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Healthy Individuals (Controls)Allena-menteNCT07066137

Motor Learning in Health and Movement Disorders: Role of Physical Activity and Advanced Devices

A study testing CAREN in people with Healthy Individuals (Controls) and Parkinson Disease, run by IRCCS Centro Neurolesi Bonino Pulejo at 1 site in Italy.

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 goal of this clinical trial is to investigate motor responses in healthy subjects and patients with movement disorders, brain and spinal cord injury, neuromuscular diseases, or cardiovascular diseases. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
What is being tested?
CAREN
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
1 siteItaly
Study dates
5 May 2024to 31 Dec 2028
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 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Montreal Cognitive Assessment (MoCA) score (adjusted for age and education) equal to or greater than 20.

Who cannot join

  • Severe medical and psychiatric disorders potentially affecting the training

Trial locations and contacts

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

Maria Grazia Maggio, Phd contact

+3909061128250

mariagrazia.maggio@irccsme.it

Italy1 site, 1 recruiting
  • IRCCS Centro Neurolesi Bonino Pulejo

    Messina, Italy/Me, 98123

    Rocco Salvatore Calabrò, PhD, +3909061128133, roccos.calabro@irccsme.it

    Maria Grazia Maggio, PhD

    Recruiting

Other trials in Italy

About this study

Official title: Motor Planning, Execution, and Modulation in Healthy Individuals and Patients With Movement Disorders or Neuromuscular Diseases Using Traditional Physical Activity or Advanced Devices to Enhance Motor Learning and Sensorimotor Processing

The goal of this clinical trial is to investigate motor responses in healthy subjects and patients with movement disorders, brain and spinal cord injury, neuromuscular diseases, or cardiovascular diseases.

This study aims to evaluate the effectiveness of traditional physical activities combined with innovative interventions such as cryotherapy, ultrasound therapy, laser therapy, transcranial magnetic stimulation (TMS), and transcranial direct current stimulation (tDCS). It will also assess the impact of proprioceptive stimuli provided by either the immersive virtual reality (CAREN), or visuo-cognitive-motor enhancement (S.V.T.A.), and music therapy.

Read more

The main questions it aims to answer are:

How do these interventions affect motor activities and their functional recovery? What are the temporal and spatial changes in activation sequences related to motor learning and maintenance? When there is a comparison group: Researchers will compare outcomes between different intervention arms (e.g., physical activity with advanced devices vs. traditional methods) to find out if the advanced interventions result in better motor control and functional recovery.

Participants will:

  • Undergo various rehabilitation protocols including physical activity and advanced interventions.
  • Be assessed using different tool, such as fMRI, dtMRI, and NIRS to study in vivo neuroimaging and assess changes in brain function and connectivity.
Read the detailed description

Objectives

Primary Objectives Investigating Motor Gesture Control: Study the sensory-motor structures and their connectivity in healthy participants and patients with neurological, cardiovascular, or neuromuscular conditions. This includes analyzing responses to advanced interventions such as transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS), and the CAREN (Computer Assisted Rehabilitation Environment) system.

Understanding Central Control Mechanisms: Assess spatial and temporal changes in brain activity during motor training and recovery processes, leveraging advanced neuroimaging techniques (e.g., fMRI, dtMRI, NIRS).

Secondary Objectives Postural Disorder Prevention: Develop strategies to enhance postural stability and prevent related disorders, improving sports performance and the quality of life in patients with neurodegenerative conditions.

Integration of Imaging and Psychometric Data: Employ multimodal data to uncover brain function patterns and inform rehabilitation strategies, contributing to personalized recovery protocols and optimized training methods.

Methodology Study Design

This is an interventional study aimed at evaluating the metabolic, functional, and neurophysiological aspects of motor responses in participants subjected to intensive physical and cognitive training. By combining traditional therapies with innovative technologies (e.g., CAREN, IVS3, AlterG, tDCS, TMS), the study will explore:

Central nervous system activation and connectivity. Temporal and spatial dynamics of motor learning and maintenance. The role of proprioceptive, visual, and auditory inputs in motor coordination.

Phases of Study Phase 1: Recruitment and Baseline Assessments Participants will be recruited through direct communication and provided with detailed study information.

Baseline evaluations will include:

Clinical and medical-sports assessment. Neuropsychological evaluation (e.g., MoCA, TMT, Stroop Test). Postural and gait analysis. Baseline imaging (MRI, EEG). Phase 2: Intervention and Data Collection

Participants will undergo structured interventions:

Physiotherapy sessions combined with neuromodulation techniques. Training on the CAREN system to assess and improve motor and postural functions.

