- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03253965
The Effects of Auditory Cues on Gait Mechanics in Parkinson's Disease
The purpose of this study is to determine how using auditory cues of a metronome and music at various frequencies impacts the gait mechanics in people with Parkinson's disease when walking over ground and on a treadmill.
The investigators will enroll a total of 40 participants: 30 subjects with a diagnosis of Parkinson's disease (10 in Stage 1, 10 in Stage 2, and 10 in Stage 3) and 10 unimpaired subjects.
Participants will complete 7 different treadmill walking conditions and overground walking conditions while the investigators measure step length, cadence, gait speed, and variability of movement.
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27599
- University of North Carolina at Chapel Hill
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
10 unimpaired controls and 30 subjects with Parkinson's Disease (described in detail below - see inclusion/exclusion criteria). The 30 subjects with Parkinson's Disease will be assigned into 3 groups (10 with H&Y Stage 1, 10 with H&Y Stage 2, and 10 with H&Y Stage 3).
Inclusion Criteria:
- Individuals with a diagnosis of Parkinson's Disease (made by movement disorders specialist) will be included in this study. Additional inclusion criteria include: self-reported ability to walk >10 m overground as well as walk on a treadmill for a total of 14 minutes with rest breaks as needed, and be classified as Stage 1, 2, or 3 on the Hoehn and Yahr Scale since these stages have the most independence with mobility (Goetz et. al, 2004).
Exclusion Criteria:
- Exclusion criteria include Hoehn and Yahr Stage 4 and 5, uncontrolled cardiorespiratory/metabolic disease (e.g., cardiac arrhythmia, uncontrolled hypertension or diabetes, orthostatic hypertension, chronic emphysema), or other neurological or orthopedic disorders that may affect walking. The investigators will also exclude participants with severe communication impairments, which could impede understanding of the purpose or procedures of the study or an inability to comply with experimental procedures.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Walking: Treadmill then Overground
Walking while receiving auditory cueing intervals from a metronome and music.
Testing performed using metronome normal, metronome slow, and metronome fast speed settings as well as music normal, music slow, and music fast tempos.
Subjects will also walk with no auditory cueing.
|
Steps are timed with the beat of the metronome set to the subject's cadence
Steps are timed with the beat of the metronome set to 85% of the subject's cadence
Steps are timed with the beat of the metronome set to 115% of the subject's cadence
Steps are timed with the beat of the music by a rhythm consistent with the subject's cadence
Steps are timed with the beat of the music by a rhythm consistent with 85% of the subject's cadence
Steps are timed with the beat of the music by a rhythm consistent with 115% of the subject's cadence
Steps are not timed with any auditory cue.
|
Experimental: Walking: Overground, then Treadmill
Walking while receiving auditory cueing intervals from a metronome and music.
Testing performed using metronome normal, metronome slow, and metronome fast speed settings as well as music normal, music slow, and music fast tempos.
Subjects will also walk with no auditory cueing.
|
Steps are timed with the beat of the metronome set to the subject's cadence
Steps are timed with the beat of the metronome set to 85% of the subject's cadence
Steps are timed with the beat of the metronome set to 115% of the subject's cadence
Steps are timed with the beat of the music by a rhythm consistent with the subject's cadence
Steps are timed with the beat of the music by a rhythm consistent with 85% of the subject's cadence
Steps are timed with the beat of the music by a rhythm consistent with 115% of the subject's cadence
Steps are not timed with any auditory cue.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Step Length
Time Frame: The entire duration of each condition, approximately 2 minutes each.
|
The length of each step taken while walking on a treadmill or overground.
It is the anteroposterior distance from one foot to the other at heel strike measured during walking under each condition.
|
The entire duration of each condition, approximately 2 minutes each.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cadence
Time Frame: The entire duration of each condition, approximately 2 minutes each.
|
The number of steps taken per minute measured while walking on a treadmill or overground under each condition.
|
The entire duration of each condition, approximately 2 minutes each.
|
Gait speed
Time Frame: The entire duration of each condition, approximately 2 minutes each.
|
The distance covered in a measured period of time (meters per second) while walking overground under each condition.
|
The entire duration of each condition, approximately 2 minutes each.
|
Movement variability
Time Frame: The entire duration of each condition, approximately 2 minutes each.
|
The coefficient of variation of spatiotemporal measures (step timing and step length) while walking overground and on a treadmill under each condition.
|
The entire duration of each condition, approximately 2 minutes each.
|
Collaborators and Investigators
Investigators
- Principal Investigator: Guneet Chawla, University of North Carolina, Chapel Hill
- Study Chair: Michael Lewek, PT, PhD, University of North Carolina, Chapel Hill
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 17-2089
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Parkinson Disease
-
National Heart, Lung, and Blood Institute (NHLBI)CompletedParkinson Disease 6, Early-Onset | Parkinson Disease (Autosomal Recessive, Early Onset) 7, Human | Parkinson Disease Autosomal Recessive, Early Onset | Parkinson Disease, Autosomal Recessive Early-Onset, Digenic, Pink1/Dj1United States
-
ProgenaBiomeRecruitingParkinson Disease | Parkinsons Disease With Dementia | Parkinson-Dementia Syndrome | Parkinson Disease 2 | Parkinson Disease 3 | Parkinson Disease 4United States
-
King's College LondonGlaxoSmithKlineCompletedParkinson Disease | Idiopathic Parkinson Disease | Parkinson Disease, PARK8United Kingdom
-
Ohio State UniversityCompletedParkinson's Disease | Parkinson Disease | Idiopathic Parkinson Disease | Idiopathic Parkinson's Disease | Parkinson Disease, Idiopathic | Parkinson's Disease, IdiopathicUnited States
-
National Yang Ming UniversityUnknownEarly Onset Parkinson Disease | Early Stage Parkinson Disease
-
Michele Tagliati, MDRecruitingREM Sleep Behavior Disorder | Symptomatic Parkinson Disease | Pre-motor Parkinson DiseaseUnited States
-
Cedars-Sinai Medical CenterEnrolling by invitationREM Sleep Behavior Disorder | Symptomatic Parkinson Disease | Pre-motor Parkinson DiseaseUnited States
-
Mahatma Gandhi Institute of Medical SciencesCompletedStroke, Parkinson' s Disease, Neurological Impairments, Tele-rehabilitationIndia
-
Merck Sharp & Dohme LLCCompletedParkinson Disease | Idiopathic Parkinson Disease | Idiopathic Parkinson's Disease
-
University of DeustoCompletedPARKINSON DISEASE (Disorder)Spain
Clinical Trials on Metronome Normal
-
University Hospital of CologneUnknown
-
Nicklaus Children's Hospital f/k/a Miami Children...Florida International UniversityCompleted
-
Cliniques universitaires Saint-Luc- Université...Completed
-
The Defense and Veterans Brain Injury CenterCompletedTraumatic Brain Injury | Post-Concussion SyndromeUnited States
-
Massachusetts General HospitalAgency for Healthcare Research and Quality (AHRQ)CompletedHypertension | Diabetes Mellitus, Type 2 | HyperlipidemiaUnited States
-
Otto Wagner HospitalCompletedPulmonary Disease, Chronic ObstructiveAustria
-
Ospedale Generale Di Zona Moriggia-PelasciniUnknownConsciousness DisordersItaly
-
University of OxfordCompletedStuttering, DevelopmentalUnited Kingdom
-
Veterans Health Service Medical Center, Seoul,...Completed
-
Aultman Health FoundationCompleted