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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05737316
Other study ID # 2021/00768
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date February 11, 2023
Est. completion date June 30, 2024

Study information

Verified date February 2023
Source Tan Tock Seng Hospital
Contact lauha Chung, PhD
Phone +6563578305
Email chloe_lh_chung@ttsh.com.sg
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study aim to evaluate the (1) feasibility of a novel mobile application ( Combat PD) that support a home-based gamified aerobic exercise program in individuals with mild Parkinson's disease (PD). The study aims to further explore (2) the effectiveness of Combat PD in improving adherence to prescribed home-based exercise program; and (3) the clinical effectiveness if combat PD in improving motor and non-motor function in PD.


Description:

This study aim to evaluate the (1) feasibility of a novel mobile application ( Combat PD) that support a home-based gamified aerobic exercise program in individuals with mild Parkinson's disease (PD). The study aims to further explore (2) the effectiveness of Combat PD in improving adherence to prescribed home-based exercise program; and (3) the clinical effectiveness if combat PD in improving motor and non-motor function in PD.


Recruitment information / eligibility

Status Recruiting
Enrollment 60
Est. completion date June 30, 2024
Est. primary completion date June 30, 2024
Accepts healthy volunteers No
Gender All
Age group 30 Years to 75 Years
Eligibility Inclusion Criteria: 1. Aged 30-75, diagnosed with Parkinson's disease, with mild disease severity (Hoehn and Yahr stages I to II) 2. Sedentary lifestyle 3. Receive a stable dose of dopaminergic medication for at least 4 weeks prior to study inclusion 4. Has a smart phone device Exclusion Criteria: 1. Uncontrolled hypertension, arrhythmia, or unstable cardiovascular status 2. Poorly controlled diabetes mellitus 3. Advanced kidney disease 4. BMI > 30 5. Recent cerebrovascular event/ concussion/ fall in the last 6 months 6. Significant cognitive impairment (MoCA<21) 7. Any other medical/orthopaedic/psychiatric condition that would interfere with ability to participate in the study 8. No stable internet or smart device access 9. Inability to fill up self-reported questionnaires 10. Attendance at any regular exercise programme up to 4 weeks prior to study inclusion

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Combat PD
CombatPD is an aerobic exercise programme hosted on a mobile application that pairs with motion sensors and heart rate monitor, which connects to a web-based portal for remote monitoring. The wearable sensors consist of (i) 2 motion sensors worn across one thigh and attached to an exercise ring which is held by the participant during the exergame and (ii) 1 heart rate sensor worn across the participant's chest. They will receive once weekly physiotherapy sessions at the study site for the first 4 weeks where they will be guided through the use of the CombatPD. Participants will be instructed to perform 2 sessions of 30-minute exergames in addition to a session of 30-minute brisk walking every week for 12 weeks at home. They will be instructed to exercise at a target heart rate zone at moderate intensity (i.e., 40% - 60% Heart Rate Reserve), which will be gradually increased.
Usual Care
Participants in the control group (usual care) will receive once weekly physiotherapy sessions for first 2 weeks and another session at week 6 where they will be taught home exercises based on a standard PD exercise booklet, consisting mainly of range of motion and stretching exercises , as well as brisk walking techniques. Participants in the control group will be instructed to perform these home exercises twice a week, in addition to a 30-minute brisk walk for 12 weeks.

Locations

Country Name City State
Singapore Tan Tock Seng Hospital Singapore

Sponsors (2)

Lead Sponsor Collaborator
Tan Tock Seng Hospital Singhealth Foundation

Country where clinical trial is conducted

Singapore, 

References & Publications (2)

Canning CG, Allen NE, Dean CM, Goh L, Fung VS. Home-based treadmill training for individuals with Parkinson's disease: a randomized controlled pilot trial. Clin Rehabil. 2012 Sep;26(9):817-26. doi: 10.1177/0269215511432652. Epub 2012 Jan 18. — View Citation

van der Kolk NM, de Vries NM, Penko AL, van der Vlugt M, Mulder AA, Post B, Alberts JL, Bloem BR. A remotely supervised home-based aerobic exercise programme is feasible for patients with Parkinson's disease: results of a small randomised feasibility trial. J Neurol Neurosurg Psychiatry. 2018 Sep;89(9):1003-1005. doi: 10.1136/jnnp-2017-315728. Epub 2017 Jun 12. No abstract available. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Adherence to exercise program actual exercise frequency compared to prescribed exercise targets. 12 weeks
Primary Adherence to exercise program actual exercise duration compared to prescribed exercise targets. 12 weeks
Primary Adherence to exercise program actual exercise intensity (period of exercise performed within prescribed heart rate zone), compared to prescribed exercise targets. 12 weeks
Secondary Adverse events Falls, musculoskeletal injuries, shortness of breath, dizziness, and fatigue. 12 weeks
Secondary Motor section of Movement Disorder Society sponsored Unified Parkinson's disease Rating Scale (MDS-UPDRS-III) Motor section of Movement Disorder Society sponsored Unified Parkinson's disease Rating Scale (MDS-UPDRS-III) is a valid and reliable clinical test to evaluate the severity of motor symptoms of PD, score range 0-132, 32 and below is mild, 59 and above is severe. 12 weeks
Secondary Timed Up and Go test (TUG) The TUG test measures the time in seconds taken by participants to perform sequential locomotor tasks that incorporate walking and turning. 12 weeks
Secondary Dual-task Timed Up and Go Test (TUG) Participants were instructed to repeat the TUG procedure while performing a serial three subtraction. 12 weeks
Secondary 6-minute walk test The maximal distance covered over a time of 6 minute. 12 weeks
Secondary Montreal Cognitive Assessment (MoCA) MoCA is a widely used screening assessment for detecting cognitive impairment, The basics of this test include short-term memory, executable performance, attention, focus and more. Score range 0-30. A score of 26 or over is considered to be normal. 12 weeks
Secondary Hospital Anxiety and Depression Scale (HADS) A reliable instrument for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. The HADS questionnaire has seven items each for depression and anxiety subscales. Scoring for each item ranges from 0 to 3, with 3 denoting highest anxiety or depression level. A total subscale score of >8 points out of a possible 21 denotes considerable symptoms of anxiety or depression. 12 weeks
Secondary Fatigue Severity Scale (FSS) The 9-item scale which measures the severity of fatigue and its effect on a person's activities and lifestyle in patients with a variety of disorders. Score range from 9-63, higher the score denotes greater fatigue severity. 12 weeks
Secondary Scales for Outcomes in Parkinson's disease (SCOPA-sleep) SCOPA-sleep is a reliable and valid patient-completed instrument for assessing nighttime sleep (5 items, 0-4) and daytime sleepiness (6 items 0-4) in patients with PD. with two additional questions on use of sleeping tablet ( 0-4) and Global evaluation of sleeping at night (0-7), sum up to total score of 55, higher score denotes worst sleeping performance. 12 weeks
Secondary Parkinson Disease Questionnaire (PDQ)-8 It's a self-administered questionnaire, used to measure quality of life in persons with PD. It is an eight-question instrument and each score is scored between 0 and 4. Total score sum up to 32, a higher score signifies poorer quality of life. 12 weeks
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