Parkinson Disease Clinical Trial
— RGM/PDOfficial title:
Randomized Controlled Trial to Evaluate the Rhythm and Music Based Rehabilitation Method the Ronnie Gardiner Method Regarding Dual-task in Individuals With Parkinson's Disease
NCT number | NCT02999997 |
Other study ID # | LUH-4865 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | January 2017 |
Est. completion date | May 2018 |
Verified date | May 2018 |
Source | University Hospital, Linkoeping |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Parkinson's disease (PD) is typically associated with cognitive and movement related
functional disabilities. One commonly described cognitive complaint is the ability to do
several things simultaneously, defined as dual or multiple tasking. The Ronnie Gardiner
Method (RGM) is a rhythm and music based rehabilitation intervention that includes components
that will train this ability specifically in addition to postural control, motor learning,
movement ability and general cognitive function. The aim with the present randomized
controlled single-blinded trial is to evaluate the RGM with main focus on dual-task
performance, compared to a control group, in individuals with PD. The control group will
continue with everyday activities, including ordinary exercise activities, with no additional
activity. Both groups will be evaluated pre-, post-, and after 3 months post intervention.
Following outcome measures will be analyzed:
1. dual task performance (motor-motor, and motor-cognitive)
2. level of physical activity, motor function and balance
3. cognitive function including memory and spatial function
4. health-related quality of life, fear of falling, and freezing of gait
5. qualitative interviews from focus group discussions
Status | Completed |
Enrollment | 51 |
Est. completion date | May 2018 |
Est. primary completion date | April 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - Parkinson's disease, stage 1,5 to 4 on the Hoehn & Yahr scale, community dwelling, stable medication, being able to walk at least 10 meters, being able to transport to the intervention facility, being able to follow instructions in Swedish Exclusion Criteria: - parkinsonism of other origin, color blindness, severely impaired vision or hearing |
Country | Name | City | State |
---|---|---|---|
Sweden | Neurological clinic, Linkoeping Universityhospital | Linkoping | Ostergotland |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Linkoeping |
Sweden,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Timed Up and Go Cognitive (TUGcog) (motor-cognitive dual task) | Time in seconds to complete the following sequence: stand up from a chair, walk 3 meters, turn, walk back to the chair and sit down with the addition of counting backwards with 7 from 100, 90, 80, 70, 60, or 50. Number of errors are noted. Higher speed indicated better function. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Primary | Timed Up and Go manual (TUG manual) (motor-motor dual task) | Time in seconds to complete the following sequence: stand up from a chair, walk 3 meters, turn, walk back to the chair and sit down with the additional task to carry a tray with two glasses of water. Higher speed indicates better function. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Dual-task cost (DTC) | Measuring the difference between Timed Up and Go (TUG) single task and TUG cognitive and manual respectively | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Mini-BESTest (Balance Evaluation Systems Test) | A balance test focusing on dynamic balance and can be conducted in 10-15 minutes. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Four Step Square Test, FSST | Patient steps over four canes set-up like a cross on the floor with the tips of the canes facing together. At the start of the test, the patient stands on the upper left square (in Square 1, facing Square 2). The stepping sequence is (clockwise): Square 1, Square 2, Square 4, Square 3, return to Square 1 with the feet. Then (counterclockwise): Back to Square 3, Square 4, Square 2, and end in Square 1 with both feet. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Berg Balance Scale | Static and dynamic activities of varying difficulty are performed. Item-level scores range from 0-4, determined by ability to perform the assessed activity. Item scores are summed. Maximum score = 56 | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Chair stand 30 seconds | Standing up and sitting down, hands crossed over chest, as many times as possible for 30 seconds. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Montreal Cognitive Assessment (MoCA) | Screening of cognitive function. License has been approved. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Auditory memory test, direct and delayed | A text is read to the patient. The patient is then required to reproduce the text as exactly as possible, and then again after appr. 10 minutes. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Symbol Digit Modalities Test (SDMT) | A code key is presented to the patient where each code key represents a number between 1 and 9. The patient is then required to solve as many codes as possible in 90 seconds. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Victoria Stroop test | Colored words are presented to the patient but in a different color than the word says, eg. the word BLUE appears in the color red and the patient is required to say "red", and not read the word "blue". | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Grooved Pegboard | The patient is required to move a number of metal sticks from one side to another as fast as possible. A measure of fine motor control. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Trail Making Test A and B | The patient is required to draw a line between the numbers 1 to 25 (A), and between the numbers 1 to 13 and vary to the letters A to L, i.e. 1-A-2-B-3-C, etc, without lifting the pen from the paper. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Rey complex figure | The patient is required to copy a figure twice: the first time from a model in front of him/her; the second time without the model by memory only. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | WHODAS 2.0 | A questionnaire based on the International Classification of Functioning (ICF) for assessing impairments and function. | Baseline | |
Secondary | Freezing of gait questionnaire | A questionnaire with questions about freezing of gait | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Parkinson's disease questionnaire 39 items (PDQ-39) | A questionnaire for quality of life in people with Parkinson's disease. License as been approved. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Falls Efficacy Scale International (FES-I) | A questionnaire related to fear of falling. | Change from Baseline through study completion (at 12 weeks) and at 3 months | |
Secondary | Actigraphy with GeneActiv Armband | Actigraphy is a method to evaluate physical activity in a research person´s normal life. GeneActiv is used to record number of steps daily but also time spent lying and standing which will give information about the activity. | Change from Baseline through study completion (at 12 weeks) and at 3 months |
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