- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07705373
A Novel Digital Music-based Autonomous Personalized Walking Intervention to Improve Gait and Walking Automaticity in Parkinson Disease (MyMusiQ)
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
The overall goal of this 3-month single-arm multi-center repeated baselines study (N=162) is to examine the effects of a personalized closed-loop music-based digital gait intervention on improving gait quality, capacity, real-world walking performance, and gait automaticity in Parkinson disease (PD). This study builds on a stepwise investigation beginning with a proof-of-concept feasibility study (N=23) followed by a 6-week randomized controlled trial (RCT; N=44). This mechanistic-focused study will examine the substrates of a personalized approach that underlie changes in walking outcomes, as well as identify determinants that determine responsiveness to the intervention. This study is a critical next step to elucidate mechanistic understanding of closed-loop personalized gait approaches and to determine those with PD who benefit most.
The main aims of this mechanistic study seek to examine whether a personalized closed-loop gait intervention improves gait quality, walking capacity, and real-world walking performance beyond baseline variability, and to assess how personalized features influence targeted gait outcomes (Aim 1). Additionally, this study will investigate the effects of the intervention on improving gait automaticity (Aim 2), and identify baseline determinants that predict responsiveness and durability to the intervention on walking capacity (Aim 3). The investigators hypothesize that the intervention will meaningfully improve gait quality (speed, stride length), walking capacity (6-Minute Walk Test), and real-world walking performance (walking intensity and amount) during cued and uncued walking during and after intervention. Furthermore, they hypothesize improvements in gait automaticity (reduced gait variability, dual-tasking costs) following the intervention, and that individuals with worse baseline cognitive-motor capacities may benefit more.
This study will utilize a digital music device (MedRhythms, Inc., Portland, ME). To examine the effects of the intervention, the investigators will use clinical measures of motor and gait function, and quantified movement data on walking using wearable sensors. This study will be implemented by carrying out the following study visits: (1) Primary screen over the phone, (2) In-Person Screening and Baseline Assessment #1, (3) Baseline Assessment #2 (2-3 weeks after Baseline Assessment #1) (4) Personalized, Closed-Loop Music-Based Gait Intervention (3 months) (5) Post-Intervention Assessment (immediately after the intervention, about 3 months), and (6) Durability / Follow-Up Assessment (about 1 month post-intervention). Altogether, these procedures may take about 4 months.
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Erica Clarke, BS
- Numero di telefono: 617-358-6157
- Email: egclarke@bu.edu
Backup dei contatti dello studio
- Nome: Franchino Porciuncula, EdD, PT, DScPT
- Numero di telefono: 617-353-7571
- Email: fporciun@bu.edu
Luoghi di studio
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Massachusetts
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Boston, Massachusetts, Stati Uniti, 02215
- Boston University Center for Neurorehabilitation
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Contatto:
- Erica Clarke, BS
- Numero di telefono: 617-358-6157
- Email: egclarke@bu.edu
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Investigatore principale:
- Terry D. Ellis, PhD, PT
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Missouri
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St Louis, Missouri, Stati Uniti, 63110
- Washington University School of Medicine
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Contatto:
- Kayla Bell, PT, DPT
- Numero di telefono: 314-273-6016
- Email: kayla.bell@wustl.edu
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Contatto:
- Kerri Rawson, PhD, MS
- Numero di telefono: 813-468-8900
- Email: rawson@wustl.edu
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Investigatore principale:
- Gammon Earhart, PT, PhD
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Utah
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Salt Lake City, Utah, Stati Uniti, 84108
- University of Utah
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Contatto:
- Rheanna Anderson, MS
- Numero di telefono: 801-587-3615
- Email: rheanna.anderson@utah.edu
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Investigatore principale:
- Lee Dibble, PT, PhD
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
Self-report of diagnosis of typical Parkinson disease determined by a medical doctor
-≥ 40 years of age
- Community-dwelling (e.g. home, independent living, senior housing)
- Have stable PD medications for at least two weeks prior to enrollment
- Modified Hoehn and Yahr stages 1-3 per physical exam by a licensed physical therapist
- Able to walk independently without physical assistance for at least 10 minutes (assistive devices allowed with reciprocal gait pattern)
- Willing and able to provide informed consent
- Provide HIPAA Authorization to allow communication with the primary healthcare provider for communication (as needed) during the study period
Exclusion Criteria:
- < 40 years of age
- Diagnosis of atypical Parkinsonism
- Modified Hoehn and Yahr stages 4-5
- Significantly disturbing freezing episodes during daily walking based on the New Freezing of Gait Questionnaire (Part III Item 7)
- Fall frequencies >1x/week on average, over the past month.
