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临床试验/NCT06493422
NCT06493422已完成不适用

Online Interplay Between Deciding and Acting With Mild Cognitive Impairment

University of Delaware1 个研究点 分布在 1 个国家目标入组 41 人开始时间: 2025年1月28日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
41
试验地点
1
主要终点
Reaching Movements

研究概览

简要总结

The investigators aim to understand the interplay and neural structures involved with decision--making and movement for participants with mild cognitive impairment. Rapidly deciding and acting becomes bottlenecked with mild cognitive impairment and Alzheimer's, leading to detrimental outcomes such as falling and car crashes. The investigators work will have a tangible impact by discovering sensitive biomarkers to detect disease onset and pave the way for informed and effective neurorehabilitation.

详细描述

Mild cognitive impairment leads not only to impaired decision making, but also movement deficits that predict the development of Alzheimer's disease. Recent behavioral work has suggested a common mechanism that throttles the speed of both decisions and reaching movements, which is supported by converging neural evidence that finds an interac-tion between decision making and movement (motor) circuits. Yet it remains unknown how the interplay between decision making and motor neural circuits becomes impaired and impedes rapid responses for those with mild cognitive impairment. Here the investigators test the central hypothesis that there is an impaired interaction between decision making and motor neural circuits with mild cognitive impairment.

First, the investigators will use human reaching experiments to establish that mild cognitive impairment disrupts the interplay of decision making and motor control. Second, the investigators will use Magnetic resonance elastography to elucidate whether brain stiffness in decision making and motor brain regions are related to altered movement behavior. The expected outcome is a mechanistic understanding of how impaired decision making and motor neural circuits impact movement for those with mild cognitive impairment.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Single Group
主要目的
Basic Science
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
45 Years 至 90 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • age 45 - 90 years
  • Perfect or corrected vision
  • Ability to reach
  • Neurotypical Age-Matched control participants - No history of neurological disorders or injury.
  • Mild Cognitive Impairment participants - clinical diagnosis of amnestic mild cognitive impairment.

排除标准

  • Any injury or condition that impacts reaching
  • Traumatic brain injury, such as concussion, in the last 6 months.
  • Neurotypical Age-Matched control participants: Modified Telephone Interview for Cognitive Status (TICS-m) score < 34
  • Mild Cognitive Impairment participants: Modified Telephone Interview for Cognitive Status (TICS-m) score > 34
  • Mild Cognitive Impairment participants: Mini-Mental State Examination Second Edition (MMSE-2) score < 21.

研究组 & 干预措施

Reaching task

Experimental

Mild cognitive impairment participants will make decisions while moving

干预措施: Reaching Movements (Behavioral)

Reaching Task

Active Comparator

Age-match control participants will make decision while moving

干预措施: Reaching Movements (Behavioral)

结局指标

主要结局

Reaching Movements

时间窗: through study completion, an average of 1 year

Hand position will be recorded throughout each trial during the behavioral task

Change in brain mechanical properties

时间窗: through study completion, an average of 1 year

Investigators are assessing change in brain structure through mechanical properties

次要结局

  • Decision Time(through study completion, an average of 1 year)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Joshua Cashaback

Assistant Professor

University of Delaware

研究点 (1)

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