The Effect of Simultaneous Application of Transcranial Direct Current Stimulation (tDCS) and Gait Training for Parkinson's Disease Patients on Gait Function Improvement
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Parkinson Disease
- Sponsor
- Samsung Medical Center
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Change in 10 meter walk test from baseline in gait speed
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study was to investigate the effect of simultaneous application of transcranial direct current stimulation (tDCS) and treadmill gait training for gait function recovery in Parkinson's disease patients with gait impairment.
Investigators
Yun-Hee Kim
Professor
Samsung Medical Center
Eligibility Criteria
Inclusion Criteria
- •Age: 50 - 75 years
- •Modified Hoehn and Yahr stages 1 to 4
Exclusion Criteria
- •Serious cardiac conditions (hospitalization for myocardial infarction or heart surgery within 3 months, history of congestive heart failure, documented serious and unstable cardiac arrhythmias, hypertrophic cardiomyopathy, severe aortic stenosis, angina or dyspnea at rest or during activities of daily living)
- •Difficult to understand experimental tasks because of extremely severe cognitive impairment (Korean-Mini-Mental State Examination, K-MMSE≤10)
- •History of psychiatric disease
- •Implanted objects that would contraindicate tDCS
Outcomes
Primary Outcomes
Change in 10 meter walk test from baseline in gait speed
Time Frame: session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)]
Measure of self selected speeds by measuring the time it takes an individual to walk 10 meters. To perform the test, patient walks 10 meters (33 ft) and the time is measured when the leading foot crosses the start line and the finish line. The instructions are: "Please walk this distance at your normal pace when I say go."
Secondary Outcomes
- Change in Berg Balance Scale (BBS) from baseline in balance(session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)])
- Change in Timed Up and Go test (TUG) from baseline in balance(session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)])
- Changes in Brain activation of resting-state functional MRI(session 0 (initial visit); session 10 (at approximately 4 weeks))
- Changes in motor evoked potentia(session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)])
- Changes in Functional Reach Test (FRT) from baseline(session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)])
- Change in muscle manual test (MMT) and range of motion (ROM) from baseline(session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)])
- Change in Unified Parkinson's Disease Rating Scale (UPDRS) from baseline(session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)])
- Change in Korean Mini-Mental State Examination (K-MMSE) from baseline(session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)])
- Change in Geriatric Depression Scale (GDS) from baseline(session 0 (initial visit); session 10 (at approximately 4 weeks); after 4 weeks from intervention termination (follow-up)])