- Currently participating in physical therapy for Parkinson gait rehabilitation
- Currently performing walking exercise at moderate intensities or higher for at least 30 min. per session ≥ 3x/week
- Self-reported cardiac problems that interfere with the ability to safely exercise (e.g., congestive heart failure, uncontrolled cardiac arrhythmias, chest pain;
- Orthopedic problems in the lower extremities or spine that may limit walking distance (e.g., severe arthritis, spinal stenosis, or significant pain)
- Any other medical conditions that would preclude successful participation as determined by the researcher/ physical therapist
- Cognitive impairment (i.e., Montreal Cognitive Assessment, MoCA < 21)
- Unable to walk independently (i.e., without physical assistance) at a comfortable speed ≥ 0.4m/s as measured using the 10-meter Walk Test (10mWT) as examined in Baseline #1
- Resting tachycardia (> 100 beats/min) or uncontrolled blood pressure (resting systolic BP > 160 mmHg or diastolic BP >100 mmHg)) as measured by the researcher/ physical therapist
- Unable to independently use the music-based digital therapeutic during training
- Significant hearing impairment
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: N / A
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: MyMusiQ (MMQ) Walking intervention
12-week self-directed, home/community-based walking intervention that leverages the benefits of rhythmic auditory stimulation via a digital music device (MedRhythms, Inc., Portland, ME) in improving walking outcomes in persons with PD.
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The digital music device is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones.
The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software.
Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones.
Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Minutes of Moderate Intensity Walking
Lasso di tempo: Baseline 1
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The amount of moderate intensity walking, defined as mean number of minutes per day with >100 steps/min, measured using research-grade wearable sensors.
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Baseline 1
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Minutes of Moderate Intensity Walking
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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The amount of moderate intensity walking, defined as mean number of minutes per day with >100 steps/min, measured using research-grade wearable sensors.
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Baseline 2 (2-3 weeks after Baseline 1)
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Minutes of Moderate Intensity Walking
Lasso di tempo: Immediately after the intervention (about 3 months)
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The amount of moderate intensity walking, defined as mean number of minutes per day with >100 steps/min, measured using research-grade wearable sensors.
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Immediately after the intervention (about 3 months)
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Minutes of Moderate Intensity Walking
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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The amount of moderate intensity walking, defined as mean number of minutes per day with >100 steps/min, measured using research-grade wearable sensors.
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Follow-Up (about 1 month post-intervention)
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Daily Step Counts
Lasso di tempo: Baseline 1
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Daily step counts refer to the number of steps taken per day.
This will be measured using research-grade activity monitors validated for use in PD.
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Baseline 1
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Daily Step Counts
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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Daily step counts refer to the number of steps taken per day.
This will be measured using research-grade activity monitors validated for use in PD.
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Baseline 2 (2-3 weeks after Baseline 1)
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Daily Step Counts
Lasso di tempo: Immediately after the intervention (about 3 months)
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Daily step counts refer to the number of steps taken per day.
This will be measured using research-grade activity monitors validated for use in PD.
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Immediately after the intervention (about 3 months)
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Daily Step Counts
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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Daily step counts refer to the number of steps taken per day.
This will be measured using research-grade activity monitors validated for use in PD.
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Follow-Up (about 1 month post-intervention)
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6-Minute Walk Test
Lasso di tempo: Baseline 1
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This is a test of long-distance walking capacity.
The participant will be asked to "cover as much distance as they safely can" for 6 minutes.
Total distance (m) is the main metric, with greater distance indicating greater walking capacity.
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Baseline 1
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6-Minute Walk Test
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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This is a test of long-distance walking capacity.
The participant will be asked to "cover as much distance as they safely can" for 6 minutes.
Total distance (m) is the main metric, with greater distance indicating greater walking capacity.
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Baseline 2 (2-3 weeks after Baseline 1)
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6-Minute Walk Test
Lasso di tempo: Immediately after the intervention (about 3 months)
|
This is a test of long-distance walking capacity.
The participant will be asked to "cover as much distance as they safely can" for 6 minutes.
