AgingNCT05471557
Effects of Acute Pain on Motor Learning in Young vs Older Adults
A study testing pain delivery in people with Aging and Pain, Acute, run by University of Delaware at 1 site in United States.
Trial summary
To date, the effects of pain on motor learning have not been thoroughly investigated, particularly in older adults. Broadly, the purpose of this research is to investigate the impact of acute pain on locomotor learning and its retention in older adults. Read more about this study
- Who is it for?
- Ages 18 to 85 yearsHealthy volunteers can take part
- Conditions the study is for
- Aging, Pain, Acute, Cognitive Decline
- What is being tested?
- pain delivery
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 61 participants
- Where
- 1 siteUnited States
- Study dates
- 20 Aug 2024to 5 Jun 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 85 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 18-35 (YA group only) or 55-85 (OA group only) years old
- Sex-matched to a participant in the OA group (YA group only)
- Self-identifying as generally medically healthy
- Able to read, write and speak English
- Able to provide informed consent and attend all testing sessions
- Willing to undergo the experimental pain or non-painful electrical stimulation, if selected
Who cannot join
- Resting HR < 50 or > 100 bpm
- Resting BP < 90/60 or > 140/95 mmHg (YA group only) or > 165/95 (OA group only)
- Any history or current mental health condition, learning/developmental disability or cognitive impairment, including severe untreated ADD/ADHD, severe untreated anxiety, severe untreated depression, autism spectrum disorder, insomnia, mild cognitive impairment, etc.
- Score on the MoCA <23
- Score on the GAD-7 ≥ 10
- Score on the PHQ-2 ≥ 2 and score on the PHQ-9 ≥ 10
Show all 18Show fewer
- Any current (within last 3 month) or chronic medical conditions, including any musculoskeletal, cardiovascular, endocrine, pulmonary, metabolic, psychiatric or neurological diagnosis that (for OA group only) affects activities of daily living or would confound testing or place the subject at risk by participating, such as a significant cardiovascular condition or event (e.g., heart attack < 3 months ago, uncontrolled atrial fibrillation, uncontrolled angina, or congestive heart failure, chronic obstructive pulmonary disorder, peripheral vascular disease)
- Any impaired sensation or weakness in either lower extremity or in the area targeted for the stimulus
- History of serious concussion or head injury, defined as a loss of consciousness for > 5 minutes and/or requiring medical treatment, or > 2 concussions over the lifespan
- Any history of acute or chronic problems with balance, any dizziness, or > 1 fall in the last 12 months
- Taking 4 or more medications (YA group only)
- Currently or regularly using any analgesic medications, over-the-counter remedies, or any other treatment for the purposes of pain relief (i.e., baby aspirin for heart health permitted, etc.)
- Any current or chronic pain condition during the last year, located anywhere in the body with a (OA group only) pain intensity of > 2/10
- Allergy to capsaicin or hot peppers
- Any skin lesion, breakage or irritation in the area targeted for the painful stimulus
- Skin sensitivity to soaps/creams/perfumes or to heat
- Poor circulation in the area targeted for the painful stimulus
- Prior participation in a locomotor learning study in this lab within the last 2 years or prior participation in a study in this lab that included the cognitive testing battery within the last 2 years.
Trial locations and contacts
1 site in 1 country.
About this study
To date, the effects of pain on motor learning have not been thoroughly investigated, particularly in older adults. Broadly, the purpose of this research is to investigate the impact of acute pain on locomotor learning and its retention in older adults. The investigators hypothesize that acute pain impairs retention of locomotor learning in young and older adults and that in older adults, these deficits are worsened and are related to the degree of normal age-related cognitive decline.
