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rTMS for Orthopaedic Trauma Patients
Trial ID or NCT#
Status
NOT RECRUITING
Purpose
This study evaluates an accelerated schedule of theta-burst stimulation using a transcranial magnetic stimulation device for orthopaedic trauma patients. In this open label study, all participants will receive accelerated theta-burst stimulation. This study will examine whether symptoms of psychiatric distress and opioid use in orthopaedic trauma patients can be mitigated with rTMS to improve post-injury recovery.
Official Title
Repetitive Transcranial Magnetic Stimulation (rTMS) for Orthopaedic Trauma Patients
Eligibility Criteria
- - Male or female, 18 to 65 years of age. - Able to provide informed consent. - Present to Stanford Emergency Department as a trauma with a major operative lower extremity injury - Glasgow coma scale of 15 within 24 hours after admission or extubation - Negative urinary toxicology screen for illicit substances; - Negative pregnancy test if female and less then 60 y/o; - No suspicion for a head injury and/or negative head CT scan for intracranial hemorrhage or injury based on standard of care - No history of seizure disorder or other neurological disorders. - All patients included must screen positive for PHQ-9 score >4 (positive symptoms of depression) and CES-T score <36 (poor coping self-efficacy).
- - Incarceration, - Pregnant females, - Prior psychotic disorder, - Current use of anti-depressant or anti-psychotic medications, - Prior-admission opioid use within 30 days (patients will be screened for recent prescription opioid use using the CURES report), - Heavy alcohol use, - Lesional neurological disorder or brain implant or intracranial ferromagnetic material, - Seizure disorder
Investigator(s)
Contact us to find out if this trial is right for you.
CONTACT
Romina Nejad, MSc
(650) 497-3933
View on ClinicalTrials.gov
About this Clinical Trial
rTMS for Orthopaedic Trauma Patients
Your Message Will Go To
Romina Nejad, MSc650-497-3933