Total distance (m) is the main metric, with greater distance indicating greater walking capacity.
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Immediately after the intervention (about 3 months)
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6-Minute Walk Test
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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This is a test of long-distance walking capacity.
The participant will be asked to "cover as much distance as they safely can" for 6 minutes.
Total distance (m) is the main metric, with greater distance indicating greater walking capacity.
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Follow-Up (about 1 month post-intervention)
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Gait Speed
Lasso di tempo: Baseline 1
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Gait speed (m/s) will be measured using research-grade wearable sensors.
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Baseline 1
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Gait Speed
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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Gait speed (m/s) will be measured using research-grade wearable sensors.
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Baseline 2 (2-3 weeks after Baseline 1)
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Gait Speed
Lasso di tempo: Immediately after the intervention (about 3 months)
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Gait speed (m/s) will be measured using research-grade wearable sensors.
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Immediately after the intervention (about 3 months)
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Gait Speed
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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Gait speed (m/s) will be measured using research-grade wearable sensors.
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Follow-Up (about 1 month post-intervention)
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Stride Length
Lasso di tempo: Baseline 1
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Quantified metrics of stride length (m) will be collected using research-grade wearable sensors.
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Baseline 1
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Stride Length
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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Quantified metrics of stride length (m) will be collected using research-grade wearable sensors.
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Baseline 2 (2-3 weeks after Baseline 1)
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Stride Length
Lasso di tempo: Immediately after the intervention (about 3 months)
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Quantified metrics of stride length (m) will be collected using research-grade wearable sensors.
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Immediately after the intervention (about 3 months)
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Stride Length
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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Quantified metrics of stride length (m) will be collected using research-grade wearable sensors.
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Follow-Up (about 1 month post-intervention)
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Variability of Stride Time
Lasso di tempo: Baseline 1
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Stride-to-stride variability of stride time of the gait cycle will be measured using research-grade wearable sensors.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
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Baseline 1
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Variability of Stride Time
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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Stride-to-stride variability of stride time of the gait cycle will be measured using research-grade wearable sensors.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
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Baseline 2 (2-3 weeks after Baseline 1)
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Variability of Stride Time
Lasso di tempo: Immediately after the intervention (about 3 months)
|
Stride-to-stride variability of stride time of the gait cycle will be measured using research-grade wearable sensors.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
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Immediately after the intervention (about 3 months)
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Variability of Stride Time
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
Stride-to-stride variability of stride time of the gait cycle will be measured using research-grade wearable sensors.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
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Follow-Up (about 1 month post-intervention)
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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10-Meter Walk Test (10MWT) - Comfortable Walking Speed
Lasso di tempo: Baseline 1
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This is a test of short-distance walking function.
The participant will be asked to walk at comfortable walking speed (CWS) on a ten-meter straight walkway.
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Baseline 1
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10-Meter Walk Test (10MWT) - Comfortable Walking Speed
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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This is a test of short-distance walking function.
The participant will be asked to walk at comfortable walking speed (CWS) on a ten-meter straight walkway.
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Baseline 2 (2-3 weeks after Baseline 1)
|
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10-Meter Walk Test (10MWT) - Comfortable Walking Speed
Lasso di tempo: Immediately after the intervention (about 3 months)
|
This is a test of short-distance walking function.
The participant will be asked to walk at comfortable walking speed (CWS) on a ten-meter straight walkway.
|
Immediately after the intervention (about 3 months)
|
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10-Meter Walk Test (10MWT) - Comfortable Walking Speed
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
This is a test of short-distance walking function.
The participant will be asked to walk at comfortable walking speed (CWS) on a ten-meter straight walkway.
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Follow-Up (about 1 month post-intervention)
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10-Meter Walk Test (10MWT) - Fast Walking Speed
Lasso di tempo: Baseline 1
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This is a test of short-distance walking function.
The participant will be asked to walk at fast walking speed (FWS) on a ten-meter straight walkway.
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Baseline 1
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10-Meter Walk Test (10MWT) - Fast Walking Speed
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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This is a test of short-distance walking function.
The participant will be asked to walk at fast walking speed (FWS) on a ten-meter straight walkway.
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Baseline 2 (2-3 weeks after Baseline 1)
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10-Meter Walk Test (10MWT) - Fast Walking Speed
Lasso di tempo: Immediately after the intervention (about 3 months)
|
This is a test of short-distance walking function.
