Constructional Apraxia in Alzheimer's Disease (AD) and Lewy Body's Dementia (LBD)
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Score obtained at the Rey figure test with a planning strategy help by LBD patients compared to the score obtained by AD patients.
研究概览
简要总结
Alzheimer's disease (AD) and Lewy body's dementia (LBD) are two frequent neurodegenerative pathologies. They differ in their expression, their evolution but share same features which make their diagnosis uneasy.
Constructional apraxia has been described in both disease.The underlying mechanisms have been less studied and could be different in AD and LBD.
The definition of the constructional apraxia is purely descriptive and few models are inconclusive.
It is admitted that drawing tasks involve visuo-perceptive and visuo-spatial abilities, executive functions and working memory as well as purely "constructive" skills.
Regarding to different studies, visuo-perceptive abilities are more severely impaired in LBD than in AD and are considered as an early onset sign of the disease.
Executive functions deficits are documented in AD and LDB and could contribute to the drawing impairment.
It is possible to compensate the planning disorders in giving patient the best strategy to use.
If drawing impairment persists, they should result of others mechanisms like visuo-perception, visuo-spatial or constructive deficits.
The investigators suggest that giving the best planning strategy will help more AD patients who are supposed to fail in raison of an executive impairment, than the LDB group who is supposed to present visuo-perceptive deficits. An MRI will be proposed to study the cerebral areas involved in constructional apraxia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 45 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Alzheimer's disease or Lewy bodies dementia
- •≥ 45 years
- •the cognitive impairment is mild to moderate
- •French speaker
- •a caregiver is present
- •An informed consent is signed by the patient and the p.i.
排除标准
- •MRI contraindication
- •Other neurological disease (FTD, brain tumor, vascular disease…)
- •Psychiatric disease (Schizophrenia, major depression, psychotic disorders, melancholia…)
- •Patient who doesn't want to be informed in case of the discovery of an abnormality
- •View or audition deficits, or motor disability which can interfere with the cognitive testing
- •Patient participating to an exclusive protocol or in the period of exclusion
- •Pregnant woman
- •Person under an administrative or legal measure of liberty privation
- •Person under a legal measure of protection or under administrative supervision
- •Person unable to give his consent
研究组 & 干预措施
Alzheimer's disease (AD)
Rey figure test and MRI
干预措施: MRI (Other)
Alzheimer's disease (AD)
Rey figure test and MRI
干预措施: Rey figure test (Other)
Lewy body's dementia (LBD)
Rey figure test and MRI
干预措施: Rey figure test (Other)
Lewy body's dementia (LBD)
Rey figure test and MRI
干预措施: MRI (Other)
结局指标
主要结局
Score obtained at the Rey figure test with a planning strategy help by LBD patients compared to the score obtained by AD patients.
时间窗: At inclusion
次要结局
未报告次要终点