Multi-limb Dual-task Control in Parkinson's Disease

NCT ID: NCT03662009

Last Updated: 2022-02-07

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

COMPLETED

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-09-01

Study Completion Date

2020-11-30

Brief Summary

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People with Parkinson disease commonly experience difficulty driving, which requires the arms and legs to do different tasks simultaneously. Driving difficulties can lead to isolation, depression, loss of independence and mobility, and increased incidence of car accidents. Through understanding the impact of Parkinson disease on mechanisms underlying attention and multi-limb control, training and rehabilitation programs can better focus on the needs of drivers with Parkinson disease. The proposed study aims to address this need by taking measures of simulated driving at one point in time. Subjects with PD are tested at a single time point when they are at their "best" point in their day and on another day when they are at their worst and are about to take their next dose of medication. Healthy age-matched subjects are not taking anti-parkinson medication so are tested at only one point.

Detailed Description

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Conditions

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Parkinson Disease

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Parkinson Disease

Observation of individuals with idiopathic Parkinson disease performing a multilimb dual task using the arm and the leg.

multilimb dual task

Intervention Type OTHER

control of arm and foot in two attentional contexts of simulated driving

Control

Observation of healthy age-matched individuals will perform a multilimb dual task using the arm and the leg.

multilimb dual task

Intervention Type OTHER

control of arm and foot in two attentional contexts of simulated driving

Interventions

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multilimb dual task

control of arm and foot in two attentional contexts of simulated driving

Intervention Type OTHER

Other Intervention Names

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Instructed priority constrained accuracy

Eligibility Criteria

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Inclusion Criteria

* have a clinical diagnosis of mild to moderate idiopathic PD (Hoehn \& Yahr stages 1-3),
* hold a valid driver's license and drive at least once a week, and
* be capable of providing informed consent and complying with study procedures. Control group participants will be healthy, neurologically intact individuals, age-matched to within 2 years of the PD subjects.

Exclusion Criteria

* impaired global cognition (i.e., a score of \< 20 on the Montreal Cognitive Assessment (MoCA) screening tool)
* sensory loss in the lower limb as assessed by clinical test of vibration perception at the ankle,
* orthopedic, visual, or neurological conditions that would prevent performance of the experimental tasks,
* inability to complete and pass the assessment testing,
* history of neurological illness such as head trauma, previous stroke, epilepsy, demyelinating disease, or
* complicating medical problems such as diabetes.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

University of Idaho

OTHER

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role collaborator

A.T. Still University of Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Tara McIsaac

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tara L McIsaac, PhD, PT

Role: PRINCIPAL_INVESTIGATOR

A.T. Still University

Locations

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A.T. Still University Arizona School of Health Sciences

Mesa, Arizona, United States

Site Status

Countries

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United States

References

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McIsaac TL, Benjapalakorn B. Allocation of attention and dual-task effects on upper and lower limb task performance in healthy young adults. Exp Brain Res. 2015 Sep;233(9):2607-17. doi: 10.1007/s00221-015-4333-6. Epub 2015 Jun 17.

Reference Type BACKGROUND
PMID: 26080755 (View on PubMed)

McIsaac TL, Lamberg EM, Muratori LM. Building a framework for a dual task taxonomy. Biomed Res Int. 2015;2015:591475. doi: 10.1155/2015/591475. Epub 2015 Apr 19.

Reference Type BACKGROUND
PMID: 25961027 (View on PubMed)

Thompson T, Poulter D, Miles C, Solmi M, Veronese N, Carvalho AF, Stubbs B, Uc EY. Driving impairment and crash risk in Parkinson disease: A systematic review and meta-analysis. Neurology. 2018 Sep 4;91(10):e906-e916. doi: 10.1212/WNL.0000000000006132. Epub 2018 Aug 3.

Reference Type BACKGROUND
PMID: 30076275 (View on PubMed)

Other Identifiers

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1R15NS098340-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2017-045

Identifier Type: -

Identifier Source: org_study_id

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