The Effect of High-Volume Walking With Visual Cues on Gait in People With Parkinson´s Disease. A Randomized Controlled Trial
Trial Snapshot
- Phase
- Phase 3
- Status
- Completed
- Sponsor
- University of Iceland
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Change in Step Length
Study Overview
Brief Summary
People with disease (PD) tend to walk with short steps, decreased velocity, and increased stride time variability. Short steps and increased variability are related to greater fall risk. In addition, concurrent performance of a cognitive task (dual-task (DT)) has marked effects on gait in people with PD which is considered to reflect an impaired automaticity of gait.
Objective: To investigate short and long term effects of high-volume walking with visual spatial cues (VSC) on gait variables, automaticity, and functional mobility, in people with Parkinson´s Disease (PD), compared with walking without VSC.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- — to 79 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •a confirmed diagnosis of PD according to the UK Parkinson´s Disease Society Brain Bank Clinical Diagnostic Criteria (18)
- •<80 years of age
- •community residing
- •Hoehn and Yahr (HY) stage 2-3
- •Mini Mental State Examination (MMSE) score of >23
- •ability to walk without walking aids for a total of 20 minutes over a 30-minute period
Exclusion Criteria
- •major modifications of Parkinson´s medication (Madopar >200 mg/d or >20% increase in Dopamine agonists) 3 weeks prior to baseline assessment
- •comorbidities or disabilities, which might influence walking
- •a history of brain surgery
Arms & Interventions
Walking with visual cues
Walking with visual cues for 30 minutes, 4 times a week for 4 weeks
Intervention: Visual Cues (Other)
Walking without visual cues
Walking without visual cues, but verbal encouragement twice a week to take longer steps, for 30 minutes, 4 times a week for 4 weeks.
Intervention: Walking without visual cues (Other)
Outcomes
Primary Outcomes
Change in Step Length
Time Frame: Before, after and 3 months after a 4 week training period
Change in Gait Velocity
Time Frame: Before, after and 3 months after a 4 week training period
Change in Stride Time Variability
Time Frame: Before, after and 3 months after a 4 week training period
Secondary Outcomes
- Change in Timed Up & Go (seconds)(Before, after and 3 months after a 4 week training period)