Trial Outcomes & Findings for Cognitive Rehabilitation in Parkinson's Disease (NCT NCT01085968)

NCT ID: NCT01085968

Last Updated: 2016-10-11

Results Overview

Before and after computer training outcome measures: left, right, bimanual external cue reaction time; left, right, bimanual external cue error; left, right, bimanual internally generated reaction time; left, right, bimanual internally generated error for four-digit trials.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

54 participants

Primary outcome timeframe

time of enrollment and 2 months following enrollment (before and after training)

Results posted on

2016-10-11

Participant Flow

Participants were assigned to group depending on disease status

Participant milestones

Participant milestones
Measure
PD Subjects
PD subjects PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Control Subjects
Age matched controls PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Overall Study
STARTED
29
25
Overall Study
COMPLETED
19
21
Overall Study
NOT COMPLETED
10
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cognitive Rehabilitation in Parkinson's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PD Subjects
n=29 Participants
PD subjects PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Control Subjects
n=25 Participants
Age matched controls PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Total
n=54 Participants
Total of all reporting groups
Age, Continuous
67.965 years
STANDARD_DEVIATION 6.450 • n=5 Participants
65.56 years
STANDARD_DEVIATION 6.777 • n=7 Participants
66.852 years
STANDARD_DEVIATION 6.651 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
15 Participants
n=7 Participants
34 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
28 Participants
n=5 Participants
23 Participants
n=7 Participants
51 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
29 participants
n=5 Participants
25 participants
n=7 Participants
54 participants
n=5 Participants

PRIMARY outcome

Timeframe: time of enrollment and 2 months following enrollment (before and after training)

Population: PD Subjects: total number of subjects: 29, 8 withdrew from study, 2 had incomplete data. CO Subjects: total number of subjects: 25, 4 withdrew from study

Before and after computer training outcome measures: left, right, bimanual external cue reaction time; left, right, bimanual external cue error; left, right, bimanual internally generated reaction time; left, right, bimanual internally generated error for four-digit trials.

Outcome measures

Outcome measures
Measure
PD Subjects
n=19 Participants
PD subjects PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Control Subjects
n=21 Participants
Age matched controls PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Reaction Time and Variability for Movement Task
After-Left External Cue Reaction Time
723.402193 milliseconds
Standard Deviation 197.3197509
665.95125 milliseconds
Standard Deviation 93.82810385
Reaction Time and Variability for Movement Task
After-Right External Cue Reaction Time
684.8451754 milliseconds
Standard Deviation 187.8980546
609.0429167 milliseconds
Standard Deviation 93.12353905
Reaction Time and Variability for Movement Task
After-Bimanual External Cue Reaction Time
730.595614 milliseconds
Standard Deviation 209.7713843
626.12875 milliseconds
Standard Deviation 98.01583054
Reaction Time and Variability for Movement Task
Before-Left External Cue Reaction Time
1013.858333 milliseconds
Standard Deviation 177.4262864
994.94875 milliseconds
Standard Deviation 176.9697627
Reaction Time and Variability for Movement Task
Before-Right External Cue Reaction Time
979.2450877 milliseconds
Standard Deviation 199.6872689
910.9120833 milliseconds
Standard Deviation 170.180081
Reaction Time and Variability for Movement Task
Before-Bimanual External Cue Reaction Time
1071.54693 milliseconds
Standard Deviation 163.2915835
1069.631 milliseconds
Standard Deviation 168.0096474
Reaction Time and Variability for Movement Task
Before-Left Internally Generated Reaction Time
763.6505789 milliseconds
Standard Deviation 302.5488871
708.4873763 milliseconds
Standard Deviation 232.2714027
Reaction Time and Variability for Movement Task
Before-Right Internally Generated Reaction Time
777.4738004 milliseconds
Standard Deviation 337.0400281
663.6865168 milliseconds
Standard Deviation 204.432536
Reaction Time and Variability for Movement Task
Before-Bimanual Internally Generated Reaction Time
945.8269072 milliseconds
Standard Deviation 403.384961
774.904215 milliseconds
Standard Deviation 206.3438777
Reaction Time and Variability for Movement Task
After-Left Internally Generated Reaction Time
531.5406167 milliseconds
Standard Deviation 226.8508076
407.7467803 milliseconds
Standard Deviation 78.537003
Reaction Time and Variability for Movement Task
After-Right Internally Generated Reaction Time
532.3444019 milliseconds
Standard Deviation 195.9000996
402.6036742 milliseconds
Standard Deviation 83.0771526
Reaction Time and Variability for Movement Task
After-Bimanual Internally Generated Reaction Time
575.3801872 milliseconds
Standard Deviation 247.1520766
432.5232121 milliseconds
Standard Deviation 92.77491618

SECONDARY outcome

Timeframe: time of enrollment and 2 months following enrollment (before and after training)

Modified Emory Functional Ambulatory Profile (mEFAP); mobility test Task 1: 5 meter walk on hard surface; timed. Task 2: 5 meter walk on carpeted surface, timed. Task 3: Timed up and go; rise from chair, walk 3 meters, walk back, sit down in chair, timed. Task 4: Obstacle course, similar to the Timed up and go, with 2 obstacles to be stepped over while walking forward and coming back; timed. Task 5: Ascend and descend 5 steps of stairs; timed.

