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Dystonia clinical trials

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NCT ID: NCT05663840 Recruiting - Dystonia Clinical Trials

Effects of Exercise on Dystonia Pathophysiology

Start date: October 13, 2022
Phase: N/A
Study type: Interventional

The purpose of this research study is to investigate how the brain and motor behavior changes in individuals with dystonia in response to exercise training.

NCT ID: NCT05580302 Recruiting - Spasmodic Dysphonia Clinical Trials

Cortical Silent Period in Laryngeal Dystonia

cSPDystonia
Start date: October 10, 2022
Phase:
Study type: Observational [Patient Registry]

The goal of this observational study is to evaluate the cortical silent period (cSP) in cricothyroid muscle (CT) in laryngeal dystonia and control healthy subjects. The study will provide norms related to latency and amplitude of motor evoked potentials (MEPs) and duration of cSP in CT muscle in laryngeal dystonia and control healthy subjects. Findings may give a baseline in comparison to findings in laryngeal diseases and insight into maladaptive cortical control function during phonation in laryngeal diseases like laryngeal dystonia.

NCT ID: NCT05535556 Recruiting - Parkinson Disease Clinical Trials

Comparison of the Electric Plasma Surgical Tool "PlasmaBlade" for Replacement of the Deep Brain Stimulation (DBS) Devices With Conventional Surgery

Start date: July 14, 2022
Phase:
Study type: Observational

The deep brain stimulation is surgical technique used for the Parkinson's disease, essential tremor, dystonia, epilepsy, and psychiatric diseases. A pulse generator or battery (implanted pulse generator, IPG) is a need for replacement every few years. In general, electric cautery(BOVIE), which is commonly used in surgery, cannot be used when the deep brain stimulation machine is inserted, so conventional tools such as scissors and knives are used for replacement surgery. However, in the process, damage to the machine may be inflicted by knives, scissors, etc., and in the worst case, the machine may be unusable, resulting in financial and human consumption. Plasma Blade is currently used for tissue incision and coagulation in Korea, and is the only insurance-recognized tool in Korea for the replacement surgery of a cardiovascular implantable electronic device (CIED). The deep brain stimulation machine has a structure very similar to that of the heart electronics. In addition, the plasma blade was used to replace the deep brain stimulation machine overseas.The safety is reported in the surgery, so the plasma blade deep brain stimulation machine has been replaced in Korea. The investigators would like to check the safety and effectiveness for use in surgery.

NCT ID: NCT05506085 Recruiting - Laryngeal Dystonia Clinical Trials

Deep Brain Stimulation for Laryngeal Dystonia: From Mechanism to Optimal Application

Start date: October 1, 2022
Phase:
Study type: Observational

Deep Brain Stimulation (DBS) is a neurosurgical procedure used to treat tremors, and dystonia. This study will enroll people who have a form of focal dystonia that affects their vocal cords called Adductor Laryngeal dystonia (ADLD). Participants will undergo Deep Brain Stimulation surgery to treat laryngeal dystonia as part of their clinical care. Before surgery, as part of the study they will have specialized testing to study the movement of the vocal cords, as well as functional magnetic resonance imaging (fMRI). While in the operating room, researchers will examine brain waves to better understand how faulty brain firing patterns lead to dystonia. After surgery, and activation of the deep brain stimulator, participants will repeat speech testing and vocal cord imaging as well as magnetic resonance imaging (MRI).

NCT ID: NCT05502718 Recruiting - Dystonia, Cervical Clinical Trials

Exercise Program for Patients With Cervical Dystonia Who Are Treated With Botulinum Toxin Type A

Start date: October 1, 2022
Phase: N/A
Study type: Interventional

Dystonia is involuntary movements characterized by posture abnormalities or repetitive movements as a result of continuous or intermittent simultaneous contraction of opposing muscle groups. Dystonic movements are twisted and twisted in a certain pattern. Dystonia is named in different ways according to its distribution in the body. Cervical dystonia is the most common form of regional dystonia and can be defined as involuntary movements of the head in normal upright posture.Cervical dystonia has different names according to the posture of the neck (torticollis, laterocollis, anterocollis and retrocollis). These different postures can be seen individually as well as together.Pain in cervical dystonia is seen in approximately 70% of patients, and this condition is closely related to involuntary contractions of neck muscles and neck posture disorder. Fatigue, anxiety, unhappiness, decreased self-efficacy and limitation in daily living activities due to decreased neck movements are the main causes of disability in patients with cervical dystonia. The first-line treatment of cervical dystonia consists of injecting botulinum toxin type A into the relevant muscles to alleviate these complaints.There is increasing evidence that range of motion, stretching, and relaxation exercises, in addition to botulinum toxin therapy, have beneficial effects on pain and disability in patients with cervical dystonia.In this study, patients with cervical dystonia who received botulinum toxin type A injection will be divided into study group and control group.The patients in the study group will be given stretching, strengthening, breathing and rhythmic coordination exercises for the muscles involved. (Personalized exercise program) In the control group, only breathing and rhythmic coordination exercises will be given and the two groups will be compared.Thus, it is aimed to investigate the effect of a personalized exercise program on clinical findings and the patient's quality of life.

NCT ID: NCT05416905 Recruiting - Clinical trials for Deep Brain Stimulation

Deep Brain Stimulation for Idiopathic Craniofacial Dystonia: GPi or STN

MEIGES
Start date: June 22, 2022
Phase: N/A
Study type: Interventional

MEIGES is a prospective, multicenter, randomized controlled clinical trial with the primary hypothesis that, STN-DBS is non-inferior to GPi-DBS for motor symptoms improvements at 365 days postoperatively in patients with idiopathic craniofacial dystonia.

NCT ID: NCT05317390 Recruiting - Parkinson Disease Clinical Trials

Clinical Validation of DystoniaNet Deep Learning Platform for Diagnosis of Isolated Dystonia

Start date: June 1, 2022
Phase: N/A
Study type: Interventional

This research involves retrospective and prospective studies for clinical validation of a DystoniaNet deep learning platform for the diagnosis of isolated dystonia.

NCT ID: NCT05245942 Recruiting - Laryngeal Dystonia Clinical Trials

Monitoring of the Safety and the Performance of the Endoscopic Cap Electrode (ECE50)

ECE50
Start date: December 16, 2021
Phase:
Study type: Observational [Patient Registry]

The objective of this registry is to confirm the safety and the performance of the ECE50 in medical routine by collecting data.

NCT ID: NCT05216770 Recruiting - Tremor Clinical Trials

Understanding Disorder-specific Neural Pathophysiology in Laryngeal Dystonia and Voice Tremor

Start date: March 24, 2022
Phase: Early Phase 1
Study type: Interventional

The researchers will examine functional neural correlates that differentiate between laryngeal dystonia and voice tremor and contribute to disorder-specific pathophysiology using a cross-disciplinary approach of multimodal brain imaging.

NCT ID: NCT05209516 Recruiting - Parkinson Disease Clinical Trials

Study of Motor Inhibition in Parkinson's Disease and Focal Hand Dystonia

PD-INHIB
Start date: July 31, 2018
Phase: N/A
Study type: Interventional

The current research protocol aims at studying preparatory inhibition in two populations of patients suffering from movement disorders. First, in PART 1, we will work with Parkinson's disease (PD) patients to investigate the contribution of the basal ganglia in preparatory inhibition (Project 1 [P1] and Project 2 [P2]). Then, in PART 2, we will consider patients with focal hand dystonia (FHD), to test the hypothesis that altered muscle selectivity in this pathological condition is, at least in part, due to a lack of preparatory inhibition.