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Parkinson DiseaseNCT05046236

Interactive POWER Rehabilitation System on Rehabilitation Training for Patients With Parkinson's Disease

A study testing Interactive POWER rehabilitation and Conventical physical training in people with Parkinson Disease, run by Taipei Veterans General Hospital, Taiwan at 2 sites in Taiwan.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In the previous studies, progressive resistance training (PRT) has significantly improved the muscle strength and disease severity of Parkinson's disease. However, there is currently no consensus on the impact of PRT on physical function such as balance and walking ability for Parkinson's patients. Read more about this study

Who is it for?
Ages 20 to 85 yearsHealthy volunteers can take part
Conditions the study is for
Parkinson Disease
What is being tested?
Interactive POWER rehabilitation and Conventical physical training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
2 sitesTaiwan
Study dates
1 Oct 2021to 30 Aug 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy Volunteer (can walk 15 meters independently or with assistive devices).
  • Aged 20-70 years old.
  • Mini-mental state examination (MMSE) points above 24.
  • Not familiar with POWER rehabilitation machines before this study.
  • Able to understand POWER rehabilitation training and test items.
  • Able to use smart devices and be willing to cooperate with pre-acceptance instructions.
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  • Able to communicate in Mandarin or Taiwanese, and be able to clearly express uncomfortable feelings.
  • Willing to participate in this study after explanations, and sign the subject's informed consent.
  • Diagnosed as Idiopathic Parkinsonism by Neurologist
  • PD stages of I-III according to the modified Hoehn and Yahr Scale
  • Aged 45-85 years old
  • Mini-mental state testing (MMSE) 24 points or more
  • Stable medication regimen for at least 2 weeks before the trial
  • Can walk 15 meters independently or with devices
  • Able to understand treatment and assessment
  • Able to understand and be willing to agree to the informed consent form

Who cannot join

  • People who do not use smart devices and are unwilling to cooperate with the pre-acceptance instructions.
  • Have severe hearing or vision impairments.
  • Pregnant or breast-feeding.
  • Any chronic condition that may cause safety concerns.
  • Having any diseases which are contraindications for exercise participation.
  • Muscle strength is affected by taking drugs.
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  • Have been to the gym 6 months before participating in the study (e.g. aerobic exercise, resistance training).
  • Severe orthopedic diseases (unhealed fractures, severe joint destructions, and joints with fixed deformities, etc.).
  • Severe or unstable neurological or cardiopulmonary diseases (severe cases of stroke and myocardial infarction in the acute phase, arrhythmia or uncontrolled blood pressure, etc.).
  • Diagnosed with any mental illness (e.g., depression, psychosis or other mental illnesses)
  • Unwilling to participate in this research.
  • Rheumatism
  • Cardiovascular diseases or respiratory diseases (e.g., angina pectoris, pulmonary embolism, etc.)
  • Severe or unstable neurological or orthopedic diseases.
  • Severe hearing or vision impairments
  • Diagnosed with any mental illness(e.g., depression, psychosis or other mental illnesses)
  • A history of epilepsy.
  • Pregnancy or pregnancy
  • Any uncontrolled disease.

Trial locations and contacts

2 sites in 1 country.

Szu-Min Fu, Student contact

886-982202892

szuminfu.be09@nycu.edu.tw

Wei-Di Chen, Student contact

886-966070329

wdcdino0329.be09@nycu.edu.tw

Taiwan2 sites, 2 recruiting
  • Far Eastern memorial hospital

    New Taipei City, 220

    Chao-Chun Huang, Bachelor, 866-2-77281501

    Recruiting
  • Taipei Veterans General Hospital

    New Taipei City

    Si-Huei Lee, PhD, 886-938591985

    Recruiting

Other trials in Taiwan

About this study

Official title: Developing Visual Feedback-aided Power Rehabilitation System and Exploring Its' Applications on Rehabilitation Training for Patients With Parkinson's Disease

In the previous studies, progressive resistance training (PRT) has significantly improved the muscle strength and disease severity of Parkinson's disease. However, there is currently no consensus on the impact of PRT on physical function such as balance and walking ability for Parkinson's patients. Therefore, this study focuses on developing a visual feedback system added to the original POWER rehabilitation system, and to investigate whether the training through this "interactive POWER rehabilitation system" can produce the clinical benefits, as well as improving the daily life of patients with Parkinson's disease.

Read the detailed description

Parkinson's disease (PD) is a progressive neurodegenerative disease of the central nervous system with complex etiology. This disease is related to the consumption of dopamine in the substantia nigra of the brain, and it is currently believed that the main factors of consumption of dopamine are (1) heredity (2) aging (3) environment.

At present, there are many rehabilitation treatments available for patients with Parkinson's disease, such as: progressive resistance training, yoga, Tai Chi, dancing, cognitive training, balance training, gait training, bicycle, and treadmill training, etc. During the recent years, the POWER rehabilitation system from Japan (Procedure Outcome Worthwhile for Elderly Rehabilitation, referred to as POWER rehabilitation) including six types of equipment for strengthening different body parts has been applied to frail elderly or neurological patients gradually.

Parkinson's patients are often considered to have major difficulties in responding to motion disturbances (inability to respond appropriately), leading to learning, insufficient attention and motivation problems. Therefore, maintenance of motivation and feedback on performance are key factors that affect the participation of exercises in patients with Parkinson's disease.

The application of virtual reality in patients with PD is becoming more and more effective. An integrated rehabilitation system can not only enable the clinicians to check the rehabilitation status during the treatment, but also provide feedbacks to the patient through the interactive visual feedback screen. For Parkinson's patients, providing visual feedback through virtual reality intervention may be of particular clinical value.

In the first phase of this study, a virtual reality-like visual feedback system will be developed and combined with the original "POWER rehabilitation system" to form the so-called "Interactive POWER Rehabilitation System", and then system verification will be carried out. In the second phase of this study, this newly developed system will be applied to the rehabilitation training for patients with Parkinson's disease, and to explore whether the combination of POWER rehabilitation with visual feedback can produce the clinical benefits, as well as improving the daily life of patients with PD. Patients will be randomly assigned into three groups: interactive POWER, functional training, and control group. Single blind data collection will be used. Patients will be evaluated at baseline and post 12-week interventions. Outcome measures will include mini-BESTest, Unified Parkinson's disease rating scale, muscle strength of upper and lower extremities, timed up and go, 6-minute walking test, gait, and Parkinson's disease questionnaire PDQ-39.

It is expected that the "Interactive POWER Rehabilitation System" can promote the learning ability of patients with Parkinson's disease by adding visual feedbacks and enhance the treatment effects. It also offer rehabilitation clinicians more treatment options, lower the administrative costs of supporting staffs, reduce commuting costs for the patients, and elevate patients' desire to comply with the treatment program.

Being tested
Interactive POWER rehabilitation, Conventical physical training
Keywords
Interactive POWER rehabilitation, Applications, Data analysis, Laser sensors, Parkinson's disease, Machine learning, Physical function, Exercise intervention, Activities of daily living, Functional training, Quality of life
Medical subject headings
Parkinson Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Interactive POWER rehabilitationOther

    Interactive POWER rehabilitation training for twice a week, total 12 weeks, that consisted of 6 types of equipment for strength training.

  • Conventical physical trainingOther

    Conventional physical training models in current clinical use for twice a week, total 12 weeks, that consisted of strength training, balance training, stretching, gait training, and etc.

Study groups in NCT05046236
Study groupRoleWhat they receive
Interactive POWER rehabilitationExperimentalParticipants in this group would be treated with POWER for twice a week, total 12 weeks.
Receives: Other: Interactive POWER rehabilitation
Conventical physical training GroupActive comparatorParticipants in this group would be treated with traditional exercise rehabilitation for twice a week, total 12 weeks.
Receives: Other: Conventical physical training
Control groupNo interventionUsual care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline Unified Parkinson's Disease Rating Scale at 12 weeks

    A comprehensive assessment of both motor and non-motor symptoms associated with Parkinson's. The Unified Parkinson's Disease Rating Scale is made up of 42 items. These items are divided into six sections which are separately "evaluation of mentation, behavior, and mood", "self-evaluation of the activities of daily life", "clinician-scored monitored motor evaluation", "complications of therapy", "Hoehn and Yahr staging of severity of Parkinson's disease" and "Schwab and England ADL scale".The evaluation score for the first item to the 39th item is 0 to 4 points. The evaluation score for the 40th to the 42th item is 0 to 1 points. The higher score meand the worse condition. The sum of all the items'score is the score of the scale. Higher Rating Scales'scores indicate severe symptoms.

    Measured: Baseline and post-intervention at 12 weeks

  2. Change from Baseline he Parkinson's Disease Questionnaire (PDQ-39) at 12 weeks

    The 39-point PDQ provides scores for each of the 8 scales: mobility, activities of daily living, emotional well-being, stigma, social support, cognitions, communications and bodily discomfort. It is used to assess the overall health-related quality of life profile of the individual questioned.

    Measured: Baseline and post-intervention at 12 weeks

  3. Change from Baseline the Mini-Mental State Exam (MMSE) at 12 weeks

    A widely used test of cognitive function among the elderly; it includes tests of orientation, attention, memory, language and visual-spatial skills. The score of 24 or more (out of 30) indicates a normal cognition. Below this, scores can indicate severe (≤9 points), moderate (10-18 points) or mild (19-23 points) cognitive impairment. The raw score may also need to be corrected for educational attainment and age.

    Measured: Baseline and post-intervention at 12 weeks

  4. Change from Baseline the Timed Up and Go test (TUG) at 12 weeks

    A simple test used to assess a person's mobility and requires both static and dynamic balance.

    It measures the time that a person takes to rise from a chair, walk three meters, turn around 180 degrees, walk back to the chair, and sit down while turning 180 degrees.

    Measured: Baseline and post-intervention at 12 weeks

  5. Change from Baseline Mini-BESTest at 12 weeks

    The scale includes four items: (1) anticipatory balance, (2) reactive posture control, (3) sensory orientation, and (4) dynamic gait, A total of 14 measurement items, 2 points for each question, a total of 28 points.

    Measured: Baseline and post-intervention at 12 weeks

  6. Change from Baseline six minute walk test (6MWT) at 12 weeks

    Walk for six minutes at the subject's preferred speed and assistive devices. You can stop at any time in the middle. After the end, the walking distance will be recorded, and changes in heartbeat, blood pressure, blood oxygen saturation, dyspnea and fatigue will be monitored. It will also end at the end then evaluate the walking distance.

    Measured: Baseline and post-intervention at 12 weeks

  7. Change from Baseline muscle strength of upper limbs at 12 weeks

    Use a hand-grip dynamometer to test the grip strength. Both hands need to be measured twice individually, with a rest time of at least 30 seconds between the two.

    Measured: Baseline and post-intervention at 12 weeks

  8. Change from Baseline muscle strength of lower limbs at 12 weeks

    Use Micro FET3 instrument to measure knee joint extension and flexion; hip joint abduction and flexion muscle strength. Each muscle group needs to be tested twice, with a 30-second rest between the two, and two recordings Take the maximum value afterwards.

    Measured: Baseline and post-intervention at 12 weeks

  9. Change from Baseline gait Speed at 12 weeks

    The subjects were asked to wear an inertial sensor "Physilog®" (Gait Up, Lausanne, Switzerland) on each foot during a 10-meter walking test to collect gait data. Spatiotemporal gait parameters were calculated with the Gait Analysis Software provided by Gait Up, including the following lists. Stopwatch will also be employed by the operator to measure the walking time simultaneously.

    • Speed (m/s): Mean walking stride velocity of forward walking

    Measured: Baseline and post-intervention at 12 weeks

  10. Change from Baseline cadence at 12 weeks

    The subjects were asked to wear an inertial sensor "Physilog®" (Gait Up, Lausanne, Switzerland) on each foot during a 10-meter walking test to collect gait data. Spatiotemporal gait parameters were calculated with the Gait Analysis Software provided by Gait Up.

    • Cadence (step/minute): Number of steps in a minute

    Measured: Baseline and post-intervention at 12 weeks

  11. Change from Baseline stride length at 12 weeks

    The subjects were asked to wear an inertial sensor "Physilog®" (Gait Up, Lausanne, Switzerland) on each foot during a 10-meter walking test to collect gait data. Spatiotemporal gait parameters were calculated with the Gait Analysis Software provided by Gait Up.

    • Stride length (m): Distance between two consecutive footprints on the ground

    Measured: Baseline and post-intervention at 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Sep 2021
  2. Study start1 Oct 2021
  3. Primary completion30 Jun 2022 (estimated)
  4. Study completion30 Aug 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05046236
Sponsor's protocol ID
2021-05-004A
Status last verified
Apr 2022
First submitted
29 Jul 2021
Last updated
4 Apr 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Interactive POWER rehabilitation and Conventical physical training in people with Parkinson Disease, run by Taipei Veterans General Hospital, Taiwan at 2 sites in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 4 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Szu-Min Fu, Student (886-982202892, szuminfu.be09@nycu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline Unified Parkinson's Disease Rating Scale at 12 weeks (time frame: Baseline and post-intervention at 12 weeks). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2022.

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