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Factors Associated With Falling in Parkinson's Disease

Not Applicable
Completed
Conditions
Parkinson Disease
Registration Number
NCT04440033
Lead Sponsor
University Hospital, Ghent
Brief Summary

The objective of this study will be to identify multidisciplinary fall risk factors in persons with stage 3 idiopathic Parkinson's Disease compared to age and sex-matched healthy adults. Both the relative contribution of each independent factor, as well as the interaction between these factors, will be examined. The study will include multidisciplinary assessments, including locomotor, speech, auditory, vestibular and opthalmologic assessments.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Fall eventsbaseline to 6 months after baseline

Number of accidental falls documented using a daily fall diary with monthly telephone follow-ups.

Secondary Outcome Measures
NameTimeMethod
Hip, knee and ankle joint moment during walkingbaseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

Hip, knee and ankle joint moment during walking (Nm/kg) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

Hip, knee and ankle joint power during walkingbaseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

Hip, knee and ankle joint moment during power (W/kg) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

Pure tone audiometrybaseline

An auditory test to assess hearing threshold levels

Otoacoustic Emissions Testbaseline

An auditory test to measure cochlear outer hair cell function

Walking cadencebaseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

Walking cadence (steps/minute) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

Step lengthbaseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

Step length (meters) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

Otoscopybaseline

A otoscopic test to examine the external auditory canal and the tympanic membrane

Tympanometrybaseline

An auditory test to assess the middle-ear function

Walking speedbaseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

Walking speed (meters/second) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

Hip, knee and ankle joint angle during walkingbaseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

Hip, knee and ankle joint angle during walking (°) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

Freezing of gaitbaseline during 6 min self-paced treadmill walking in a virtual environment

Number of freezing of gait events measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

Spontaneous speech productionbaseline; baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

Audio recordings analyzed using Motor Speech Profile software to assess spontaneous speech production

Speech Handicap Indexbaseline

A 15-item self-reported questionnaire based on the Parole Handicap Index to evaluate the physical, functional and psychosocial impact of dysarthria (0-60). Higher scores indicate a higher level of speech-related problems.

Video Head Impuls Testbaseline

A vestibular function test to objectify high frequency function of the horizontal and vertical semicircular canals

Ocular Motor Testingbaseline

A vestibular function test to evaluate oculomotor function

Dix-Hallpike Testbaseline

A diagnostic maneuver to identify benign paroxysmal positional vertigo

Dizziness Handicap Inventorybaseline

A 25-item self-assessment inventory to evaluate self-perceived handicapping effects of dizziness (0-100). Higher scores indicate a greater perceived handicap due to dizziness.

Static visual acuitybaseline

Static visual acuity measured using a Snellen chart (static logMAR)

Ocular Vestibular Evoked Myogenic Potential Testingbaseline

A vestibular function test to assess the utricular and superior vestibular nerve function

Dynamic visual acuitybaseline

Visual acuity during head movement measured using a Snellen chart relative to static visual acuity (static logMAR - dynamic logMAR)

Cervical Vestibular Evoked Myogenic Potential Testingbaseline

A vestibular function test to assess the saccular and inferior vestibular nerve function

Roll Testbaseline

A diagnostic maneuver to identify benign paroxysmal positional vertigo

Trial Locations

Locations (2)

Ghent University Hospital

🇧🇪

Ghent, Belgium

Ghent University

🇧🇪

Ghent, Belgium

Ghent University Hospital
🇧🇪Ghent, Belgium

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