The participant will be asked to walk at fast walking speed (FWS) on a ten-meter straight walkway.
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Immediately after the intervention (about 3 months)
|
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10-Meter Walk Test (10MWT) - Fast Walking Speed
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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This is a test of short-distance walking function.
The participant will be asked to walk at fast walking speed (FWS) on a ten-meter straight walkway.
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Follow-Up (about 1 month post-intervention)
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Five Times Sit-to-Stand
Lasso di tempo: Baseline 1
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This test provides a method to quantify the time it takes for a person to stand up and sit down five times without using their hands.
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Baseline 1
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Five Times Sit-to-Stand
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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This test provides a method to quantify the time it takes for a person to stand up and sit down five times without using their hands.
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Baseline 2 (2-3 weeks after Baseline 1)
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Five Times Sit-to-Stand
Lasso di tempo: Immediately after the intervention (about 3 months)
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This test provides a method to quantify the time it takes for a person to stand up and sit down five times without using their hands.
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Immediately after the intervention (about 3 months)
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Five Times Sit-to-Stand
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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This test provides a method to quantify the time it takes for a person to stand up and sit down five times without using their hands.
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Follow-Up (about 1 month post-intervention)
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Generic Walking Scale (Walk-12G)
Lasso di tempo: Baseline 1
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This test is a self-report questionnaire that measures everyday walking difficulties.
Scores range from 12 to 60, with higher scores indicating greater perceived walking difficulties.
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Baseline 1
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Generic Walking Scale (Walk-12G)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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This test is a self-report questionnaire that measures everyday walking difficulties.
Scores range from 12 to 60, with higher scores indicating greater perceived walking difficulties.
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Baseline 2 (2-3 weeks after Baseline 1)
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Generic Walking Scale (Walk-12G)
Lasso di tempo: Immediately after the intervention (about 3 months)
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This test is a self-report questionnaire that measures everyday walking difficulties.
Scores range from 12 to 60, with higher scores indicating greater perceived walking difficulties.
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Immediately after the intervention (about 3 months)
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Generic Walking Scale (Walk-12G)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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This test is a self-report questionnaire that measures everyday walking difficulties.
Scores range from 12 to 60, with higher scores indicating greater perceived walking difficulties.
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Follow-Up (about 1 month post-intervention)
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Global Rating of Change (GROC) Scale
Lasso di tempo: Immediately after the intervention (about 3 months)
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This self-reported rating scale measures overall perceived improvement in areas related to amount of walking, intensity of walking, and walking capacity.
Scores range from -7 to +7, with higher scores indicating greater improvement.
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Immediately after the intervention (about 3 months)
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Mini Balance Evaluation Systems Test (Mini-BESTest)
Lasso di tempo: Baseline 1
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This test is a clinical balance assessment tool designed to examine various elements of balance control.
Scores range from 0 to 28, with higher scores indicating better balance.
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Baseline 1
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Mini Balance Evaluation Systems Test (Mini-BESTest)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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This test is a clinical balance assessment tool designed to examine various elements of balance control.
Scores range from 0 to 28, with higher scores indicating better balance.
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Baseline 2 (2-3 weeks after Baseline 1)
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Mini Balance Evaluation Systems Test (Mini-BESTest)
Lasso di tempo: Immediately after the intervention (about 3 months)
|
This test is a clinical balance assessment tool designed to examine various elements of balance control.
Scores range from 0 to 28, with higher scores indicating better balance.
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Immediately after the intervention (about 3 months)
|
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Mini Balance Evaluation Systems Test (Mini-BESTest)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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This test is a clinical balance assessment tool designed to examine various elements of balance control.
Scores range from 0 to 28, with higher scores indicating better balance.
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Follow-Up (about 1 month post-intervention)
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Prefrontal Cortex Activity
Lasso di tempo: Baseline 1
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Prefrontal cortex activity (based on oxygenated hemoglobin) will be measured using Functional Near-Infrared Spectroscopy (fNIRS) during walking.
This will be collected only for the cohort at Boston University.
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Baseline 1
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Prefrontal Cortex Activity
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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Prefrontal cortex activity (based on oxygenated hemoglobin) will be measured using Functional Near-Infrared Spectroscopy (fNIRS) during walking.
This will be collected only for the cohort at Boston University.
