/2013/109497. Epub 2013 May 7.

    PubMed 23737857
  • Allami N, Paulignan Y, Brovelli A, Boussaoud D. Visuo-motor learning with combination of different rates of motor imagery and physical practice. Exp Brain Res. 2008 Jan;184(1):105-13. doi: 10.1007/s00221-007-1086-x. Epub 2007 Sep 12.

    PubMed 17849109
  • Arora S, Aggarwal R, Sevdalis N, Moran A, Sirimanna P, Kneebone R, Darzi A. Development and validation of mental practice as a training strategy for laparoscopic surgery. Surg Endosc. 2010 Jan;24(1):179-87. doi: 10.1007/s00464-009-0624-y. Epub 2009 Jul 25.

    PubMed 19633892
  • Avanzino L, Giannini A, Tacchino A, Pelosin E, Ruggeri P, Bove M. Motor imagery influences the execution of repetitive finger opposition movements. Neurosci Lett. 2009 Nov 27;466(1):11-5. doi: 10.1016/j.neulet.2009.09.036. Epub 2009 Sep 20.

    PubMed 19770024
  • Bienenstock EL, Cooper LN, Munro PW. Theory for the development of neuron selectivity: orientation specificity and binocular interaction in visual cortex. J Neurosci. 1982 Jan;2(1):32-48. doi: 10.1523/JNEUROSCI.02-01-00032.1982.

    PubMed 7054394
  • Burianova H, Marstaller L, Sowman P, Tesan G, Rich AN, Williams M, Savage G, Johnson BW. Multimodal functional imaging of motor imagery using a novel paradigm. Neuroimage. 2013 May 1;71:50-8. doi: 10.1016/j.neuroimage.2013.01.001. Epub 2013 Jan 12.

    PubMed 23319043
  • Cantarero G, Tang B, O'Malley R, Salas R, Celnik P. Motor learning interference is proportional to occlusion of LTP-like plasticity. J Neurosci. 2013 Mar 13;33(11):4634-41. doi: 10.1523/JNEUROSCI.4706-12.2013.

    PubMed 23486938
  • Classen J, Liepert J, Wise SP, Hallett M, Cohen LG. Rapid plasticity of human cortical movement representation induced by practice. J Neurophysiol. 1998 Feb;79(2):1117-23. doi: 10.1152/jn.1998.79.2.1117.

    PubMed 9463469
  • Cumming J, Hall C. Deliberate imagery practice: the development of imagery skills in competitive athletes. J Sports Sci. 2002 Feb;20(2):137-45. doi: 10.1080/026404102317200846.

    PubMed 11811570
  • Decety J. The neurophysiological basis of motor imagery. Behav Brain Res. 1996 May;77(1-2):45-52. doi: 10.1016/0166-4328(95)00225-1.

    PubMed 8762158
  • Doyon J, Bellec P, Amsel R, Penhune V, Monchi O, Carrier J, Lehericy S, Benali H. Contributions of the basal ganglia and functionally related brain structures to motor learning. Behav Brain Res. 2009 Apr 12;199(1):61-75. doi: 10.1016/j.bbr.2008.11.012. Epub 2008 Nov 17.

    PubMed 19061920
  • Doyon J, Benali H. Reorganization and plasticity in the adult brain during learning of motor skills. Curr Opin Neurobiol. 2005 Apr;15(2):161-7. doi: 10.1016/j.conb.2005.03.004.

    PubMed 15831397
  • Gentili R, Han CE, Schweighofer N, Papaxanthis C. Motor learning without doing: trial-by-trial improvement in motor performance during mental training. J Neurophysiol. 2010 Aug;104(2):774-83. doi: 10.1152/jn.00257.2010. Epub 2010 Jun 10.

    PubMed 20538766
  • Gentili R, Papaxanthis C, Pozzo T. Improvement and generalization of arm motor performance through motor imagery practice. Neuroscience. 2006 Feb;137(3):761-72. doi: 10.1016/j.neuroscience.2005.10.013. Epub 2005 Dec 9.

    PubMed 16338093

Questions about this trial

What is this clinical trial studying?

A study testing Transcranial magnetic stimulation, Peripheral Nerve Stimulation and Transcranial direct current stimulation in people with Motor Learning, run by Institut National de la Santé Et de la Recherche Médicale, France at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 20 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Florent Lebon, PhD (+33 3 80 39 67 49, florent.lebon@u-bourgogne.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Evolution of movement speed - Sequence 1 (time frame: Each day in Sequence 1 (Sequence 1 is 11 days)). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04784832, which also lists 35 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Apr 2026.

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