Outcome measures

Outcome measures
Measure
PD Subjects
n=19 Participants
PD subjects PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Control Subjects
n=21 Participants
Age matched controls PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
Before-mEFAP Task 2
6.275 Seconds
Standard Deviation 4.183
4.933 Seconds
Standard Deviation 0.792
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
Before-mEFAP Task 3
18.853 Seconds
Standard Deviation 15.128
14.123 Seconds
Standard Deviation 2.776
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
After-mEFAP Task 4
22.426 Seconds
Standard Deviation 18.451
19.008 Seconds
Standard Deviation 14.091
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
After-mEFAP Task 5
10.399 Seconds
Standard Deviation 6.127
11.057 Seconds
Standard Deviation 10.976
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
Before-mEFAP Total
65.034 Seconds
Standard Deviation 49.781
49.936 Seconds
Standard Deviation 10.858
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
Before-mEFAP Task 1
6.251 Seconds
Standard Deviation 5.849
4.897 Seconds
Standard Deviation 0.838
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
Before-mEFAP Task 4
23.957 Seconds
Standard Deviation 23.470
16.320 Seconds
Standard Deviation 3.969
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
Before-mEFAP Task 5
9.727 Seconds
Standard Deviation 3.274
9.654 Seconds
Standard Deviation 3.974
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
After-mEFAP Task 1
6.532 Seconds
Standard Deviation 5.307
5.919 Seconds
Standard Deviation 4.015
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
After-mEFAP Task 2
6.529 Seconds
Standard Deviation 4.658
6.029 Seconds
Standard Deviation 3.927
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
After-mEFAP Task 3
20.218 Seconds
Standard Deviation 16.079
17.151 Seconds
Standard Deviation 11.656
Neuropsychological Measures of Cognitive Function, Including Reaction Time and Time to Completion
After-mEFAP Total
66.105 Seconds
Standard Deviation 49.934
59.115 Seconds
Standard Deviation 44.468

SECONDARY outcome

Timeframe: time of enrollment and 2 months following enrollment (before and after training)

Left, right and bimanual errors in external cue and internally generated tasks for four-digit trials

Outcome measures

Outcome measures
Measure
PD Subjects
n=19 Participants
PD subjects PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Control Subjects
n=21 Participants
Age matched controls PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Task Errors and Variability
Before-Left External Cue Errors
14.36842105 Number of Errors
Standard Deviation 26.38014937
6.9 Number of Errors
Standard Deviation 8.540306909
Task Errors and Variability
Before-Left Internally Generated Errors
3.105263158 Number of Errors
Standard Deviation 3.016523695
1.85 Number of Errors
Standard Deviation 1.348488433
Task Errors and Variability
Before-Right Internally Generated Errors
3.052631579 Number of Errors
Standard Deviation 3.099707589
1.6 Number of Errors
Standard Deviation 1.602629418
Task Errors and Variability
Before-Bimanual Internally Generated Errors
3.578947368 Number of Errors
Standard Deviation 3.254326854
1.65 Number of Errors
Standard Deviation 1.496487115
Task Errors and Variability
After-Left External Cue Errors
4.526315789 Number of Errors
Standard Deviation 9.026925286
0.35 Number of Errors
Standard Deviation 0.670820393
Task Errors and Variability
Before-Right External Cue Errors
10 Number of Errors
Standard Deviation 15.89199659
3.85 Number of Errors
Standard Deviation 4.771350907
Task Errors and Variability
Before-Bimanual External Cue Errors
27.21052632 Number of Errors
Standard Deviation 48.54159608
11.3 Number of Errors
Standard Deviation 12.85997463
Task Errors and Variability
After-Right External Cue Errors
4.526315789 Number of Errors
Standard Deviation 9.697470581
0.15 Number of Errors
Standard Deviation 0.670820393
Task Errors and Variability
After-Bimanual External Cue Errors
7.421052632 Number of Errors
Standard Deviation 14.24903813
0.6 Number of Errors
Standard Deviation 1.187655807
Task Errors and Variability
After-Left Internally Generated Errors
1.578947368 Number of Errors
Standard Deviation 2.292882453
0.25 Number of Errors
Standard Deviation 0.444261658
Task Errors and Variability
After-Right Internally Generated Errors
1.684210526 Number of Errors
Standard Deviation 2.906938664
0.1 Number of Errors
Standard Deviation 0.307793506
Task Errors and Variability
After-Bimanual Internally Generated Errors
2 Number of Errors
Standard Deviation 2.666666667
0.35 Number of Errors
Standard Deviation 0.74515982

SECONDARY outcome

Timeframe: time of enrollment and 2 months following enrollment (before and after training)

Functional Dexterity test (FDT): a motor dexterity measurement for hands. Task: Pick up and flip wooden pegs on a 4x4 pegboard in a zig-zag pattern; timed. Task is performed 2 times per hand Modified Task: Interchange 2 columns of of pegs (4 pegs each side) simultaneously. No flipping is required. 5 second penalty to time score for 1.) using the pegboard to help with flipping and 2.) supinating of the hand; per occurrence. 10 second penalty to time score for dropping a peg, per occurrence.

