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The NeuRoStiM Trial - A randomised placebo-controlled trial to investigate the efficacy of an interactive brain-computer interface neuromodulation treatment combined with transcranial direct current stimulation for spinal cord injury neuropathic pain

Start year: 2025

Summary: This project brings together international experts in basic science and clinical approaches to spinal cord injury (SCI) neuropathic pain (NP) for a rigorous randomized clinical trial to examine the efficacy and mechanisms of an advanced interactive brain computer interface (BCI-N) treatment combined with transcranial direct current stimulation (tDCS). BCI-N treatment teaches people with SCI NP to gain control over their brain rhythms via electroencephalography (EEG) neurofeedback in a way that reduces their pain. BCI-N will be supplemented by tDCS, intended to promote brain plasticity. Both tDCS and BCI-N are low-cost, have no side effects and can easily be translated into clinical practice. Our primary aim is to test whether 30-min BCI-N + tDCS treatment for 20 consecutive days offers sustained pain relief to SCI people with NP. Using cutting-edge neuroimaging technology, our secondary aim is to identify the brain mechanisms responsible for the recovery of SCI NP including efforts to prevent rather than relive SCI NP.