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Baseline 2 (2-3 weeks after Baseline 1)
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Prefrontal Cortex Activity
Lasso di tempo: Immediately after the intervention (about 3 months)
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Prefrontal cortex activity (based on oxygenated hemoglobin) will be measured using Functional Near-Infrared Spectroscopy (fNIRS) during walking.
This will be collected only for the cohort at Boston University.
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Immediately after the intervention (about 3 months)
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Dual-Task Cost on Gait Speed
Lasso di tempo: Baseline 1
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Dual-task cost is the difference between single-task walking and dual-task walking divided by single-task walking, multiplied by 100 to express as a percentage.
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Baseline 1
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Dual-Task Cost on Gait Speed
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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Dual-task cost is the difference between single-task walking and dual-task walking divided by single-task walking, multiplied by 100 to express as a percentage.
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Baseline 2 (2-3 weeks after Baseline 1)
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Dual-Task Cost on Gait Speed
Lasso di tempo: Follow-Up (about 1 month post-intervention)
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Dual-task cost is the difference between single-task walking and dual-task walking divided by single-task walking, multiplied by 100 to express as a percentage.
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Follow-Up (about 1 month post-intervention)
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Dual-Task Cost on Gait Speed
Lasso di tempo: Immediately after the intervention (about 3 months)
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Dual-task cost is the difference between single-task walking and dual-task walking divided by single-task walking, multiplied by 100 to express as a percentage.
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Immediately after the intervention (about 3 months)
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Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS Section I)
Lasso di tempo: Baseline 1
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The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part I is an examination of non-motor experiences of daily living.
Part IA is conducted by the rater, and Part IB is completed independently of the rater.
Scores range from 0 to 52, with higher scores indicating greater impairment.
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Baseline 1
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Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS Section I)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part I is an examination of non-motor experiences of daily living.
Part IA is conducted by the rater, and Part IB is completed independently of the rater.
Scores range from 0 to 52, with higher scores indicating greater impairment.
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Baseline 2 (2-3 weeks after Baseline 1)
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Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS Section I)
Lasso di tempo: Immediately after the intervention (about 3 months)
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The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part I is an examination of non-motor experiences of daily living.
Part IA is conducted by the rater, and Part IB is completed independently of the rater.
Scores range from 0 to 52, with higher scores indicating greater impairment.
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Immediately after the intervention (about 3 months)
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Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS Section I)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part I is an examination of non-motor experiences of daily living.
Part IA is conducted by the rater, and Part IB is completed independently of the rater.
Scores range from 0 to 52, with higher scores indicating greater impairment.
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Follow-Up (about 1 month post-intervention)
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Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS Section II)
Lasso di tempo: Baseline 1
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The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part II is a self-administered questionnaire to examine motor experiences of daily living.
Scores range from 0 to 52, with higher scores indicating greater impairment.
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Baseline 1
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Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS Section II)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part II is a self-administered questionnaire to examine motor experiences of daily living.
Scores range from 0 to 52, with higher scores indicating greater impairment.
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Baseline 2 (2-3 weeks after Baseline 1)
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Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS Section II)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part II is a self-administered questionnaire to examine motor experiences of daily living.
Scores range from 0 to 52, with higher scores indicating greater impairment.
|
Follow-Up (about 1 month post-intervention)
|
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Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS Section II)
Lasso di tempo: Immediately after the intervention (about 3 months)
|
The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part II is a self-administered questionnaire to examine motor experiences of daily living.
Scores range from 0 to 52, with higher scores indicating greater impairment.
|
Immediately after the intervention (about 3 months)
|
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Movement Disorder Society Unified Parkinson Disease Rating Scale Motor Subsection (MDS-UPDRS Section III)
Lasso di tempo: Baseline 1
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The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part III is a motor examination conducted by the rater.
Scores range from 0 to 132, with higher scores indicating greater impairment.
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Baseline 1
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Movement Disorder Society Unified Parkinson Disease Rating Scale Motor Subsection (MDS-UPDRS Section III)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part III is a motor examination conducted by the rater.
Scores range from 0 to 132, with higher scores indicating greater impairment.
|
Baseline 2 (2-3 weeks after Baseline 1)
|
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Movement Disorder Society Unified Parkinson Disease Rating Scale Motor Subsection (MDS-UPDRS Section III)
Lasso di tempo: Immediately after the intervention (about 3 months)
|
The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part III is a motor examination conducted by the rater.
