Parkinson Disease Clinical Trial
Official title:
Evaluation of the Influence of Deep Brain Stimulation on the Spinal Deformities Associated With Parkinson's Disease
The intention of the study is to investigate whether Deep Brain Stimulation (DBS) will improve postural deformities of patients with Parkinson's disease.
Status | Recruiting |
Enrollment | 47 |
Est. completion date | September 30, 2023 |
Est. primary completion date | September 30, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - women and men, over 18 years of age - medical indication for deep brain Stimulation for Parkinson's Disease - signed declaration of consent Exclusion Criteria: - withdrawal of consent - non-Parkinson's-associated diseases of the spine - pregnancy |
Country | Name | City | State |
---|---|---|---|
Germany | Charité University Medicine Department of Neurosurgery Campus Charité Mitte | Berlin |
Lead Sponsor | Collaborator |
---|---|
Charite University, Berlin, Germany |
Germany,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Sagittal Imbalance | Sagittal vertical axis (SVA) in X-Ray of the Spine. SVA is identified as the location of the head with respect to the normal center of gravity by a plumb line dropped from the center of the C7 vertebral body to the posterior superior corner of the sacral end plate. It is measured in cm with pathological values >5cm and sagital Imbalance defined as SVA >10cm. | Two years after DBS | |
Secondary | Spine Mobility | Function of the back as well as the position and movement of the pelvis in patients with Parkinson's disease with a non-invasive measuring system, (Epionics SPINE System®). Scope (in degrees) and speed (in degrees/s) of motion are measured. | Two years after DBS | |
Secondary | Oswestry Disability Index (ODI) | The Oswestry Disability Index (ODI) questionnaire for low back pain in a hospital setting. It is a self-administered questionnaire divided into ten sections designed to assess limitations of various activities of daily living. Each question is scored on a scale of 0-5 with the first statement being zero and indicating the least amount of disability and the last statement is scored 5 indicating most severe disability. The scores for all questions answered summed up and multiplied by two. To obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible. | Two years after DBS | |
Secondary | Visual Analoge Scale (VAS) | VAS measure of subjective or behavioral experience of back pain. Range 0-10 with higher scores indicating more severe symptoms.
visual analog scale |
Two years after DBS | |
Secondary | Unified Parkinsons Disease Rating Scala (Part III Motor Examination) (UPDRS-Part III) | The unified Parkinson's disease rating scale (UPDRS) to follow the longitudinal course of Parkinson's disease. Part III deals with motor experiences of daily living. It consists of 18 items. Each item has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe | Two years after DBS | |
Secondary | Parkinsons Disease Questionaire 39 (PDQ-39) | The PDQ-39 is a PD specific health status questionnaire comprising 39 items. Participants are requested to affirm one of five ordered response categories according to how often, due to their PD, they have experienced the problem defined by each item. Items are grouped into eight scales that are scored by expressing summed item scores as a percentage score ranging between 0 and 100 (100% more health problems). | Two years after DBS | |
Secondary | Pelvic incidence (PI) | The pelvic incidence (PI) corresponds to the angle between the perpendicular to the upper S1 level passing through its center and the line connecting this point to the axis of the femoral heads. Normal 45 ° to 65 ° | Two years after DBS | |
Secondary | Pelvit tilt (PT) | The pelvic tilt (PT) is defined by the angle between the vertical and the line connecting the center of the sacral endplate to the axis of the femoral heads. Normal 3° to 18° | Two years after DBS | |
Secondary | Sacral slope (SS) | The sacral slope (SS) is defined by the angle between a line tangent to the upper S1 endplate and horizontal line. Normal -32° to -49° | Two years after DBS | |
Secondary | Lumbar Lordisis (LL) | Lumbar lordosis angle measures between the superior endplate of L1 and L5 inferior endplate. Norm 33.2 +/- 12.1 degrees | Two years after DBS | |
Secondary | Mismatch of Pelvic incidence and LL (PI - LL) | Difference between pelvic incidence and lumbar lordisis. Norm <10 degrees | Two years after DBS | |
Secondary | Scoliosis | Cobb Angle at a particular region of the vertebral column, when measured from the superior endplate of a superior vertebra to the inferior endplate of an inferior vertebra. No scoliosis <10°, mild scoliosis 10-30°, moderate scoliosis 30-45°, severe scoliosis >45° | Two years after DBS |
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