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Transcutaneous Vibro-Acoustic Therapy in Parkinson Disease

Not Applicable
Active, not recruiting
Conditions
Parkinson Disease
Interventions
Device: Transcutaneous vibro-acoustic device
Registration Number
NCT05962476
Lead Sponsor
University of Michigan
Brief Summary

Small exploratory pilot study to assess effects of a transcutaneous vibro-acoustic therapy device (Apollo Neuro) in people with Parkinson's disease (PD).

Detailed Description

The overarching goal of this study is to investigate changes in anxiety, nighttime heart rate variability, and fear of falling in people with PD before and after 3-months usage of a transcutaneous vibro-acoustic therapy device. Positive findings in this small exploratory pilot trial may support future studies of transcutaneous vibro-acoustic therapy for individuals with PD.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
1
Inclusion Criteria
  • Diagnosed with Parkinson's Disease (Hoehn and Yahr stage 2 or higher)
  • Individuals on or off dopaminergic therapy
  • Present of anxiety or panic disorder
  • Fear of falling
  • Understanding of use and care of smart phones and devices
Exclusion Criteria
  • Presence of significant dementia
  • Disorders which may resemble PD, such as dementia with Lewy bodies, vascular dementia, normal pressure hydrocephalus, multiple system atrophy, corticobasal ganglionic degeneration, or toxic causes of parkinsonism.
  • Patients with a cardiac pacemaker
  • History of brain surgery or placement of a deep brain stimulator
  • Psoriasis vulgaris (or other inflammatory skin condition) on or near skin where the vibro-acoustic device and sleep tracking ring will be donned.
  • Patients on beta-blockers, benzodiazepines, antipsychotics, and stimulants (except for the treatment of attention deficit disorder/ADHD).
  • Pregnancy
  • Patients who begin cognitive behavioral therapy or a selective serotonin reuptake inhibitor (SSRI) medication for an anxiety disorder or other psychiatric disorder after the baseline clinical assessment.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Parkinson's DiseaseTranscutaneous vibro-acoustic deviceParticipants will use the vibro-acoustic device 90-120 days for 6 hours at night on the Apollo Neuro setting "Sleep and Renew".
Primary Outcome Measures
NameTimeMethod
Hamilton Depression Scale scoreafter 90-120 days of intervention

17-item questionnaire to assess the severity of depression symptoms. Scores range from 0-61, with higher scores indicating more severe depression.

Beck Depression Inventory scoreafter 90-120 days of intervention

21-item scale to evaluate the severity of depression symptoms. Scores range from 0-63, with higher scores indicating more severe depression.

Paced Auditory Serial Addition Test scoreafter 90-120 days of intervention

A measure of cognitive function that assesses auditory information processing speed and flexibility, scored as the total number correct out of 60. Higher scores indicate better performance.

Short Activities-specific Balance Confidence Scale scoreafter 90-120 days of intervention

16-item scale to assess confidence in balance while performing different tasks. Scores range from 0-100 with greater scores indicating greater confidence.

Fatigue severity Scale scoreafter 90-120 days of intervention

9-item scale to measure the severity of fatigue. Scores range from 9-63, with higher scores indicating greater severity of fatigue.

Short Fall Efficacy Scale International scoreafter 90-120 days of intervention

7-item questionnaire to evaluate fear of falling. Scores range from 7-28 with greater scores indicating greater fear of falling.

Insomnia Severity Index scoreafter 90-120 days of intervention

7-item scale to assess severity of insomnia. Scores range from 0-28, with higher scores indicating greater severity of insomnia.

Average Nighttime Heart Rate Variabilityafter 90-120 days of intervention

Average heart rate variability during the night, as measured by Oura ring device (measured in s).

Hamilton Anxiety Scale scoreafter 90-120 days of intervention

14-item questionnaire to evaluate severity of anxiety symptoms. Scores range from 0-56, with higher scores indicating greater severity of anxiety.

Beck Anxiety Inventory scoreafter 90-120 days of intervention

21-item questionnaire to assess the severity of anxiety. Scores range from 0-63, with higher scores indicating greater anxiety.

New Freezing of Gait Questionnaire scoreafter 90-120 days of intervention

9-item questionnaire evaluating the severity of freezing of gait. Scores range from 0-29, with higher scores indicating more severe freezing of gait.

Instrumental Activities of Daily Living Scale scoreafter 90-120 days of intervention

8-item questionnaire to assess functional independence. Scores range from 0-8, with higher scores indicating higher functioning.

Epworth Sleepiness Scale scoreafter 90-120 days of intervention

8-item scale to assess daytime sleepiness. Scores range from 0-24, with higher scores indicating greater daytime sleepiness.

Fatigue Visual Analogue Scale score (Alternate form)after 90-120 days of intervention

Scored from 0-100, with higher score indicating greater fatigue.

Spielberger State-Trait Anxiety Inventory scoreafter 90-120 days of intervention

40-item questionnaire to assess anxiety. Scores range from 40-160 with higher scores indicating greater severity of anxiety.

Perceived Stress Scale scoreafter 90-120 days of intervention

10-item questionnaire to evaluate perceived levels of stress. Scores range from 0-40, with greater scores indicating greater perceived stress.

Geriatric Depression Scale scoreafter 90-120 days of intervention

15-item questionnaire scored from 0-15, with greater scores indicating greater severity of depression.

Mayo Sleep Questionnaire Score on item 8after 90-120 days of intervention

Item 8 on the Mayo Sleep Questionnaire asks the participant to rate their general level of alertness over the past 3 weeks on a scale from 0 to 10, with 0 indicating they sleep all day and 10 indicating they are fully and normally awake.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Domino's Farms

🇺🇸

Ann Arbor, Michigan, United States

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