Scores range from 0 to 132, with higher scores indicating greater impairment.
|
Immediately after the intervention (about 3 months)
|
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Movement Disorder Society Unified Parkinson Disease Rating Scale Motor Subsection (MDS-UPDRS Section III)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
The MDS-UPDRS is the most widely used clinical rating scale for Parkinson disease.
Part III is a motor examination conducted by the rater.
Scores range from 0 to 132, with higher scores indicating greater impairment.
|
Follow-Up (about 1 month post-intervention)
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Variability of Stride Time During Walking with Digital Music Device
Lasso di tempo: Baseline 1
|
Stride time variability will be measured during walking with digital music device during in-lab assessments.
Stride-to-stride variability of stride time of the gait cycle will be measured using research-grade wearable sensors.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
|
Baseline 1
|
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Variability of Stride Time During Walking with Digital Music Device
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
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Stride time variability will be measured during walking with digital music device during in-lab assessments.
Stride-to-stride variability of stride time of the gait cycle will be measured using research-grade wearable sensors.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
|
Baseline 2 (2-3 weeks after Baseline 1)
|
|
Variability of Stride Time During Walking with Digital Music Device
Lasso di tempo: Immediately after the intervention (about 3 months)
|
Stride time variability will be measured during walking with digital music device during in-lab assessments.
Stride-to-stride variability of stride time of the gait cycle will be measured using research-grade wearable sensors.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
|
Immediately after the intervention (about 3 months)
|
|
Variability of Stride Time During Walking with Digital Music Device
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
Stride time variability will be measured during walking with digital music device during in-lab assessments.
Stride-to-stride variability of stride time of the gait cycle will be measured using research-grade wearable sensors.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
|
Follow-Up (about 1 month post-intervention)
|
|
Speed During Walking with Digital Music Device
Lasso di tempo: Baseline 1
|
Speed (m/s) will be measured during walking with digital music device during in-lab assessments.
|
Baseline 1
|
|
Speed During Walking with Digital Music Device
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
Speed (m/s) will be measured during walking with digital music device during in-lab assessments.
|
Baseline 2 (2-3 weeks after Baseline 1)
|
|
Speed During Walking with Digital Music Device
Lasso di tempo: Immediately after the intervention (about 3 months)
|
Speed (m/s) will be measured during walking with digital music device during in-lab assessments.
|
Immediately after the intervention (about 3 months)
|
|
Speed During Walking with Digital Music Device
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
Speed (m/s) will be measured during walking with digital music device during in-lab assessments.
|
Follow-Up (about 1 month post-intervention)
|
|
Stride Length During Walking with Digital Music Device
Lasso di tempo: Baseline 1
|
Stride length (m) will be measured during walking with digital music device during in-lab assessments.
|
Baseline 1
|
|
Stride Length During Walking with Digital Music Device
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
Stride length (m) will be measured during walking with digital music device during in-lab assessments.
|
Baseline 2 (2-3 weeks after Baseline 1)
|
|
Stride Length During Walking with Digital Music Device
Lasso di tempo: Immediately after the intervention (about 3 months)
|
Stride length (m) will be measured during walking with digital music device during in-lab assessments.
|
Immediately after the intervention (about 3 months)
|
|
Stride Length During Walking with Digital Music Device
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
Stride length (m) will be measured during walking with digital music device during in-lab assessments.
|
Follow-Up (about 1 month post-intervention)
|
|
Parkinson's Disease Questionnaire-39 (PDQ-39)
Lasso di tempo: Baseline 1
|
The PDQ-39 is a self-report questionnaire that assesses quality of life across 8 different dimensions.
Items are scored based on a 5-point ordinal system with lower scores reflecting better quality of life (min = 0, max = 100).
|
Baseline 1
|
|
Parkinson's Disease Questionnaire-39 (PDQ-39)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
The PDQ-39 is a self-report questionnaire that assesses quality of life across 8 different dimensions.
Items are scored based on a 5-point ordinal system with lower scores reflecting better quality of life (min = 0, max = 100).
|
Baseline 2 (2-3 weeks after Baseline 1)
|
|
Parkinson's Disease Questionnaire-39 (PDQ-39)
Lasso di tempo: Immediately after the intervention (about 3 months)
|
The PDQ-39 is a self-report questionnaire that assesses quality of life across 8 different dimensions.
