Gait Training With Cognitive Tasks in Parkinson's Disease

NCT02025517 | Completed DMC

• 1 other identifier: CEP-UFRN 03063812.0.0000.5537
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

Treadmill gait training combined with cognitive tasks in Parkinson's disease.

Conditions

Parkinson's Disease

Keywords

Parkinson's disease; rehabilitation; kinematics; cognition

Outcome Measures

Primary Outcomes (1)

• Changes in kinematic gait parameters after treadmill training

  The treadmill training was realized for 20 minutes. Immediately after treadmill training, kinematic gait data were captured by Qualisys Track Manager software and exported to Visual 3D, to reconstruct the segments and create a biomechanical model. It was carried out in two stages: static and dynamic collection. The primary outcome measure was the kinematic variables at the phase post training on treadmill. The kinematic variables include: speed (m/s), cadence (steps/min), stride length (m), step length (m) and angular displacement (º).

  Immediately after gait training on treadmill.

Study Arms (2)

Without Cognitive Tasks

NO INTERVENTION

Gait training on treadmill during 20 minutes.

Cognitive Tasks

EXPERIMENTAL

Treadmill training plus cognitive verbal fluency, memory and spatial planning tasks, during 20 minutes.

Other: Cognitive Tasks.

Interventions

Cognitive Tasks. OTHER

The Experimental Group underwent treadmill gait training simultaneously to a protocol of cognitive tasks created specifically for this study, based on cognitive activities proposed in previous studies. The training sessions lasted 20 minutes. The first three minutes allowed subjects to familiarize themselves with the treadmill. From the 4th minute onward, the volunteer walked for 1 minute while performing cognitive tasks, and in the following minute, only walked. Thus, the 17 remaining minutes on the treadmill alternated between one minute of treadmill training combined with a cognitive task and the following minute only treadmill training. Treadmill gait speed was that reported by the patient as the fastest possible speed while maintaining a suitable comfort level.

Cognitive Tasks

Eligibility Criteria

• Age: 45 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of idiopathic PD by a neurologist and confirmed by complementary examinations;
• Degree of disease progression equivalent to stages 2 to 3 of the Modified Hoehn and Yahr Scale;
• Regular use of antiparkinson medication, exhibiting stable response; able to walk independently without ortheses or other assistive devices;
• Absence of brain stimulation surgery; absence of cardiovascular, respiratory and musculoskeletal diseases that could compromise performance during assessment and training;
• Absence of other neurological disorders;
• Absence of non-corrected visual or auditory disturbances;
• Be able to understand verbal instructions; being literate;
• Give their written informed consent.

You may not qualify if:

• Blood pressure above 140X90 mmHg before the intervention (values referring to the first stage of hypertension);
• Heart rate above the submaximal value, calculated by the formula 0.75 x (220-age), during the intervention;
• Feeling nauseous or experiencing persistent acute pain during the exercises; - Voluntarily abandoning the study.

Sponsors & Collaborators

• Universidade Federal do Rio Grande do Norte: lead
• Conselho Nacional de Desenvolvimento Científico e Tecnológico: collaborator

Study Sites (1)

Federal University of Rio Grande do Norte

Natal, Rio Grande do Norte, 59078-970, Brazil

Location

MeSH Terms

Conditions

Parkinson Disease

Condition Hierarchy (Ancestors)

Parkinsonian Disorders; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases

Study Officials

• Angelica VC Sousa, Master

  Universidade Federal do Rio Grande do Norte

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ana Raquel Rodrigues Lindquist

Study Record Dates

• First Submitted: December 13, 2013
• First Posted: January 1, 2014
• Study Start: August 1, 2012
• Primary Completion: September 1, 2012
• Study Completion: September 1, 2012
• Last Updated: January 1, 2014

Record last verified: 2012-11

Locations

BR (1)