Use of advanced devices for electromyographic data collection, oxygen consumption measurements, and 3D gait analysis.

Imaging and functional assessments will be repeated post-intervention.

Phase 3: Data Analysis and Dissemination Collected data will be anonymized, processed using advanced imaging and statistical algorithms, and analyzed for correlations between training responses and functional recovery.

Results will be published in high-impact international journals. Technologies and Assessments

Neuroimaging Techniques:

Functional and structural MRI (including T1-weighted, T2-weighted, and DTI sequences).

Analysis of mean diffusivity and fractional anisotropy to evaluate white matter integrity.

NIRS to assess cortical hemodynamics during tasks.

Neurophysiological Tools:

EEG and ECG to monitor the electrical activity of the brain and heart. Surface electromyography (EMG) to evaluate muscle activation patterns.

Advanced Rehabilitation Devices:

CAREN system: A virtual environment platform for motor and postural rehabilitation.

Alter-G/Gait Trainer 3 for assisted gait training. IVS3 FLIR system for thermal imaging of muscular activity.

Neuropsychological Assessments:

Comprehensive cognitive evaluation, including MoCA, TMT, Stroop, and PASAT. Auditory anamnesis and visuomotor training (e.g., S.V.T.A.).

Population The study aims to recruit 150 participants, including healthy individuals and patients aged 18-70 years with neurological conditions (stroke, dementia, Parkinson's Disease, Multiple Sclerosis, Spinal Cord Injury). Detailed inclusion and exclusion criteria ensure the selection of suitable candidates.

Ethical and Administrative Aspects All participants will provide informed consent per ethical guidelines (Declaration of Helsinki and GDPR compliance).

The relevant Ethics Committee approves the study, with no additional costs or compensations.

Results will be transparently reported, adhering to international research standards.

Being tested
CAREN, Control group
Keywords
Virtual Reality, motor rehabilitation, cognitive rehabilitation, Functional Recovery
Medical subject headings
Parkinson Disease, Multiple Sclerosis, Alzheimer Disease, Dementia, Stroke

What participants receive

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

  • CARENDevice

    The interventions include proprioceptive stimuli combined with specific rehabilitation protocols, such as Tabata training, plyometric training, and visual-cognitive-motor enhancement with the S.V.T.A. method.

    Healthy subjects and athletes (about 50) will participate in intensive aerobic and anaerobic training, including sensory-motor-cognitive training and exercises on the CAREN platform. Another 25 participants will have TMS/tDCS and music therapy added to their regimen.

    Regarding neurological patients, 50 participants will undergo posture and gait rehabilitation using the CAREN platform, while 25 will receive non-invasive neuromodulation to enhance their rehabilitation outcomes. This arm of the study focuses on the recovery of motor and cognitive functions.

    This study uses the CAREN system as a tool for physical rehabilitation in neurological and healthy participants. The device is not being investigated for new indications and the study is conducted entirely in Italy.

  • Control groupOther

    the control group is typically the group that does not receive the experimental treatment or intervention, serving as a baseline to compare the effects of the intervention. However, in the context you're describing with healthy subjects and athletes, here's how it's structured:

    Healthy subjects and athletes (around 50 participants) will undergo:

    Intensive aerobic and anaerobic training Sensory-motor-cognitive training

    Additionally, 25 of these participants will receive:

    Transcranial Magnetic Stimulation (TMS) Transcranial Direct Current Stimulation (tDCS) Music therapy This approach allows for a comparison between the effects of the physical and cognitive training alone versus the enhanced effects when combined with neuromodulation (TMS, tDCS) and music therapy. This design will help in assessing the added value of these interventions on performance

Study groups in NCT07066137
Study groupRoleWhat they receive
Healthy SubjectsActive comparatorThe subjects will undergo baseline examinations including MRI, spirometry, surface electromyography, 3D gait analysis, postural assessment and stabilometric analysis, O2 consumption measurement, neuropsychological assessment, ECG, and EEG. Subsequently, the healthy subjects (approximately 50) will undergo intensive aerobic and anaerobic training (including sensory-motor-cognitive training) and exercises on the CAREN platform. For the other 25 participants, transcranial magnetic stimulation (TMS)/transcranial direct current stimulation (tDCS) and music therapy will be added.
Receives: Other: Control group
Experimental groupExperimentalAs for the neurological patients (50), they will undergo posture and gait rehabilitation using the CAREN platform, while the other 25 will receive additional enhancement through non-invasive neuromodulation. This constitutes the other arm of the study.
Receives: Device: CAREN

What is being measured

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

  1. Amplitude of Motor-Related Event-Related Potentials (ERPs) During Gesture Execution Assessed by EEG.

    Motor-related EEG activity will be recorded during the execution of standardized gestures. The primary outcome is the mean amplitude (in µV) of specific ERP components (e.g., N200, P300) over motor cortex electrodes. Data will be averaged across trials for each participant and reported as group means ± standard deviation. Differences between healthy participants and clinical groups will be assessed using appropriate statistical tests.

