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A Training of the Rhythmic Skills With a Serious Game to Improve Gait and Cognitive Abilities in Parkinson's Disease

Not Applicable
Suspended
Conditions
Parkinson Disease
Interventions
Other: Rhythm workers training Perceptive timing
Other: No Rhythm workers training
Other: Rhythm workers training sensorimotor timing
Registration Number
NCT02855710
Lead Sponsor
University Hospital, Montpellier
Brief Summary

This project aims at assessing the opposite relation, namely the effect of a training of the general timing abilities on gait in Parkinson's disease. Timing rehabilitation will be done by the means of a serious game. Serious games are more and more used to improve the compliance and the efficacy of reeducaiton programs. Overall, we propose to test a low-cost tool for rehabilitation.

Detailed Description

Auditory rythmic cueing is a method consisting in presenting a regular auditory stimulus (metronom or music) when someone is walking. It is known to improve gait in pathologies such as Parkinson's disease. It has also an effect on general timing abilities (e.g. tapping the beat of the music). This project aims at assessing the opposite relation, namely the effect of a training of the general timing abilities on gait in Parkinson's disease. Timing rehabilitation will be done by the means of a serious game. Serious games are more and more used to improve the compliance and the efficacy of reeducaiton programs. Overal, we propose to test a low-cost tool for rehabilitation.

Recruitment & Eligibility

Status
SUSPENDED
Sex
All
Target Recruitment
35
Inclusion Criteria
  • age < 18
  • good understanding of the nature, the goal and the methodology of the study
  • signing of the informed consent
  • being insured with a social security
  • Diagnostic of idiopathic Parkinson's disease following the Queen Square Brain Bank (Hughes, 1992)
  • Hoehn et Yahr between 2 and 3
  • mild to moderate walk and speech deficits (Item MDS-UPDRS)
  • stable therapy one month before inclusion for all the duration of the study
Exclusion Criteria
  • Atypic Parkinson Syndrom (oculomotor troubles, early falls, hallucinations, MoCA<20, early dysautonomy)
  • dystonia ou dyskinesia preventing from using a tablet (item MDS-UPDRS4.2 >2)
  • Unable to move without help (walking stick, walker, wheelchair) (item MDS-UPDRS 2.12 >2)
  • adult protected by law
  • deprivation of liberty
  • High propability of non compliance to the protocol
  • pregnant women, nursing women
  • moderate to severe auditory trouble
  • Severe walk fluctuations item MDS-UPDRS 4.4 >2)
  • Pacemaker or neurosensorial device or heart defebrillator
  • Cochlear implants
  • ferromagnetic external bodies claose to the brain
  • Metallic prothesis
  • agitated, non cooperative patient
  • claustrophobic patient
  • neuro-surgical shunt valves
  • dental appliance

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Perceptive timing trainingRhythm workers training Perceptive timingParkinsonian Patients with Rhythm Workers training perceptive timing
No trainingNo Rhythm workers trainingParkinsonian Patients with no Rhythm Workers training perceptive timing and senrorimotor timing
Healthy volunteersRhythm workers training Perceptive timingHealthy people with Rhythm Workers training perceptive timing
Sensorimotor timing trainingRhythm workers training sensorimotor timingParkinsonian Patients with Rhythm Workers training sensorimotor timing
Primary Outcome Measures
NameTimeMethod
Rythmic capacities3 months

Evaluate the effect of the training of the rythmic capacities (Sensorimotor timing abilities) on the walk and the speak

Secondary Outcome Measures
NameTimeMethod
Mesure of the neural reorganisation3 months

Evaluate the structure et connectivity by MRI

cognitive functions3 months

Evaluate the cognitive functions by Neurospsychologic tests

Trial Locations

Locations (1)

Gui de Chauliac Hospital

🇫🇷

Montpellier, France

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