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VisMemoPD Protocol: an Observational Pilot Study on Spatial and Topographical Memory in Patients With Parkinson's Disease and Parkinsonism (VISMEMO-PD)

14. september 2026 opdateret af: IRCCS San Raffaele Roma

VisMemoPD Protocol: An Observational Pilot Study on Spatial and Topographical Memory in Patients With Parkinson's Disease and Parkinsonism

VISMEMO-PD is an observational pilot study aimed at investigating visuospatial memory in reaching space and topographical memory in navigational space in patients with Parkinson's disease and Parkinsonism. The protocol is based on the hypothesis that topographical memory may deteriorate before visuospatial memory, suggesting that navigational memory impairment could represent an early indicator of disease progression. The study will include 80 participants stratified into four groups: patients with mild Parkinson's disease, patients with moderate-advanced Parkinson's disease, patients with Parkinsonism, and healthy participants. Visuospatial memory will be assessed using the Corsi Block-tapping Test, while topographical memory will be assessed using the Walking Corsi Test. Walking motor patterns will be recorded using wearable inertial sensors from the MOVIT system, and visual exploration strategies will be assessed using a wearable Pupil Labs eye-tracking system. The integration of cognitive, motor, and eye-tracking measures may support the identification of early neuropsychological markers and the development of tailored neurorehabilitation pathways for individuals with Parkinson's disease and Parkinsonism.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Parkinson's disease is a chronic neurodegenerative condition characterized by both motor and non-motor symptoms. Among non-motor manifestations, cognitive decline is common and heterogeneous and may occur already in the early stages of the disease. VISMEMO-PD was developed as part of a broader research framework aimed at identifying neuropsychological markers capable of predicting disease progression and the risk of conversion to Parkinson's disease dementia through targeted clinical protocols.

The present study focuses on the assessment of visuospatial memory in reaching space and topographical memory in navigational space. The theoretical rationale underlying the protocol is based on the hypothesis that the execution of sequences in navigational space may be impaired before the execution of sequences in reaching space. This would suggest that topographical memory impairment may represent an early marker of disease progression.

The study will compare performance across four groups: patients with mild Parkinson's disease, patients with moderate-advanced Parkinson's disease, patients with Parkinsonism, and healthy participants. The Corsi Block-tapping Test will be used to assess visuospatial memory in reaching space. The Walking Corsi Test, a walking adaptation of the Corsi Block-tapping Test, will be used to assess navigational memory in extrapersonal space. During the Walking Corsi Test, participants will reproduce spatial sequences by actively moving through the testing environment.

The protocol will also investigate the association between topographical memory deficits and walking motor patterns. Gait-related parameters will be recorded using wearable inertial sensors from the MOVIT system, consisting of a triaxial accelerometer, a magnetic sensor, and a triaxial gyroscope. These measures will allow the objective recording of movement-related parameters during task execution.

In addition, visual exploration strategies during visuospatial and topographical memory tasks will be assessed using a wearable Pupil Labs eye-tracking system. Eye-tracking data will be used to quantify gaze behavior, including fixation-related parameters, saccadic exploration, gaze transitions between relevant spatial targets, and visual scanning patterns. The integration of eye-tracking measures with cognitive performance and gait-related parameters is expected to provide a more comprehensive description of the visuocognitive and visuomotor mechanisms involved in spatial and topographical memory impairment in Parkinson's disease and Parkinsonism.

The study will include baseline assessment and follow-up evaluations at 12 and 24 months. Repeated assessments will allow the investigation of temporal trajectories of cognitive decline and may contribute to the development of predictive models capable of identifying patients at greater risk of conversion to dementia. The integration of longitudinal cognitive, motor, and visual exploration data may ultimately contribute to the definition of multidimensional biomarkers of disease progression.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

80

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

    • Frosinone
      • Cassino, Frosinone, Italien, 03043
        • IRCCS San Raffaele Cassino - CTC Via G. di Biasio, 1
    • Roma
      • Roma, Roma, Italien, 00185
        • University of Roma La Sapienza Department of Psychology University of Rome 00185, Rome
      • Roma, Roma, Italien, 00185
        • University of Roma La Sapienza Department of Psychology University of Rome
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Patients with Parkinson's disease, Parkinsonism, and healthy participants