- Conditions
- Aging, Pain, Acute, Cognitive Decline, Motor Activity
- Being tested
- pain delivery
- Keywords
- Acute pain, Adults, Cognition, Elderly, Learning, Memory, Pain, Cognitive ability, Motor learning, Young adults, Older Adults, Gait, Locomotion, Walking, Motor Consolidation
- Medical subject headings
- Acute Pain, Cognitive Dysfunction, Motor Activity, Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
pain deliveryProcedure or surgery
Experimental pain paradigm delivered that is short-term and painful but not harmful.
| Study group | Role | What they receive |
|---|---|---|
| Pain Stimulus | Experimental | Capsaicin combined with heat applied to intact skin Receives: Procedure: pain delivery |
| No Stimulus | No intervention | Nothing applied to skin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Motor Retention Magnitude
degree to which the learned locomotor pattern has been remembered (in step length % change, normalized to the amount learned from day 1)
Measured: 24 hours post learning (day 2)
Motor Learning Magnitude
degree to which the new locomotor pattern has been acquired (in step length % change)
Measured: immediately after learning (day 1)
Digit Span Backward Test
number of digits (numbers) that can be repeated back in the reverse order from which they were presented
Measured: the change between baseline and during application of intervention
Digit Span Forward Test
number of digits (numbers) that can be repeated back in the same order as they were presented
Measured: the change between baseline and during application of intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jul 2022
- Study start20 Aug 2024
- Primary completion5 Jun 2025
- Study completion5 Jun 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for AgingStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 61 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Delaware
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Responsible party
- Principal investigator, Susanne M Morton, University of Delaware
- Investigators
- Susanne M Morton, PhD, Principal investigator, University of Delaware
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05471557
- Sponsor's protocol ID
- 1786370-1.1
- Other IDs
- R01AG071585
- Status last verified
- Dec 2025
- First submitted
- 17 Jul 2022
- Last updated
- 10 Dec 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Patel KV, Guralnik JM, Dansie EJ, Turk DC. Prevalence and impact of pain among older adults in the United States: findings from the 2011 National Health and Aging Trends Study. Pain. 2013 Dec;154(12):2649-2657. doi: 10.1016/j.pain.2013.07.029.
PubMed 24287107Whitlock EL, Diaz-Ramirez LG, Glymour MM, Boscardin WJ, Covinsky KE, Smith AK. Association Between Persistent Pain and Memory Decline and Dementia in a Longitudinal Cohort of Elders. JAMA Intern Med. 2017 Aug 1;177(8):1146-1153. doi: 10.1001/jamainternmed.2017.1622.
PubMed 28586818Higgins DM, Martin AM, Baker DG, Vasterling JJ, Risbrough V. The Relationship Between Chronic Pain and Neurocognitive Function: A Systematic Review. Clin J Pain. 2018 Mar;34(3):262-275. doi: 10.1097/AJP.0000000000000536.
PubMed 28719507Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington (DC): National Academies Press (US); 2011. Available from http://www.ncbi.nlm.nih.gov/books/NBK91497/
PubMed 22553896van der Leeuw G, Leveille SG, Dong Z, Shi L, Habtemariam D, Milberg W, Hausdorff JM, Grande L, Gagnon P, McLean RR, Bean JF. Chronic Pain and Attention in Older Community-Dwelling Adults. J Am Geriatr Soc. 2018 Jul;66(7):1318-1324. doi: 10.1111/jgs.15413. Epub 2018 Jun 6.