Outcome measures

Outcome measures
Measure
PD Subjects
n=19 Participants
PD subjects PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Control Subjects
n=21 Participants
Age matched controls PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Functional Dexterity Test (FDT)
Before-Non-dominant Hand 1
54.234 Seconds
Standard Deviation 24.115
40.585 Seconds
Standard Deviation 18.051
Functional Dexterity Test (FDT)
Before-Non-dominant Hand 2
45.738 Seconds
Standard Deviation 22.573
32.193 Seconds
Standard Deviation 11.012
Functional Dexterity Test (FDT)
Before-Modified Task 1
10.034 Seconds
Standard Deviation 2.169
10.259 Seconds
Standard Deviation 4.984
Functional Dexterity Test (FDT)
Before-Modified Task 2
9.677 Seconds
Standard Deviation 3.091
10.005 Seconds
Standard Deviation 6.149
Functional Dexterity Test (FDT)
Before-Non-dominant Average
49.987 Seconds
Standard Deviation 19.890
36.389 Seconds
Standard Deviation 13.175
Functional Dexterity Test (FDT)
After-Dominant Hand 1
44.831 Seconds
Standard Deviation 25.128
35.219 Seconds
Standard Deviation 11.564
Functional Dexterity Test (FDT)
After-Dominant Hand 2
41.261 Seconds
Standard Deviation 28.016
29.515 Seconds
Standard Deviation 9.231
Functional Dexterity Test (FDT)
After-Non-dominant Hand 1
46.676 Seconds
Standard Deviation 26.151
35.914 Seconds
Standard Deviation 15.678
Functional Dexterity Test (FDT)
After-Non-dominant Hand 2
38.403 Seconds
Standard Deviation 20.954
34.533 Seconds
Standard Deviation 14.462
Functional Dexterity Test (FDT)
Before-Dominant Hand 1
55.048 Seconds
Standard Deviation 37.158
41.440 Seconds
Standard Deviation 13.477
Functional Dexterity Test (FDT)
Before-Dominant Hand 2
47.023 Seconds
Standard Deviation 29.848
37.627 Seconds
Standard Deviation 18.291
Functional Dexterity Test (FDT)
Before-Combined Modified Task
19.711 Seconds
Standard Deviation 4.324
20.263 Seconds
Standard Deviation 8.854
Functional Dexterity Test (FDT)
Before-Dominant Hand Average
51.032 Seconds
Standard Deviation 32.445
39.533 Seconds
Standard Deviation 12.963
Functional Dexterity Test (FDT)
After-Modified Task 1
9.827 Seconds
Standard Deviation 2.169
9.976 Seconds
Standard Deviation 4.811
Functional Dexterity Test (FDT)
After-Modified Task 2
9.508 Seconds
Standard Deviation 4.302
7.515 Seconds
Standard Deviation 1.718
Functional Dexterity Test (FDT)
After-Combined Modified Task
19.335 Seconds
Standard Deviation 5.969
17.492 Seconds
Standard Deviation 5.930
Functional Dexterity Test (FDT)
After-Dominant Average
43.046 Seconds
Standard Deviation 25.748
32.367 Seconds
Standard Deviation 9.306
Functional Dexterity Test (FDT)
After-Non-dominant Average
42.539 Seconds
Standard Deviation 22.706
35.224 Seconds
Standard Deviation 14.562

SECONDARY outcome

Timeframe: time of enrollment and 2 months following enrollment (before and after training)

Symbol Digit Modality Test (SDMT): Participants are given a key of numbers (1-9) corresponding to symbols for reference. Task: Participants are given a page of symbols and are instructed to say aloud the number corresponding to each symbol on the page. This task is timed for completion and the score is reported as the number of symbol to number matching correct in 90 seconds.

Outcome measures

Outcome measures
Measure
PD Subjects
n=19 Participants
PD subjects PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Control Subjects
n=21 Participants
Age matched controls PC based training: Subjects sit at a computer and type a string of numbers that appears on the screen. They are then instructed to repeat the string from memory. As performance improves (# correct), the strings of numbers get longer.
Symbol Digit Modality Test (SDMT)
After-SDMT Number Correct in 90 Seconds
48.211 Number of Correct Matches in 90 seconds
Standard Deviation 11.424
51.000 Number of Correct Matches in 90 seconds
Standard Deviation 9.338
Symbol Digit Modality Test (SDMT)
Before-SDMT Number Correct in 90 Seconds
46.842 Number of Correct Matches in 90 seconds
Standard Deviation 11.644
49.286 Number of Correct Matches in 90 seconds
Standard Deviation 8.468

Adverse Events

PD Subjects

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Subjects

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Elizabeth Disbrow

VA Overton Brooks

Phone: 318-6757184

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place