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Computer-based Cognitive Training for Parkinson Disease

2015年8月21日 更新者:Uzi Milman、Clalit Health Services

Effects of Computer-based Cognitive Training on Gait Function in Individuals With Parkinson Disease

Parkinson's Disease (PD) is a neurodegenerative, progressive illness. It is a multi-system disease that influences not only the motor but also the cognitive and autonomic systems. The main cognitive impairment in individuals with PD is found in executive function (EF). EF is defined as a set of cognitive skills necessary for planning, monitoring and executing sequences of complex activities.

The primary study hypothesis is that computer-based training aimed at improving executive function will have a beneficial effect on gait functions.

研究概览

详细说明

Parkinson Disease (PD) is a neurodegenerative, progressive illness. It is a multi-system disease that influences not only the motor but also the cognitive and autonomic systems. The main cognitive impairment in individuals with PD is found in executive function (EF). EF is defined as a set of cognitive skills necessary for planning, monitoring and executing sequences of complex activities. Previous studies have revealed some relation between cognitive states and physical functions in healthy adults. Few studies have examined the effect of computer-based cognitive training on various populations. These studies showed a positive emotional-cognitive effect in those populations. This type of intervention plan was also applied to PD patients. However, there are no reports on the effect of intentional cognitive training on gait functions. The purpose of the study is to assess whether cognitive training, designed to improve EF ability, can also improve gait function in PD patients.

研究类型

介入性

注册 (实际的)

30

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Haifa、以色列
        • Clalit Health Services, Haifa and Western Galilee District

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

50年 至 80年 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

Inclusion Criteria:

  1. Idiopathic PD.
  2. Aged 50-80, living in north region of Israel.
  3. Receive regular medications for PD.
  4. Not suffering from irregular cognitive disturbance or MMSE<25.
  5. Measured 1-3 on the Hoehn & Yahr scale.
  6. Have access to a computer and the ability to operate it.

Exclusion Criteria:

  1. Brain operation, including DBS transplant.
  2. History of orthopedic problems that can impair gait (hip/knee fractures and back problems).
  3. Orthopedic operation on lower limbs performed no later than six months prior to the beginning of the study.
  4. Unbalanced general health: uncontrolled diabetes or blood pressure, etc.
  5. Inability to walk independently.
  6. Immunodeficiency diseases, active cancer, ischemic diseases.
  7. Vision impairment, partial/full blindness.
  8. Having participated in similar research or cognitive assessment during the previous year.
  9. Have received cognitive or gait training under physical therapy or other programs.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Computerized cognitive training
A 12 week computerized cognitive training
A 12 week computerized cognitive training at home with the Attengo™ software program.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Gait Function
大体时间:18 weeks
At enrollment eligible individuals will undergo a thorough baseline assessment using a predefined set of tests and performance measurements. Within a week after enrollment each individual will receive guided training on the use of the intervention tool, the Attengo™ software program. Thereafter they will train at their homes, at least three times a week, for a period of 12 weeks. Follow up assessments will be performed within a week of the end of the training period and 4 weeks thereafter to check for long-term cognitive and motor changes.
18 weeks

次要结果测量

结果测量
措施说明
大体时间
Executive function
大体时间:18 weeks
At enrollment eligible individuals will undergo a thorough baseline assessment using a predefined set of tests and performance measurements. Within a week after enrollment each individual will receive guided training on the use of the intervention tool, the Attengo™ software program. Thereafter they will train at their homes, at least three times a week, for a period of 12 weeks. Follow up assessments will be performed within a week of the end of the training period and 4 weeks thereafter to check for long-term cognitive and motor changes.
18 weeks
Quality of life.
大体时间:18 weeks
At enrollment eligible individuals will undergo a thorough baseline assessment using a predefined set of tests and performance measurements. Within a week after enrollment each individual will receive guided training on the use of the intervention tool, the Attengo™ software program. Thereafter they will train at their homes, at least three times a week, for a period of 12 weeks. Follow up assessments will be performed within a week of the end of the training period and 4 weeks thereafter to check for long-run cognitive and motor changes.
18 weeks

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Uzi Milman, MD、Clalit Health Services
  • 首席研究员:Anat Mirelman, Phd、Tel-Aviv Sourasky Medical Center
  • 首席研究员:Hagit Atias, BA、Clalit Health Services

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2010年7月1日

初级完成 (实际的)

2012年4月1日

研究完成 (实际的)

2012年4月1日

研究注册日期

首次提交

2010年5月10日

首先提交符合 QC 标准的

2010年5月10日

首次发布 (估计)

2010年5月12日

研究记录更新

最后更新发布 (估计)

2015年8月24日

上次提交的符合 QC 标准的更新

2015年8月21日

最后验证

2015年8月1日

更多信息

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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