Model-based Cueing-as-needed for Walking in Parkinson's Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Walking speed
研究概览
简要总结
Correcting of the lack of regularity in steps is a key component of gait rehabilitation in Parkinson's disease. The proposal is to introduce adaptive spatial auditory cueing (ASAC) based on verbal instruction "lengthen the step" automatically delivered when the stride length decreased below a predetermined threshold. The present study compared the effect of usual rhythmic auditory cueing versus ASAC used during a walking training in Parkinson's disease.
详细描述
Correcting of the lack of regularity in steps is a key component of gait rehabilitation in Parkinson's disease. The proposal is to introduce adaptive spatial auditory cueing (ASAC) based on verbal instruction "lengthen the step" automatically delivered when the stride length decreased below a predetermined threshold. The present study compared the effect of usual rhythmic auditory cueing versus ASAC used during a walking training in Parkinson's disease. Fifteen patients with Parkinson's disease performed both interventions in randomized order, one week apart: a 20-minute walking training with rhythmic auditory cueing, in form of a metronome adjusted on 110% of the patient's own cadence, or ASAC delivered when the stride length is less than 110% of the patient's own stride length. Assessment criteria were walking distance covered during the intervention, speed, step length, cadence, coefficients of variation of step length and step duration, and indexes of spatial and temporal asymmetry during a walking test before and just after the intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
A biomechanics engineer leads the gait assessment, being blinded to the allocation schedule, and participants were specifically asked to not discuss the intervention.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •the diagnosis of idiopathic PD based on the United Kingdom-Parkinson's Disease Society Brain Bank criteria;
- •stage 2 or 3 on the Hoehn and Yahr scale;
- •comfortable walking speed over 10 meters ≤ 1 m/s;
- •ability to walk over 20 minutes without aids or antiparkinsonian medications;
- •a stable antiparkinsonian medication regime;
- •cognitive abilities to understand the verbal instructions for a walking test according to the investigator's judgment;
- •written consent for the participation.
排除标准
- •intercurrent disease other than PD, affecting gait;
- •any intercurrent medical condition preventing them from participating in two consecutive gait training one week apart;
- •medical diagnosis of hearing loss;
- •non-affiliation to the social security regime.
结局指标
主要结局
Walking speed
时间窗: Before and just after the intervention
Speed in free walking condition over 10 meters barefoot, without any assistance
次要结局
未报告次要终点
研究者
Emilie Hutin
Director
Henri Mondor University Hospital