Evidence of Neuroplasticity After Performing a Cognitive Task in Idiopathic Parkinson's Disease Patients

NCT ID: NCT02494908

Last Updated: 2015-07-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2018-07-31

Brief Summary

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As seen in previous studies Diffusion Tensor Imaging (DTI) MRI is able to detect very subtle changes in brain tissue even after a very short timescale of hours resulting from performing a cognitive task and learning, We wish to explore and compare those changes to patients with idiopathic PD (IPD) and see if there are changes in the learning process and can we detect them using widely available noninvasive techniques such as MRI.

Detailed Description

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Aim: to utilize high sensitivity DTI MRI methodology to explore evidence for subtle microstructural brain alterations after performing a cognitive task and to compare those changes in patients with PD to healthy controls of the same age.

PD patients and controls will undergo a full cranial MRI scan for depiction of anatomy and structural abnormalities (scan duration \~40 min). Immediately afterwards the subjects will play a car race computer game (Need for Speed) for 90 minutes. Following the game, the patients will undergo an additional DTI MRI scan (\~15 minutes).

Conditions

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Parkinson Disease

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Healthy controls

Healthy controls with no known neurological disease matched for sex and age with the patients group

Group Type ACTIVE_COMPARATOR

Playing a computer game simulating a car race

Intervention Type BEHAVIORAL

Playing a computer game simulating a car race

IPD patients

Men and women diagnosed with idiopathic parkinson's disease

Group Type ACTIVE_COMPARATOR

Playing a computer game simulating a car race

Intervention Type BEHAVIORAL

Playing a computer game simulating a car race

Interventions

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Playing a computer game simulating a car race

Playing a computer game simulating a car race

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients with IPD based on a clinical diagnosis of PD according to the United Kingdom Parkinson's Disease Society Brain Bank criteria (however patients with a positive family history and symmetrical onset may be included)
* Healthy subjects should have no known neurological disease matched for age and sex with the study group

Exclusion Criteria

* History of cranial surgery, radiation therapy, tumor, stroke or significant head trauma
* History of psychiatric disease (major depression, bipolar affective disorder, schizophrenia)
* Patients with severe tremor or dyskinesias that may interfere with performance of the MRI scan
* Patients with Montreal Cognitive Assessment (MoCA) score of 22 or under
* Contraindications for MRI (metal objects: implants/shrapnel/bullet; any electrically, magnetically or mechanically activated implants: cardiac pacemakers/defibrillator, biostimulators, neurostimulators, cochlear implants, hearing aids, insulin pump; claustrophobia)
* Subjects who are familiar and have played on multiple occasions the computer game "need for speed"
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bar-Ilan University, Israel

OTHER

Sponsor Role collaborator

Tel Aviv University

OTHER

Sponsor Role collaborator

Sheba Medical Center

OTHER_GOV

Sponsor Role collaborator

Dr. Sharon Hassin

OTHER_GOV

Sponsor Role lead

Responsible Party

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Dr. Sharon Hassin

Dr.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Sharon Hassin-Baer, Dr

Role: PRINCIPAL_INVESTIGATOR

Sheba Medical Center

Locations

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Movement Disorders Institute, Sheba Medical center

Ramat Gan, , Israel

Site Status

Countries

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Israel

Central Contacts

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Vered Livneh, Dr

Role: CONTACT

03-5304931

Facility Contacts

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Vered Livneh, Dr.

Role: primary

+972-3-5304931

Esther Stein

Role: backup

+972-3-5304931

References

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Sagi Y, Tavor I, Hofstetter S, Tzur-Moryosef S, Blumenfeld-Katzir T, Assaf Y. Learning in the fast lane: new insights into neuroplasticity. Neuron. 2012 Mar 22;73(6):1195-203. doi: 10.1016/j.neuron.2012.01.025. Epub 2012 Mar 21.

Reference Type BACKGROUND
PMID: 22445346 (View on PubMed)

Vakil E, Herishanu-Naaman S. Declarative and procedural learning in Parkinson's disease patients having tremor or bradykinesia as the predominant symptom. Cortex. 1998 Sep;34(4):611-20. doi: 10.1016/s0010-9452(08)70518-5.

Reference Type BACKGROUND
PMID: 9800094 (View on PubMed)

Exner C, Koschack J, Irle E. The differential role of premotor frontal cortex and basal ganglia in motor sequence learning: evidence from focal basal ganglia lesions. Learn Mem. 2002 Nov-Dec;9(6):376-86. doi: 10.1101/lm.48402.

Reference Type BACKGROUND
PMID: 12464697 (View on PubMed)

Doyon J, Bellec P, Amsel R, Penhune V, Monchi O, Carrier J, Lehericy S, Benali H. Contributions of the basal ganglia and functionally related brain structures to motor learning. Behav Brain Res. 2009 Apr 12;199(1):61-75. doi: 10.1016/j.bbr.2008.11.012. Epub 2008 Nov 17.

Reference Type BACKGROUND
PMID: 19061920 (View on PubMed)

Gheysen F, Van Opstal F, Roggeman C, Van Waelvelde H, Fias W. The neural basis of implicit perceptual sequence learning. Front Hum Neurosci. 2011 Nov 11;5:137. doi: 10.3389/fnhum.2011.00137. eCollection 2011.

Reference Type BACKGROUND
PMID: 22087090 (View on PubMed)

Hofstetter S, Tavor I, Tzur Moryosef S, Assaf Y. Short-term learning induces white matter plasticity in the fornix. J Neurosci. 2013 Jul 31;33(31):12844-50. doi: 10.1523/JNEUROSCI.4520-12.2013.

Reference Type BACKGROUND
PMID: 23904619 (View on PubMed)

Hill RA. Do short-term changes in white matter structure indicate learning-induced myelin plasticity? J Neurosci. 2013 Dec 11;33(50):19393-5. doi: 10.1523/JNEUROSCI.4122-13.2013. No abstract available.

Reference Type BACKGROUND
PMID: 24336705 (View on PubMed)

Foerde K, Shohamy D. The role of the basal ganglia in learning and memory: insight from Parkinson's disease. Neurobiol Learn Mem. 2011 Nov;96(4):624-36. doi: 10.1016/j.nlm.2011.08.006. Epub 2011 Sep 16.

Reference Type BACKGROUND
PMID: 21945835 (View on PubMed)

Schlaug G. Musicians and music making as a model for the study of brain plasticity. Prog Brain Res. 2015;217:37-55. doi: 10.1016/bs.pbr.2014.11.020. Epub 2015 Feb 11.

Reference Type BACKGROUND
PMID: 25725909 (View on PubMed)

Blumenfeld-Katzir T, Pasternak O, Dagan M, Assaf Y. Diffusion MRI of structural brain plasticity induced by a learning and memory task. PLoS One. 2011;6(6):e20678. doi: 10.1371/journal.pone.0020678. Epub 2011 Jun 20.

Reference Type BACKGROUND
PMID: 21701690 (View on PubMed)

Other Identifiers

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2372-15-SMC

Identifier Type: -

Identifier Source: org_study_id

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