Parkinson Disease Clinical Trial
Official title:
Can Task Specificity and Baseline Outcomes Impact tDCS-linked Motor and Cognitive Training Gains in Parkinson's Disease? A Protocol for a Pilot Randomized Controlled Trial
This study is a group controlled clinical trial. Parallel study, patients aged 40-70 years, with Parkinson disease. Twelve sessions, three times a week, for 30 minutes, simultaneously to the rehabilitation program. Training will consist of Transcranial Direct Current Stimulation linked dual-task exercises or dual-taks exercises with cognitive training, applied three times a week during four weeks. The investigators will used instruments: dual-task gait speed (Auditory Stroop Task ), executive function (Wisconsin Card Sorting Test , Auditory Stroop Test, Trail Making Test, Verbal Fluency Test and Montreal Cognitive Assessment), and, the objective is to examine task-dependency in enhancing the effects of tDCS-linked rehabilitation training on PD and the relationships between baseline outcomes in responders and non-responders to therapy.
Background: Patients with Parkinson's disease have difficulty performing a dual-task, a
condition present in everyday life. It is possible that strategies such as Transcranial
Direct Current Stimulation can be associated with motor training enriched with dual-task and
cognitive training to improve the performance of two concurrent tasks. It is currently
unclear whether specific tasks and clinical conditions of PD patients have different results
after the intervention. Therefore, the proposed randomized controlled trial will examine
task-dependency in enhancing the effects of tDCS-linked rehabilitation training on PD and the
relationships between baseline outcomes in responders and non-responders to therapy.
Discussion: This study will evaluate the effectiveness of an intervention protocol with
transcranial direct current stimulation, dual-task training and cognitive training in
patients with Parkinson's disease. The study will also highlight whether the clinical factors
and variability between individuals that could interfere in the training of a specific task
and influence the therapeutic effect.
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