Clinical trial NCT06503523: The Effects of Performing a Motor Imagery Task on Cortical Excitability During Acute Experimental Muscle Pain and Acute Itch
Official title: Investigation of the Neurophysiological and Psychological Aspects of Itch
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Itch
Pain
Lead sponsor: Aalborg University
Sponsor class: OTHER
First posted: 2024-07-16
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: we apply one of three experimental methods in your hand: either an injection of salt water (7% NaCl) or we apply small needles from the plant mucuna pruriens or histamine (1%)
Primary purpose: BASIC_SCIENCE

Brief summary: The aim of this project is to determine the effects of performing a motor imagery task on cortical excitability during acute experimental muscle pain (induced by hypertonic saline), acute histaminergic itch (induced by histamine), and non-histaminergic itch stimulation (triggered by Cowhage). We hypothesize that motor imagery will counteract the alterations in cortical excitability observed during experimental muscle pain and both itch models.

Detailed description: Itch and pain share many similarities and dissimilarities in terms of the mechanisms and molecules involved. Many studies have been conducted to explain all the neurophysiological aspects involved in the pain process, and cortical adaptations have been provoked in healthy individuals using experimental pain models. Unfortunately, all these aspects still need to be clarified regarding itch. Has been previously demonstrated that motor imagery can counteracted the pain-induced decrease in corticospinal excitability observed during acute pain, and it has also been proposed as a potential intervention for individuals with pain to restore maladaptive neuroplasticity. However, whether motor imagery can similarly counteract the itch-induced cortical changes remains unclear. Therefore, the aim of this project is to investigate whether motor imagery would counteract the reduction in cortical excitability during acute itch, similar to the effects observed in the context of acute pain.

Eligibility criteria: Inclusion Criteria:

* Healthy men and women
* 18-60 years
* Speak and understand English

Exclusion Criteria:

* Pregnancy or lactation
* Drug addiction defined as any use of cannabis, opioids, or other addictive drugs
* Previous or current history of neurological (e.g. neuropathy), immunological (e.g. asthma, immune deficiencies, arthritis), musculoskeletal (e.g. muscular pain in the upper extremities,), cardiac disorder (e.g., heart stroke), or psychiatric diagnoses (e.g. depression) that may affect the results
* Current use of medications that may affect the trial, such as antihistamines, antipsychotics, and painkillers, as well as systemic or topical steroids
* Skin diseases (e.g., atopic dermatitis, pruritus nodularis, eczema, psoriasis)
* Moles, scars, or tattoos in the area to be treated or tested.
* Consumption of alcohol or painkillers 24 hours before the study days and between these
* Acute or chronic pain
* Unable to pass the "Transcranial Magnetic Stimulation Adult Safety Screen" (subproject 1 and 2)
* Contraindications to transcranial magnetic stimulation (TMS) application (history of epilepsy, metal implants in head or jaw, etc.)
* Presence of implanted hearing aids or metal implants on the face, including permanent makeup or tattoos
* Participation in other trials within one week of study entry (four weeks in the case of pharmaceutical trials)
* Lack of ability to cooperate

Primary outcomes:
measure: Numeric rating scales (NRS)
timeFrame: 1 minute after every itch/pain induction
measure: Measuring cortical excitability (TEPs)
timeFrame: Baseline
measure: Measuring cortical excitability (TEPs)
timeFrame: During Itch/pain stimulation for 10 minutes
measure: Measuring cortical excitability (TEPs)
timeFrame: During motor imagery task for 7 minutes
measure: Measuring cortical excitability (TEPs)
timeFrame: Post induction of itch or pain
Secondary outcomes:
measure: Pain Catastrophizing Scale (PCS).
timeFrame: Baseline
measure: Itch Catastrophizing Scale (ICS).
timeFrame: Baseline
measure: Reinforcement Sensitivity Theory - Personality Questionnaire (RST-PQ).
timeFrame: Baseline
measure: The Pittsburg Sleep Quality Index (PSQI)
timeFrame: Baseline
measure: Depression, Anxiety, Stress Scale (DASS-21)
timeFrame: Baseline
measure: Learned Helplessness Scale (LHS)
timeFrame: Baseline
measure: Positive And Negative Affect Schedule (PANAS)
timeFrame: Baseline
Other outcomes:
Locations:
city: Gistrup
country: Denmark
facility: Aalborg University
city: Gistrup
country: Denmark
facility: Aalborg University
Study officials:
References: