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TMS for Speech

CN
Overseen ByCarrie Niziolek, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 3 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how the brain controls speech in healthy individuals by using transcranial magnetic stimulation (TMS) to study brain activity. The goal is to understand how people perceive their own speech errors and learn new speech sounds, potentially aiding those with communication disorders in the future. Participants will attend four sessions, each lasting 2-4 hours. The trial seeks English-speaking adults with normal hearing and speech, no history of neurological conditions, and no metal implants or heart disease. As an unphased trial, this study offers a unique opportunity to contribute to groundbreaking research that could enhance future therapies for communication disorders.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, if you are on medications that increase the risk of seizures or are considered 'epileptogenic,' you may not be eligible to participate.

What prior data suggests that TMS is safe for healthy adult speakers?

Research has shown that transcranial magnetic stimulation (TMS) is generally safe for people. Studies indicate that TMS can be used without serious side effects in both healthy individuals and those with certain conditions. For instance, one study found that TMS safely improved speech in patients with post-stroke speech problems. Another report confirmed that TMS is well-tolerated for speech therapy, without major negative effects. Overall, evidence suggests that TMS is a safe method to study how the brain controls speech.12345

Why are researchers excited about this trial?

Researchers are excited about Transcranial Magnetic Stimulation (TMS) for speech because it offers a non-invasive approach to potentially enhance speech capabilities, unlike traditional speech therapy methods. While most speech interventions rely on exercises and practice to improve articulation and fluency, TMS works by directly stimulating specific brain regions involved in speech production. This novel mechanism could lead to faster improvements in speech, making it a promising option for individuals seeking efficient alternatives to conventional therapies.

What evidence suggests that TMS is effective for understanding speech processing?

Research has shown that Transcranial Magnetic Stimulation (TMS) can improve speech abilities. For example, studies have found that TMS enhances spontaneous speech, repetition, and reading in patients. This trial will explore the effects of TMS on healthy adult speakers across different age groups. When combined with speech therapy, TMS significantly improves conditions like anomic aphasia. Another study found that TMS, combined with speech rehabilitation, greatly boosted speech recovery after a stroke. These findings suggest TMS could effectively aid in understanding and improving speech.23467

Who Is on the Research Team?

CN

Carrie Niziolek, PhD

Principal Investigator

University of Wisconsin, Madison

Are You a Good Fit for This Trial?

This trial is for healthy individuals interested in how the brain controls speech. Participants should be available for 4 visits, each lasting 2-4 hours. The eligibility criteria are not fully listed here, so potential participants would need to contact the researchers for more details.

Inclusion Criteria

I have never had a stroke or neurological conditions.
I can hear and speak normally.

Exclusion Criteria

My family has a history of epilepsy.
Vulnerable populations (minors and prisoners)
Implanted paramagnetic materials (metal clips, plates, pacemakers, etc.)
See 15 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 week

Treatment

Participants undergo transcranial magnetic stimulation (TMS) sessions targeting the primary somatosensory cortex using iTBS, cTBS, and sham stimulation.

3 weeks
3 visits (in-person)

Follow-up

Participants are monitored for changes in speech production and sensory adaptation after TMS sessions.

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • TMS
Trial Overview The study is testing the effects of Transcranial Magnetic Stimulation (TMS) on speech processing and control during speaking tasks. It aims to understand how people perceive their own speech errors and learn new sounds.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Healthy Adult SpeakersExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Wisconsin, Madison

Lead Sponsor

Trials
1,249
Recruited
3,255,000+

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Trials
377
Recruited
190,000+

Published Research Related to This Trial

The combination of 6-Hz-primed low-frequency rTMS and intensive speech therapy was safely administered to four post-stroke patients without any adverse effects during an 11-day treatment period.
All patients showed significant improvements in language function, indicating that this treatment protocol may be an effective option for enhancing recovery in individuals with post-stroke aphasia.
Therapeutic application of 6-Hz-primed low-frequency rTMS combined with intensive speech therapy for post-stroke aphasia.Kakuda, W., Abo, M., Momosaki, R., et al.[2016]
In a study involving 18 subjects with major depression, repetitive transcranial magnetic stimulation (rTMS) for up to 4 weeks was found to be generally safe, with no significant mean deficits in neuropsychologic function or auditory thresholds.
However, two patients experienced mild high-frequency hearing loss, indicating that while rTMS is safe for most, individual responses may vary and warrant further investigation into long-term safety.
Effects of a 2- to 4-week course of repetitive transcranial magnetic stimulation (rTMS) on neuropsychologic functioning, electroencephalogram, and auditory threshold in depressed patients.Loo, C., Sachdev, P., Elsayed, H., et al.[2019]
Repetitive transcranial magnetic stimulation (rTMS) has been shown to be more effective than sham rTMS and conventional rehabilitation for improving language recovery in stroke patients with aphasia, based on a meta-analysis of 28 studies involving 1287 patients.
Low-frequency rTMS specifically demonstrated greater improvements in language recovery, particularly in naming and comprehension, while high-frequency rTMS did not show significant benefits compared to sham or conventional treatments.
Effects of repetitive transcranial magnetic stimulation (rTMS) on aphasia in stroke patients: A systematic review and meta-analysis.Zhang, J., Zhong, D., Xiao, X., et al.[2022]

Citations

Efficacy of Transcranial Magnetic Stimulation and ...Aggregated data from both active treatment groups showed improvements in spontaneous speech, repetition, reading, and object naming. Benefits ...
Speech Therapy and Repetitive Transcranial Magnetic ...The aim of the study is to observe the effects of speech therapy and transcranial magnetic stimulation therapy in patients who develop anomic aphasia after ...
Effects of speech rehabilitation training combined with ...Speech rehabilitation training combined with rTMS can effectively improve speech function in PSA, with remarkable rehabilitation effects.
Transcranial Magnetic Stimulation Combined With ...This study provides Class III evidence that in patients with aphasia 6 or more months after a stroke, 1-Hz rTMS combined with intensive M-MAT improves WAB-AQ ...
Long-Term Therapy With Transcranial Magnetic ...This randomized clinical trial assesses whether long-term transcranial magnetic stimulation (TMS) combined with language therapy is ...
Safety and recommendations for TMS use in healthy subjects ...Safety and recommendations for TMS use in healthy subjects and patient populations, with updates on training, ethical and regulatory issues: Expert Guidelines
Efficacy and safety of repetitive transcranial magnetic ...This study shows that rTMS can safely and effectively improve speech function in patients with post-stroke aphasia (PSA), particularly in auditory comprehension ...
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