Beskrivelse

Inclusion Criteria

  • Male and female subjects aged between 35 and 80 years;
  • Diagnosis of Parkinson's disease according to the United Kingdom (UK) Parkinson's Disease Society Brain Bank criteria;
  • Diagnosis of primary atypical parkinsonism MSA-P, according to the Second Consensus Statement on the Diagnosis of Multiple System Atrophy;
  • Diagnosis of primary atypical parkinsonism PSP-P, according to the Movement Disorder Society criteria for Progressive Supranuclear Palsy;
  • Modified Hoehn and Yahr stage between 1 and 3 during the "ON" phase (Hoehn and Yahr, 1967);
  • Cognitive screening with the Montreal Cognitive Assessment (MoCA) score > 17;
  • Mini-Mental State Examination (MMSE) score ≥ 24 (Folstein et al., 1975);
  • Ability to walk independently for 10 meters without assistive devices;
  • Ability to understand and sign the informed consent form;
  • Ability to comply with study procedures.

Exclusion Criteria

  • Diagnosis of neurological disorders other than Multiple System Atrophy (MSA) and Parkinson's disease;
  • Depressive disorders or Beck Depression Inventory-II (BDI-II) score > 20;
  • Musculoskeletal disorders that could impair gait performance.

The study will enroll 20 healthy subjects, matched by age and sex with patients affected by Parkinson's disease (PD) and atypical parkinsonism who will be recruited into the study.

The same inclusion criteria will be applied to both groups of patients with Multiple System Atrophy (MSA) and Parkinson's disease.

The exclusion criteria will be:

  • Diagnosis of neurological disorders;
  • Depressive disorders or Beck Depression Inventory-II (BDI-II) score > 20;
  • Musculoskeletal disorders that could impair gait performance.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Patients with mild Parkinson's disease
Participants will undergo visuospatial memory assessment using the Corsi Block-Tapping Test and topographical memory assessment using the Walking Corsi Test. Gait parameters will be recorded using wearable inertial sensors, while visual exploration strategies will be assessed using a wearable eye-tracking system. Assessments will be performed at baseline and repeated at 12 and 24 months.
Patients with moderate-advanced Parkinson's disease
Participants will undergo visuospatial memory assessment using the Corsi Block-Tapping Test and topographical memory assessment using the Walking Corsi Test. Gait parameters will be recorded using wearable inertial sensors, while visual exploration strategies will be assessed using a wearable eye-tracking system. Assessments will be performed at baseline and repeated at 12 and 24 months.
Patients with Parkinsonism
Participants will undergo visuospatial memory assessment using the Corsi Block-Tapping Test and topographical memory assessment using the Walking Corsi Test. Gait parameters will be recorded using wearable inertial sensors, while visual exploration strategies will be assessed using a wearable eye-tracking system. Assessments will be performed at baseline and repeated at 12 and 24 months.
Healthy participants
Participants will undergo visuospatial memory assessment using the Corsi Block-Tapping Test and topographical memory assessment using the Walking Corsi Test. Gait parameters will be recorded using wearable inertial sensors, while visual exploration strategies will be assessed using a wearable eye-tracking system. Assessments will be performed at baseline and repeated at 12 and 24 months.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Comparison between topographical memory in navigational space and visuospatial memory in reaching space
Tidsramme: Baseline, 12 months, and 24 months
Assessment and comparison of topographical memory performance in navigational space and visuospatial memory performance in reaching space. Topographical memory will be evaluated using the Walking Corsi Test, while visuospatial memory will be evaluated using the Corsi Block-tapping Test. The outcome will be used to identify navigational memory deficits and to investigate whether impairment in navigational space may anticipate impairment in reaching-space visuospatial memory.
Baseline, 12 months, and 24 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Integrated assessment of topographical memory, gait patterns, and visual exploration strategies
Tidsramme: Baseline, 12 months, and 24 months
Evaluation of the relationships among topographical memory performance, walking motor patterns, and visual exploration strategies during the Corsi Block-tapping Test and Walking
Baseline, 12 months, and 24 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. september 2026

Primær færdiggørelse (Anslået)

1. oktober 2028

Studieafslutning (Anslået)

1. oktober 2028

Datoer for studieregistrering

Først indsendt

14. september 2026

Først indsendt, der opfyldte QC-kriterier

14. september 2026

Først opslået (Faktiske)

18. september 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

18. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

14. september 2026

Sidst verificeret

1. september 2026

Mere information

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