Items are scored based on a 5-point ordinal system with lower scores reflecting better quality of life (min = 0, max = 100).
|
Immediately after the intervention (about 3 months)
|
|
Parkinson's Disease Questionnaire-39 (PDQ-39)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
The PDQ-39 is a self-report questionnaire that assesses quality of life across 8 different dimensions.
Items are scored based on a 5-point ordinal system with lower scores reflecting better quality of life (min = 0, max = 100).
|
Follow-Up (about 1 month post-intervention)
|
|
Self-Efficacy of Walking - Duration (SEW-D)
Lasso di tempo: Baseline 1
|
The SEW-D is a self-report that will be administered to determine participants' beliefs of their physical capabilities to successfully complete incremental 5-minute intervals (5 to 40 minutes) of walking at a moderately fast pace, with responses made on 11-point Likert scale (0% = not at all confident; 100% = highly confident), with higher scores indicating higher confidence.
|
Baseline 1
|
|
Self-Efficacy of Walking - Duration (SEW-D)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
The SEW-D is a self-report that will be administered to determine participants' beliefs of their physical capabilities to successfully complete incremental 5-minute intervals (5 to 40 minutes) of walking at a moderately fast pace, with responses made on 11-point Likert scale (0% = not at all confident; 100% = highly confident), with higher scores indicating higher confidence.
|
Baseline 2 (2-3 weeks after Baseline 1)
|
|
Self-Efficacy of Walking - Duration (SEW-D)
Lasso di tempo: Immediately after the intervention (about 3 months)
|
The SEW-D is a self-report that will be administered to determine participants' beliefs of their physical capabilities to successfully complete incremental 5-minute intervals (5 to 40 minutes) of walking at a moderately fast pace, with responses made on 11-point Likert scale (0% = not at all confident; 100% = highly confident), with higher scores indicating higher confidence.
|
Immediately after the intervention (about 3 months)
|
|
Self-Efficacy of Walking - Duration (SEW-D)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
The SEW-D is a self-report that will be administered to determine participants' beliefs of their physical capabilities to successfully complete incremental 5-minute intervals (5 to 40 minutes) of walking at a moderately fast pace, with responses made on 11-point Likert scale (0% = not at all confident; 100% = highly confident), with higher scores indicating higher confidence.
|
Follow-Up (about 1 month post-intervention)
|
|
Activities-specific Balance Confidence (ABC)
Lasso di tempo: Baseline 1
|
This test is a questionnaire that measures an individual's confidence (in percentage) that he/she will not lose balance or become unsteady while performing physical activities.
The scores range from 0 to 100, with higher scores indicating greater confidence.
|
Baseline 1
|
|
Activities-specific Balance Confidence (ABC)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
This test is a questionnaire that measures an individual's confidence (in percentage) that he/she will not lose balance or become unsteady while performing physical activities.
The scores range from 0 to 100, with higher scores indicating greater confidence.
|
Baseline 2 (2-3 weeks after Baseline 1)
|
|
Activities-specific Balance Confidence (ABC)
Lasso di tempo: Immediately after the intervention (about 3 months)
|
This test is a questionnaire that measures an individual's confidence (in percentage) that he/she will not lose balance or become unsteady while performing physical activities.
The scores range from 0 to 100, with higher scores indicating greater confidence.
|
Immediately after the intervention (about 3 months)
|
|
Activities-specific Balance Confidence (ABC)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
This test is a questionnaire that measures an individual's confidence (in percentage) that he/she will not lose balance or become unsteady while performing physical activities.
The scores range from 0 to 100, with higher scores indicating greater confidence.
|
Follow-Up (about 1 month post-intervention)
|
|
Trail-Making Test (TMT)
Lasso di tempo: Baseline 1
|
This test measures the time it takes (seconds) to complete two visual-motor tasks.
Higher scores indicate slower processing speed and greater cognitive impairment.
|
Baseline 1
|
|
Trail-Making Test (TMT)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
This test measures the time it takes (seconds) to complete two visual-motor tasks.
Higher scores indicate slower processing speed and greater cognitive impairment.
|
Baseline 2 (2-3 weeks after Baseline 1)
|
|
Trail-Making Test (TMT)
Lasso di tempo: Immediately after the intervention (about 3 months)
|
This test measures the time it takes (seconds) to complete two visual-motor tasks.
Higher scores indicate slower processing speed and greater cognitive impairment.
|
Immediately after the intervention (about 3 months)
|
|
Trail-Making Test (TMT)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
This test measures the time it takes (seconds) to complete two visual-motor tasks.
