Abdominal Binder to Treat Orthostatic Hypotension (OH) in Parkinson's Disease (PD)

NCT ID: NCT01971008

Last Updated: 2023-03-10

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2014-05-31

Brief Summary

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The purpose of the present study is to determine whether the use of an abdominal binder is effective in the non-pharmacological management of orthostatic hypotension in patients suffering from Parkinson's disease

Detailed Description

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In the present single blinded cross-over trial we investigated the effects of an elastic abdominal binder on blood pressure changes (systolic, diastolic and mean blood pressure) after 3 minutes of head-up tilt test in patients with Parkinson's disease and orthostatic hypotension.

Secondarily, we investigated the effects of an elastic abdominal binder on symptoms of orthostatic hypotension in daily living in a 4-weeks open-label follow-up.

Conditions

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Parkinson's Disease Neurogenic Orthostatic Hypotension in Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

N/A (the Intervention type in the present study was an elastic abdominal binder, which is a medical device)
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Elastic abdominal binder, then placebo binder

Patients in this arm will be invited to wear an elastic abdominal binder ("Abdosyncro" Abdominalbandage, Syncro Med GmbH) for 2 hours on day 1 and a placebo binder ("Clima Care" Body warmer, Bort Medical) for 2 hours on day 3, after wash-out on day 2

Group Type EXPERIMENTAL

Elastic abdominal binder

Intervention Type DEVICE

Placebo binder, then elastic abdominal binder

Patients in this arm will be invited to wear a placebo binder ("Clima Care" Body warmer, Bort Medical) for 2 hours on day 1 and an elastic abdominal binder ("Abdosyncro" Abdominalbandage, Syncro Med GmbH) for 2 hours on day 3, after wash-out on day 2

Group Type EXPERIMENTAL

Placebo binder

Intervention Type DEVICE

Interventions

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Elastic abdominal binder

Intervention Type DEVICE

Placebo binder

Intervention Type DEVICE

Other Intervention Names

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"Abdosyncro" Abdominalbandage, Syncro Med GmbH "Clima Care" Body warmer, Bort Medical

Eligibility Criteria

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Inclusion Criteria

* Idiopathic PD
* Hoehn \& Yahr stadium \< or = 4
* Age: 40-90
* Laboratory confirmed neurogenic orthostatic hypotension (NOH)
* Stable pharmacological therapy in the last 6 weeks
* Full legal competence

Exclusion Criteria

* Other major neurologic or psychiatric diseases
* Untreated diabetes mellitus with clinical features of peripheral neuropathy
* Major cardiac diseases (ischemic, structural, arrhythmias)
* Evidence of varices (venous insufficiency stage \> or = C2, "varicose veins")
* Known or suspected pregnancy
* Breast feeding
Minimum Eligible Age

40 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University Innsbruck

OTHER

Sponsor Role lead

Responsible Party

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Klaus Seppi, MD

Univ. Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Klaus Seppi, Univ. Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Department of Neurology - Medical University Innsbruck

Locations

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Department of Neurology - Medical University Innsbruck

Innsbruck, Tyrol, Austria

Site Status

Countries

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Austria

References

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Seppi K, Weintraub D, Coelho M, Perez-Lloret S, Fox SH, Katzenschlager R, Hametner EM, Poewe W, Rascol O, Goetz CG, Sampaio C. The Movement Disorder Society Evidence-Based Medicine Review Update: Treatments for the non-motor symptoms of Parkinson's disease. Mov Disord. 2011 Oct;26 Suppl 3(0 3):S42-80. doi: 10.1002/mds.23884.

Reference Type BACKGROUND
PMID: 22021174 (View on PubMed)

Ferreira JJ, Katzenschlager R, Bloem BR, Bonuccelli U, Burn D, Deuschl G, Dietrichs E, Fabbrini G, Friedman A, Kanovsky P, Kostic V, Nieuwboer A, Odin P, Poewe W, Rascol O, Sampaio C, Schupbach M, Tolosa E, Trenkwalder C, Schapira A, Berardelli A, Oertel WH. Summary of the recommendations of the EFNS/MDS-ES review on therapeutic management of Parkinson's disease. Eur J Neurol. 2013 Jan;20(1):5-15. doi: 10.1111/j.1468-1331.2012.03866.x.

Reference Type BACKGROUND
PMID: 23279439 (View on PubMed)

Zesiewicz TA, Sullivan KL, Arnulf I, Chaudhuri KR, Morgan JC, Gronseth GS, Miyasaki J, Iverson DJ, Weiner WJ; Quality Standards Subcommittee of the American Academy of Neurology. Practice Parameter: treatment of nonmotor symptoms of Parkinson disease [RETIRED]: report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2010 Mar 16;74(11):924-31. doi: 10.1212/WNL.0b013e3181d55f24.

Reference Type BACKGROUND
PMID: 20231670 (View on PubMed)

Related Links

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https://www.i-med.ac.at/kks/

Coordination center for clinical studies of the Medical University Innsbruck

Other Identifiers

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ABOHP

Identifier Type: -

Identifier Source: org_study_id

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