PubMed 29876923
Study at a glance
From the registry record, last updated by the sponsor on 10 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Acute Pain on Motor Learning in Young vs Older Adults
- ClinicalTrials.gov ID
- NCT05471557
- Acronym / sponsor ID
- 1786370-1.1
- Conditions
- Aging, Pain, Acute, Cognitive Decline, Motor Activity
- Keywords
- Acute pain, Adults, Cognition, Elderly, Learning, Memory, Pain, Cognitive ability
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 61 participants (actual)
- Lead sponsor
- University of DelawareUniversity, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Study start
- 20 Aug 2024 (actual)
- Primary completion
- 5 Jun 2025 (actual)
- Study completion
- 5 Jun 2025 (actual)
- First posted
- 25 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To date, the effects of pain on motor learning have not been thoroughly investigated, particularly in older adults. Broadly, the purpose of this research is to investigate the impact of acute pain on locomotor learning and its retention in older adults. The investigators hypothesize that acute pain impairs retention of locomotor learning in young and older adults and that in older adults, these deficits are worsened and are related to the degree of normal age-related cognitive decline.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pain Stimulus | Experimental | Procedure: pain deliveryCapsaicin combined with heat applied to intact skin |
| No Stimulus | No intervention | –Nothing applied to skin |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 18-35 (YA group only) or 55-85 (OA group only) years old
- Sex-matched to a participant in the OA group (YA group only)
- Self-identifying as generally medically healthy
- Able to read, write and speak English
- Able to provide informed consent and attend all testing sessions
Key exclusion criteria (18 listed)
- Resting HR < 50 or > 100 bpm
- Resting BP < 90/60 or > 140/95 mmHg (YA group only) or > 165/95 (OA group only)
- Any history or current mental health condition, learning/developmental disability or cognitive impairment, including severe untreated ADD/ADHD, severe untreated anxiety, severe untreated depression, autism spectrum disorder, insomnia, mild cognitive impairment, etc.
- Score on the MoCA <23
- Score on the GAD-7 ≥ 10
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| pain deliveryExperimental pain paradigm delivered that is short-term and painful but not harmful. | Procedure or surgery | Pain Stimulus |
Primary outcome
Motor Retention Magnitude
Time frame: 24 hours post learning (day 2)
degree to which the learned locomotor pattern has been remembered (in step length % change, normalized to the amount learned from day 1)
Motor Learning Magnitude
Time frame: immediately after learning (day 1)
degree to which the new locomotor pattern has been acquired (in step length % change)
Digit Span Backward Test
Time frame: the change between baseline and during application of intervention
number of digits (numbers) that can be repeated back in the reverse order from which they were presented
Digit Span Forward Test
Time frame: the change between baseline and during application of intervention
number of digits (numbers) that can be repeated back in the same order as they were presented
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Dec 2025.
- Background: PubMed 24287107Patel KV, Guralnik JM, Dansie EJ, Turk DC. Prevalence and impact of pain among older adults in the United States: findings from the 2011 National Health and Aging Trends Study. Pain. 2013 Dec;154(12):2649-2657. doi: 10.1016/j.pain.2013.07.029.
- Background: PubMed 28586818Whitlock EL, Diaz-Ramirez LG, Glymour MM, Boscardin WJ, Covinsky KE, Smith AK. Association Between Persistent Pain and Memory Decline and Dementia in a Longitudinal Cohort of Elders. JAMA Intern Med. 2017 Aug 1;177(8):1146-1153. doi: 10.1001/jamainternmed.2017.1622.
- Background: PubMed 28719507Higgins DM, Martin AM, Baker DG, Vasterling JJ, Risbrough V. The Relationship Between Chronic Pain and Neurocognitive Function: A Systematic Review. Clin J Pain. 2018 Mar;34(3):262-275. doi: 10.1097/AJP.0000000000000536.
- Background: PubMed 22553896Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington (DC): National Academies Press (US); 2011. Available from http://www.ncbi.nlm.nih.gov/books/NBK91497/
- Background: PubMed 29876923van der Leeuw G, Leveille SG, Dong Z, Shi L, Habtemariam D, Milberg W, Hausdorff JM, Grande L, Gagnon P, McLean RR, Bean JF. Chronic Pain and Attention in Older Community-Dwelling Adults. J Am Geriatr Soc. 2018 Jul;66(7):1318-1324. doi: 10.1111/jgs.15413. Epub 2018 Jun 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Susanne M Morton, PhD principal investigator
University of Delaware
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing pain delivery in people with Aging and Pain, Acute, run by University of Delaware at 1 site in United States.
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 6 inclusion and 18 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: finished, as of the sponsor's last update on 10 Dec 2025. 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 United States. 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. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Motor Retention Magnitude (time frame: 24 hours post learning (day 2)). The study lists 4 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 NCT05471557, which also lists 5 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 10 Dec 2025.