    Measured: Baseline (T0), post-intervention (T1, 12 weeks after baseline), and follow-up (T2, 3 months post-intervention).

Secondary outcomes (2)
  1. Respiratory Exchange Ratio (RER) During Submaximal Exercis

    Metabolic efficiency will be assessed through the respiratory exchange ratio (RER = VCO₂/VO₂) during submaximal steady-state exercise. RER will be measured at standardized workload levels and summarized as mean ± SD. Comparisons between groups or timepoints will assess changes in substrate utilization patterns.

    Measured: Baseline (T0), post-intervention (T1, 12 weeks after baseline), and follow-up (T2, 3 months post-intervention).

  2. Change in Global Cognitive Function as Measured by MoCA Total Score

    Cognitive function will be assessed using the Montreal Cognitive Assessment (MoCA). The primary outcome is the change in total score (range: 0-30) from baseline to post-intervention. Data will be summarized as mean ± SD and analyzed using paired or independent statistical tests, depending on the study design.

    Measured: Baseline (T0), post-intervention (T1, 12 weeks after baseline), and follow-up (T2, 3 months post-intervention).

Timeline

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

  1. First posted15 Jul 2025
  2. Study start5 May 2024
  3. Primary completion6 Dec 2028 (estimated)
  4. Study completion31 Dec 2028 (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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Type of Study: Interventional Objective: To evaluate the effects of advanced physiotherapy techniques and neuromodulation on motor and cognitive functions in both healthy individuals and patients with neurological conditions. Interventions: Physiotherapy, Cryotherapy, ultrasound therapy, laser therapy, music therapy, Neuromodulation: TMS, tDCS. Innovative technology (e.g. Virtual Reality -CAREN, IVS3 , AlterG) Proprioceptive stimulation and motor rehab, Intensive aerobic and anaerobic training. Groups: 1. Healthy Participants 2. Patients Phases: Recruitment: Initial evaluations and baseline data collection. Intervention: Application of treatments and regular assessments. Follow-up: Post-intervention evaluations and data analysis. Duration: Approximately 5 years. Outcome Measures: Improvements in motor performance, cognitive functions, and quality of life.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07066137
Sponsor's protocol ID
Allena-mente
Acronym
Allena-mente
Status last verified
Oct 2026
First submitted
9 Oct 2024
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: we plan to share individual participant data (IPD) with other researchers. The data will be made available through a secure platform, ensuring participant confidentiality and compliance with ethical guidelines. Access will be granted under a data use agreement that requires anonymization and outlines permitted uses. We encourage collaborative research and publication of findings derived from the shared data for a period of five years following the study's completion.

Publications

  • Bonanno M, De Pasquale P, De Marchis C, Lombardo Facciale A, Paladina G, Fonti B, Quartarone A, Calabro RS. Might patients with cerebellar ataxia benefit from the Computer Assisted Rehabilitation ENvironment (CAREN)? A pilot study focusing on gait and balance. Front Bioeng Biotechnol. 2024 Jun 24;12:1385280. doi: 10.3389/fbioe.2024.1385280. eCollection 2024.

    PubMed 39011156
  • De Pasquale P, Bonanno M, Lombardo Facciale A, Maggio MG, Thaut MH, Hurt C, Quartarone A, Impellizzeri F, Calabro RS. Can neurologic music therapy make the difference when using immersive virtual reality in Parkinson disease motor training? Promising findings from a secondary analysis. Front Rehabil Sci. 2026 Feb 26;7:1707528. doi: 10.3389/fresc.2026.1707528. eCollection 2026.

    PubMed 41835097

Questions about this trial

What is this clinical trial studying?

A study testing CAREN in people with Healthy Individuals (Controls) and Parkinson Disease, run by IRCCS Centro Neurolesi Bonino Pulejo at 1 site in Italy.

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 1 inclusion and 1 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 3 Nov 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 Italy. 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?

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 Maria Grazia Maggio, Phd (+3909061128250, mariagrazia.maggio@irccsme.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Amplitude of Motor-Related Event-Related Potentials (ERPs) During Gesture Execution Assessed by EEG. (time frame: Baseline (T0), post-intervention (T1, 12 weeks after baseline), and follow-up (T2, 3 months post-intervention).). 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 NCT07066137, which also lists 2 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 3 Nov 2026.

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