A Gait and Path Tortuosity System for Monitoring Cognitive Decline in Individuals at Risk for Alzheimer's Disease and/or Alzheimer's Disease Related Dementias (AD/ADRD)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- In Lab Testing Primary Outcome: Mean absolute error of gait speed from the Short Physical Performance Battery and Timed Up and Go
研究概览
简要总结
This study tests an innovative system and service for collecting objective, consistent, and in-community gait parameters suitable for use as AD/ADRD biomarkers. The system is designed to be affordable, scalable, and practical for longitudinal, unsupervised, in-community use by older adults, including those with dementia symptoms. This study will be performed in two parts and involves collecting gait data from participants using the leg module and insole device either (1) for several hours in a lab setting (in-lab testing) or (2) within their home and community for 1 week (in-community testing). Thirty people who are healthy, have mild cognitive impairment, or who have Alzheimer's disease or related dementia will be recruited to participate in the in-lab testing, in which they will perform walking tasks and cognitive testing for several hours within a lab environment. After completion of in-lab testing, 120 individuals who are healthy, have mild cognitive impairment, or who have Alzheimer's disease or related dementia will be recruited to participate in the in-community testing, in which they will wear the insole and ankle device within their community for 1-week for collection of gait data in real world settings.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 55 or older
- •Ability to ambulate without the use of an assistive device. For this study, we will assume participants are ambulatory if they can complete the functional outcome measures (i.e., TUG) without the use of an assistive device
- •Ability to understand and provide informed consent, or has a legally authorized representative (LAR) to provide consent on their behalf
- •Ability to don and doff the insole and leg module independently or have assistance for the duration of the study
排除标准
- •Non-English Speaking
- •Use of ankle-foot orthosis for ambulation that prevents use of the system
- •Self-reported acute thrombophlebitis including deep vein thrombosis
- •Untreated lymphedema or lesion of any kind, swelling, infection, inflamed area of skin or eruptions on or near product use (foot and ankle)
- •Untreated fractures in the foot and ankle
- •Any other significant medical condition that may affect participation or performance in the study, as determined by investigators
研究组 & 干预措施
Individuals using the insole and ankle device
Participants will use the wearable leg module and insole device for either several hours in a lab environment or 1 week within their home and the community. Data will be recorded by the device
干预措施: Insole and ankle device (Device)
结局指标
主要结局
In Lab Testing Primary Outcome: Mean absolute error of gait speed from the Short Physical Performance Battery and Timed Up and Go
时间窗: Day 1
Mean Absolute Error (MAE) of the gait speed during the Short Physical Performance Battery (SPPB) and Timed Up and GO (TUG)
In-Community Testing Primary Outcome: balanced accuracy of model developed using gait data
时间窗: One week
Balanced accuracy of cognitive impairment classification. This is the mean between recall of the positive and negative classes.
次要结局
- In Lab Testing Secondary Outcome: Average score on user feedback survey(Day 1)
- In Community Secondary Outcome: Average score on user feedback survey(1 week)
- In Community Secondary Outcome: Device Failure Rate(1 week)