Gait Analysis in Neurological Disease
Gait Pattern Analysis in Neurological Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Veronique Vanderhorst, MD PhD
- Phone Number: 617-667-0519
- Email: vvanderh@bidmc.harvard.edu
Study Locations
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Clinical Research Center BIDMC
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 18-85 (for both healthy and affected subjects).
- Presence of at least 2 of the following: bradykinesia, rest tremor, rigidity, postural instability (UK PD Brain Bank Criteria) (Affected subjects only).
- Montreal Cognitive Assessment will be employed to determine whether subjects will need the assent of a legally authorized representative. Subjects with MOCA ≤ 21 will be consented only with the assent of the subject and informed consent of the authorized legal representative (Affected subjects only).
- These may include subjects who may have indeterminate parkinsonism, when it is not clear whether they have idiopathic Parkinson's Disease versus one of the Atypical Parkinsonisms, such as Vascular Parkinsonism, Multiple System Atrophy, Progressive Supranuclear Palsy, Normal Pressure Hydrocephalus or Corticobasal Degeneration (Affected subjects only).
- Subjects with assistive devices will be eligible for the study and may use them during the study (Affected subjects only).
- Absence of complaints regarding difficulty walking such as arthritic pain, fatigue during walking or slowness of walking (Healthy subjects only).
Exclusion Criteria:
- Presence of alternative explanation for parkinsonism such as head trauma, drug-induced parkinsonism (affected subjects only).
- Currently being treated for major medical illness requiring recent hospitalization (<14 days) (for both healthy and affected subjects).
- Currently participating in another clinical study with an intervention arm (for both healthy and affected subjects).
- Inability to consent due to cognitive impairment and absence of legally authorized representative (for both healthy and affected subjects).
- Subjects with any cardiac, pulmonary conditions (congestive heart failure requiring hospitalization within the past 90 days, recent myocardial infarction < 90 days, supplemental oxygen-requiring subjects due to cardiac or pulmonary conditions) that limit their ability to safely participate in a walking trial (for both healthy and affected subjects).
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Control
- Time Perspectives: Cross-Sectional
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
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Neurological Disease subjects
Parkinson's Disease and other Parkinsonian Disorders subjects.
Other Parkinsonian Disorders include Atypical Parkinsonism such as Progressive Supranuclear Palsy, Multiple System Atrophy, Corticobasal Degeneration, Primary Gait Freezing Disorder, Indeterminate Parkinsonian Syndrome.
During the first visit no intervention will take place.
There is an optional second visit during which subjects with Parkinson's Disease are asked to come come off antiparkinson medication and if applicable, off both medication and deep brain stimulation.
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During the optional second visit subjects with neurological disease and already on anti-parkinson medication are asked to come off their anti-parkinson medication.
Other Names:
During the optional second visit subjects with neurological disease already treated with deep brain stimulation are asked to come temporarily stop deep brain stimulation and resume stimulation, with walking trials done in each condition.
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Ataxia Subjects
The ataxia subjects will participate in an additional cohort that will test and validate the gait model.
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Huntington Disease Subjects
The Huntington Disease subjects will participate in an additional cohort that will test and validate the gait model.
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Healthy control subjects
The healthy control subjects will be age- and sex-matched to the Neurological Disease subjects.
An additional young healthy control cohort will be used to validate gait analysis methodology.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Gait speed
Time Frame: through study completion, an average of 1 year, with option of PD and older healthy controls to be followed longitudinally for the course of the disease
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Method of assessment: physiological parameter
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through study completion, an average of 1 year, with option of PD and older healthy controls to be followed longitudinally for the course of the disease
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Swing duration
Time Frame: through study completion, an average of 1 year
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Method of assessment: physiological parameter
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through study completion, an average of 1 year
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Stance duration
Time Frame: through study completion, an average of 1 year
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Method of assessment: physiological parameter
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through study completion, an average of 1 year
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Cadence
Time Frame: through study completion, an average of 1 year
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Method of assessment: physiological parameter
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through study completion, an average of 1 year
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Stride length
Time Frame: through study completion, an average of 1 year
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Method of assessment: physiological parameter
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through study completion, an average of 1 year
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Synucleinopathies
- Neurologic Manifestations
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Mental Disorders
- Genetic Diseases, Inborn
- Neurocognitive Disorders
- Eye Diseases
- Cognition Disorders
- Dementia
- Tauopathies
- Neurodegenerative Diseases
- Movement Disorders
- Heredodegenerative Disorders, Nervous System
- Basal Ganglia Diseases
- Cranial Nerve Diseases
- Spinal Cord Diseases
- Primary Dysautonomias
- Autonomic Nervous System Diseases
- Dyskinesias
- Ophthalmoplegia
- Ocular Motility Disorders
- Paralysis
- Chorea
- Cerebellar Diseases
- Cerebellar Ataxia
- Spinocerebellar Degenerations
- Ataxia
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Corticobasal Degeneration
- Parkinson Disease
- Multiple System Atrophy
- Supranuclear Palsy, Progressive
- Gait Disorders, Neurologic
- Huntington Disease
- Spinocerebellar Ataxias
- Parkinsonian Disorders
- Parkinson Disease, Familial, Type 1
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Therapeutics
- Surgical Procedures, Operative
- Thiazoles
- Benzothiazoles
- Azoles
- Hydrocarbons
- Hydrocarbons, Cyclic
- Hydrocarbons, Aromatic
- Phenols
- Benzene Derivatives
- Adamantane
- Bridged-Ring Compounds
- Nitro Compounds
- Electric Stimulation Therapy
- Ketones
- Benzophenones
- Nitrophenols
- Tolcapone
- Pramipexole
- Amantadine
- Deep Brain Stimulation
- carbidopa, levodopa drug combination
- entacapone
- ropinirole
Other Study ID Numbers
Other Study ID Numbers
- 2015P000310
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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