Higher scores indicate slower processing speed and greater cognitive impairment.
|
Follow-Up (about 1 month post-intervention)
|
|
Montreal Cognitive Assessment (MoCA)
Lasso di tempo: Baseline 1
|
The Montreal Cognitive Assessment (MoCA) is a brief screening tool designed to examine cognitive impairment.
The score ranges from 0-30, with higher scores indicating less cognitive impairment.
|
Baseline 1
|
|
Montreal Cognitive Assessment (MoCA)
Lasso di tempo: Baseline 2 (2-3 weeks after Baseline 1)
|
The Montreal Cognitive Assessment (MoCA) is a brief screening tool designed to examine cognitive impairment.
The score ranges from 0-30, with higher scores indicating less cognitive impairment.
|
Baseline 2 (2-3 weeks after Baseline 1)
|
|
Montreal Cognitive Assessment (MoCA)
Lasso di tempo: Immediately after the intervention (about 3 months)
|
The Montreal Cognitive Assessment (MoCA) is a brief screening tool designed to examine cognitive impairment.
The score ranges from 0-30, with higher scores indicating less cognitive impairment.
|
Immediately after the intervention (about 3 months)
|
|
Montreal Cognitive Assessment (MoCA)
Lasso di tempo: Follow-Up (about 1 month post-intervention)
|
The Montreal Cognitive Assessment (MoCA) is a brief screening tool designed to examine cognitive impairment.
The score ranges from 0-30, with higher scores indicating less cognitive impairment.
|
Follow-Up (about 1 month post-intervention)
|
|
Variability of Stride Time During MMQ Walking Program with Digital Music Device
Lasso di tempo: During training (about 3 months)
|
Stride time variability will be measured during the MMQ walking program with the digital music device.
Stride-to-stride variability of stride time of the gait cycle will be measured using integrated sensors from the music device.
Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as a percentage.
|
During training (about 3 months)
|
|
Speed During MMQ Walking Program with Digital Music Device
Lasso di tempo: During training (about 3 months)
|
Speed (m/s) will be measured during the MMQ walking program with the digital music device.
Speed will be measured using integrated sensors from the music device.
|
During training (about 3 months)
|
|
Stride Length During MMQ Walking Program with Digital Music Device
Lasso di tempo: During training (about 3 months)
|
Stride length (m) will be measured during the MMQ walking program with the digital music device.
Stride length will be measured using integrated sensors from the music device.
|
During training (about 3 months)
|
Collaboratori e investigatori
Collaboratori
Investigatori
- Investigatore principale: Terry D. Ellis, PhD, PT, Boston University Center for Neurorehabilitation
Pubblicazioni e link utili
Pubblicazioni generali
- Zajac JA, Porciuncula F, Cavanaugh JT, McGregor C, Harris BA, Smayda KE, Awad LN, Pantelyat A, Ellis TD. Feasibility and Proof-of-Concept of Delivering an Autonomous Music-Based Digital Walking Intervention to Persons with Parkinson's Disease in a Naturalistic Setting. J Parkinsons Dis. 2023;13(7):1253-1265. doi: 10.3233/JPD-230169.
- Cavanaugh JT, Porciuncula F, Zajac JA, Baker T, Wendel N, Awad LN, Ellis TD. Gait Responses in People with Parkinson Disease During Autonomous Closed-loop Rhythmic Auditory Stimulation: An Exploratory Analysis. Neurorehabil Neural Repair. 2025 Aug;39(8):666-676. doi: 10.1177/15459683251340910. Epub 2025 May 29.
- Porciuncula F, Cavanaugh JT, Zajac J, Wendel N, Baker T, Arumukhom Revi D, Eklund N, Holmes MB, Awad LN, Ellis TD. Amplifying walking activity in Parkinson's disease through autonomous music-based rhythmic auditory stimulation: randomized controlled trial. NPJ Parkinsons Dis. 2025 Apr 29;11(1):100. doi: 10.1038/s41531-025-00952-x.
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Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 8547
- 55213069 (Altro numero di sovvenzione/finanziamento: Michael J. Fox Foundation)
Piano per i dati dei singoli partecipanti (IPD)
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Descrizione del piano IPD
Periodo di condivisione IPD
Criteri di accesso alla condivisione IPD
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- ICF
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
prodotto fabbricato ed esportato dagli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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