Functional Connectivity Parkinson Disease
2019년 10월 31일 업데이트: University of Colorado, Denver
Functional Connectivity of the Motor Network in Two Major Subtypes of Parkinson Disease
In this study the investigators are looking at two subtypes of Parkinson Disease (PD); "tremor-dominant" (TD) and postural imbalance and gait disorder (PIGD). This study will use magnet resonance imaging (MRI) to see how the brain reacts while resting and doing a finger-tapping task while on and off PD medication. This study will look at the differences between the two sub-types of PD and healthy volunteers.
The investigators will test the hypothesis that connectivity at rest within the motor cortex and between the motor cortex and motor-associated regions such as the supplementary motor area and the pre motor cortex will not be as strong in PIGD compared to TD (increased activity and functional connectivity in TD group)
연구 개요
상태
완전한
정황
연구 유형
관찰
등록 (실제)
86
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Colorado
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Aurora, Colorado, 미국, 80045
- University of Colorado Denver
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
50년 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
샘플링 방법
비확률 샘플
연구 인구
Patients with PD according to UK Brain Bank Criteria will be recruited from the UCD Neurology clinic.
Controls will be recruited from spouses and from the community
설명
Inclusion Criteria:
- English as their primary language
- Patients with Parkinson disease and healthy controls will be enrolled
- Parkinson patients must be on a dopaminergic medication (levodopa or dopamine agonist) and on a stable dose over the prior month
Exclusion Criteria:
- If unable to provide informed consent
- Pregnancy
- Excess of 300lbs
- Claustrophobia
- Metal in body
- Untreated neurological or psychiatric condition, who are delusional or have hallucinations, with cognitive impairment (MOCA<26), with a history of head injury sufficient to cause a concussion, or with significant systemic medical diseases (e.g. heart failure, liver failure, kidney failure, poorly controlled diabetes, etc.)
- Healthy control subjects will be excluded if taking any type of dopaminergic or anti-dopaminergic medication
- Subjects who are unable to demonstrate understanding of the study procedures and risks will be excluded
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 관찰 모델: 케이스 컨트롤
- 시간 관점: 유망한
코호트 및 개입
그룹/코호트 |
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Tremor Dominant PD
Volunteers with predominantly tremor-related motor symptoms of PD
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Postural Instability & Gait Difficulty PD
Volunteers with primarily walking & balance-related motor symptoms of PD.
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Healthy Controls
Healthy volunteers consisting of people of same age as PD volunteers, w/o a diagnosis of PD.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Correlation coefficients between nodes of the motor network at rest and during a tapping motor task.
기간: At time of MRI scan: 12 or more hours after their last dose of dopaminergic medication.
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A measure of the correlation coefficients between nodes of the motor network at rest and during a tapping motor task between the "OFF" and "ON" dopaminergic medication states in the two motor subtype PD patients.
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At time of MRI scan: 12 or more hours after their last dose of dopaminergic medication.
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Correlation coefficients between nodes of the motor network at rest and during a tapping motor task.
기간: At time of 2nd MRI scan: 1 to 3 hours after taking their usual dose(s) dopaminergic medication(s).
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A measure of the correlation coefficients between nodes of the motor network at rest and during a tapping motor task between the "OFF" and "ON" dopaminergic medication states in the two motor subtype PD patients.
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At time of 2nd MRI scan: 1 to 3 hours after taking their usual dose(s) dopaminergic medication(s).
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Second level contrast between Parkinson Disease (PD) and Healthy Controls (HC).
기간: At time of MRI scan: 12 or more hours after their last dose of dopaminergic medication.
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Differences in connectivity as measured by correlation coefficients between nodes of the motor network at rest and during a tapping motor task in PD patients of two motor subtypes and matched healthy controls.
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At time of MRI scan: 12 or more hours after their last dose of dopaminergic medication.
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Task-related whole-brain activations.
기간: At time of MRI scan, 12 or more hours after their last dose of dopaminergic medication.
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Secondary outcome measures include task-related whole-brain activations as assessed by changes in blood oxygen-dependent (BOLD) contrast during functional magnetic resonance imaging (fMRI) scanning.
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At time of MRI scan, 12 or more hours after their last dose of dopaminergic medication.
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Task-related whole-brain activations.
기간: At time of 2nd MRI scan, 1 to 3 hours after taking their usual dose(s) dopaminergic medication(s).
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Secondary outcome measures include task-related whole-brain activations as assessed by changes in blood oxygen-dependent (BOLD) contrast during functional magnetic resonance imaging (fMRI) scanning.
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At time of 2nd MRI scan, 1 to 3 hours after taking their usual dose(s) dopaminergic medication(s).
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Connectivity between other motor and non-motor brain regions during the tasks.
기간: At time of MRI scan,12 or more hours after their last dose of dopaminergic medication.
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Secondary outcome measures include measuring the connectivity between other motor and non-motor brain regions during the tasks.
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At time of MRI scan,12 or more hours after their last dose of dopaminergic medication.
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Correlations of brain activity and functional connectivity to structural connectivity measures and behavioral and clinical assessments
기간: At time of MRI scan. 12 or more hours after their last dose of dopaminergic medication.
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Secondary outcome measures include a measure of the correlations of brain activity and functional connectivity to structural connectivity measures as well as behavioral and clinical assessments.
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At time of MRI scan. 12 or more hours after their last dose of dopaminergic medication.
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Correlations of brain activity and functional connectivity to structural connectivity measures and behavioral and clinical assessments
기간: At time of 2nd MRI scan. 1 to 3 hours after taking their usual dose(s) dopaminergic medication(s).
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Secondary outcome measures include a measure of the correlations of brain activity and functional connectivity to structural connectivity measures as well as behavioral and clinical assessments.
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At time of 2nd MRI scan. 1 to 3 hours after taking their usual dose(s) dopaminergic medication(s).
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Brian Berman, MD, MS, University of Colorado, Denver
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작
2011년 6월 1일
기본 완료 (실제)
2017년 10월 1일
연구 완료 (실제)
2017년 10월 1일
연구 등록 날짜
최초 제출
2012년 12월 11일
QC 기준을 충족하는 최초 제출
2013년 2월 21일
처음 게시됨 (추정)
2013년 2월 26일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2019년 11월 1일
QC 기준을 충족하는 마지막 업데이트 제출
2019년 10월 31일
마지막으로 확인됨
2019년 10월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .