Parkinson Disease, IdiopathicNCT07094828
Integration of Augmented Visual Feedback in Action Observation and Motor Imagery Therapy for Parkinson's Disease
A study testing AOMI with D-Wall and Routine physiotherapy with D-Wall in people with Parkinson Disease, Idiopathic, run by University of Bergamo.
Trial summary
Improving movement control during rehabilitation is still a challenge for people with Parkinson's Disease, mainly because of the motor symptoms caused by the condition. However, new technologies offer promising ways to support therapy. Read more about this study
- Who is it for?
- Ages 40 to 80 years
- Conditions the study is for
- Parkinson Disease, Idiopathic
- What is being tested?
- AOMI with D-Wall and Routine physiotherapy with D-Wall
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 86 participants
- Where
- No sites listed yet
- Study dates
- 1 Sep 2025to Jul 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 40 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- diagnosis of idiopathic Parkinson's disease for at least 5 years;
- stable medication regimen for at least 4 weeks;
- no cognitive impairment according to the Mini-Mental State Examination;
- at stage ≤3 on the Hoehn \& Yahr scale;
- provide informed consent to participate.
Who cannot join
- undergoing advanced therapies (e.g., deep brain stimulation or infusion pump therapy);
- unable to walk independently for at least 5 meters without assistive devices;
- substance abuse;
- with visual, orthopedic, or other medical conditions that could hinder the execution of activities;
- history of other neurological disorders (other than Parkinson's disease).
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Integration of Augmented Visual Feedback Into Action Observation and Motor Imagery Therapy for Parkinson's Disease: A Randomized Controlled Trial
Improving movement control during rehabilitation is still a challenge for people with Parkinson's Disease, mainly because of the motor symptoms caused by the condition. However, new technologies offer promising ways to support therapy.
This clinical trial will test whether using TecnoBody® D-Wall technology integrated with two techniques (Action Observation and Motor Imagery) can improve physiotherapy outcomes for people with Parkinson's Disease.
Read more
The TecnoBody® D-Wall is a type of digital mirror that includes a 3D camera, pressure-sensitive platforms, and a screen. It shows a person's body movements in real time and gives visual feedback on joint mobility, balance, and how weight is distributed during movement.
Action Observation and Motor Imagery are two techniques already used in physiotherapy. Action Observation involves watching someone perform a movement, while Motor Imagery involves mentally rehearsing the movement before doing it. Studies have shown that both techniques activate the same brain areas involved in actual movement.
In this trial, after watching and imagining the movement, participants will perform the exercise in front of the D-Wall. This setup gives them real-time feedback to help improve how they move, a new approach for these techniques.
To see if this approach works, we will measure balance using a test validated for people with Parkinson's Disease and assess mobility using lab-based gait analysis, which tracks how a person walks.
Participants in the study will:
- Be receiving routine physiotherapy at a hospital that is specialized in Parkinson's Disease rehabilitation.
- Be randomly assigned to one of two groups: 1) One group will receive physiotherapy incorporating the D-Wall alongside Action Observation and Motor Imagery; 2) The other group will receive physiotherapy incorporating the D-Wall but, without Action Observation or Motor Imagery.
- Take part in therapy for up to four weeks, followed by another four weeks of monitoring, for a total of up to two months.
- Complete some initial tests to check if they are eligible for the study.
This study includes patients who have been diagnosed with idiopathic Parkinson's Disease and are undergoing rehabilitation as part of their usual hospital care. The intervention lasts as long as their regular hospital stay.
- Conditions
- Parkinson Disease, Idiopathic
- Being tested
- AOMI with D-Wall, Routine physiotherapy with D-Wall
- Keywords
- Action Observation, Motor Imagery, Technology, Physiotherapy, Gait Analysis
- Medical subject headings
- Parkinson Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AOMI with D-WallOther
Also called Action Observation and Motor Imagery integrated with D-Wall technology
The intervention group will follow routine rehabilitative activity in the morning and will perform one hour of Action Observation and Motor Imagery training with augmented visual feedback (D-Wall) in the afternoon, three times a week.
Each session will be conducted as follows: first AO (Action Observation), then MI (Motor Imagery). During the MI phase, participants will be asked to imagine the motor tasks and then perform them, receiving real-time augmented visual feedback provided by the digital mirror.
Routine physiotherapy with D-WallOther
Also called Routine rehabilitative physiotherapy integrated with D-Wall technology
The control group will also follow routine rehabilitative activity in the morning, while in the afternoon they will perform motor training of the same duration, without Action Observation and Motor Imagery, but solely with augmented visual feedback (D-Wall), with the same weekly frequency.
| Study group | Role | What they receive |
|---|---|---|
| Action Observation and Motor Imagery integrated with D-Wall technology | Experimental | Not described Receives: Other: AOMI with D-Wall |
| Routine rehabilitative physiotherapy integrated with D-Wall technology | Active comparator | Not described Receives: Other: Routine physiotherapy with D-Wall |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dynamic postural control
The Mini-Balance Evaluation Systems Test (Mini-BESTest) will be used to assess dynamic postural control.
Measured: at baseline, at the fourth week (end of the intervention period), and at the eighth week (follow-up).
Secondary outcomes (1)
Moviment analysis
Secondary outcomes will be obtained through instrumented motion analysis. Specifically, it will include spatiotemporal parameters and descriptive measures of the kinematics and dynamics of the hip, knee, and ankle joints.
Measured: at baseline, at the fourth week (end of the intervention period), and at the eighth week (follow-up).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jul 2025
- Study start1 Sep 2025 (estimated)
- Primary completionJun 2026 (estimated)
- Study completionJul 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Parkinson Disease, IdiopathicStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 86 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Bergamo
- Sponsor type
- University, hospital or other
- Collaborators
- Fondazione Europea di Ricerca Biomedica Ferb Onlus
- Responsible party
- Principal investigator, Francesca Morganti, University of Bergamo
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07094828
- Sponsor's protocol ID
- 0026841/25
- Status last verified
- Jul 2025
- First submitted
- 23 Jul 2025
- Last updated
- 30 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 30 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Integration of Augmented Visual Feedback Into Action Observation and Motor Imagery Therapy for Parkinson's Disease: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07094828
- Acronym / sponsor ID
- 0026841/25
- Conditions
- Parkinson Disease, Idiopathic
- Keywords
- Action Observation, Motor Imagery, Technology, Physiotherapy, Gait Analysis
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 86 participants (estimated)
- Lead sponsor
- University of BergamoUniversity, hospital or other
- Collaborators
- Fondazione Europea di Ricerca Biomedica Ferb Onlus
- Study start
- 1 Sep 2025 (estimated)
- Primary completion
- Jun 2026 (estimated)
- Study completion
- Jul 2026 (estimated)
- First posted
- 30 Jul 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Improving movement control during rehabilitation is still a challenge for people with Parkinson's Disease, mainly because of the motor symptoms caused by the condition. However, new technologies offer promising ways to support therapy.
This clinical trial will test whether using TecnoBody® D-Wall technology integrated with two techniques (Action Observation and Motor Imagery) can improve physiotherapy outcomes for people with Parkinson's Disease.
The TecnoBody® D-Wall is a type of digital mirror that includes a 3D camera, pressure-sensitive platforms, and a screen. It shows a person's body movements in real time and gives visual feedback on joint mobility, balance, and how weight is distributed during movement.
Action Observation and Motor Imagery are two techniques already used in physiotherapy. Action Observation involves watching someone perform a movement, while Motor Imagery involves mentally rehearsing the movement before doing it. Studies have shown that both techniques activate the same brain areas involved in actual movement.
In this trial, after watching and imagining the movement, participants will perform the exercise in front of the D-Wall. This setup gives them real-time feedback to help improve how they move, a new approach for these techniques.
To see if this approach works, we will measure balance using a test validated for people with Parkinson's Disease and assess mobility using lab-based gait analysis, which tracks how a person walks.
Participants in the study will:
- Be receiving routine physiotherapy at a hospital that is specialized in Parkinson's Disease rehabilitation.
- Be randomly assigned to one of two groups: 1) One group will receive physiotherapy incorporating the D-Wall alongside Action Observation and Motor Imagery; 2) The other group will receive physiotherapy incorporating the D-Wall but, without Action Observation or Motor Imagery.
- Take part in therapy for up to four weeks, followed by another four weeks of monitoring, for a total of up to two months.
- Complete some initial tests to check if they are eligible for the study.
This study includes patients who have been diagnosed with idiopathic Parkinson's Disease and are undergoing rehabilitation as part of their usual hospital care. The intervention lasts as long as their regular hospital stay.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Action Observation and Motor Imagery integrated with D-Wall technology | Experimental | Other: AOMI with D-Wall |
| Routine rehabilitative physiotherapy integrated with D-Wall technology | Active comparator | Other: Routine physiotherapy with D-Wall |
Who may qualify
- Ages
- 40 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- diagnosis of idiopathic Parkinson's disease for at least 5 years;
- stable medication regimen for at least 4 weeks;
- no cognitive impairment according to the Mini-Mental State Examination;
- at stage ≤3 on the Hoehn \& Yahr scale;
- provide informed consent to participate.
Key exclusion criteria (5 listed)
- undergoing advanced therapies (e.g., deep brain stimulation or infusion pump therapy);
- unable to walk independently for at least 5 meters without assistive devices;
- substance abuse;
- with visual, orthopedic, or other medical conditions that could hinder the execution of activities;
- history of other neurological disorders (other than Parkinson's disease).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AOMI with D-WallAlso: Action Observation and Motor Imagery integrated with D-Wall technologyThe intervention group will follow routine rehabilitative activity in the morning and will perform one hour of Action Observation and Motor Imagery training with augmented visual feedback (D-Wall) in the afternoon, three times a week. Each session will be conducted as follows: first AO (Action Observation), then MI (Motor Imagery). During the MI phase, participants will be asked to imagine the motor tasks and then perform them, receiving real-time augmented visual feedback provided by the digital mirror. | Other | Action Observation and Motor Imagery integrated with D-Wall technology |
| Routine physiotherapy with D-WallAlso: Routine rehabilitative physiotherapy integrated with D-Wall technologyThe control group will also follow routine rehabilitative activity in the morning, while in the afternoon they will perform motor training of the same duration, without Action Observation and Motor Imagery, but solely with augmented visual feedback (D-Wall), with the same weekly frequency. | Other | Routine rehabilitative physiotherapy integrated with D-Wall technology |
Primary outcome
Dynamic postural control
Time frame: at baseline, at the fourth week (end of the intervention period), and at the eighth week (follow-up).
The Mini-Balance Evaluation Systems Test (Mini-BESTest) will be used to assess dynamic postural control.
1 secondary outcome
Moviment analysis
Time frame: at baseline, at the fourth week (end of the intervention period), and at the eighth week (follow-up).
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jul 2025.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A study testing AOMI with D-Wall and Routine physiotherapy with D-Wall in people with Parkinson Disease, Idiopathic, run by University of Bergamo.
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 5 inclusion and 5 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: opening soon, as of the sponsor's last update on 30 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Inaihá L. Benincá, PhD student (+39034525111, inaiha.laureanobeninca@unibg.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dynamic postural control (time frame: at baseline, at the fourth week (end of the intervention period), and at the eighth week (follow-up).). 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 30 Jul 2025.