Effects of a Treadmill Gait Training Protocol in a Gamified Virtual Reality Environment With tDCS in Parkinson's Disease

NCT ID: NCT05243394

Last Updated: 2022-11-07

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-31

Study Completion Date

2024-09-30

Brief Summary

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The study aims to compare the effects of treadmill gait training in a gamified virtual reality environment with tDCS versus treadmill gait training in a gamified virtual reality environment versus treadmill training in people with Parkinson's Disease.

Detailed Description

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Treadmill gait training has been stablished as a solid gait rehabilitation option for people with Parkinson's Disease. However, gait training by itself fails to address the cognitive aspect needed for safe walking, which could be affected by situations in which concurrent tasks must be managed simultaneously to gait. It also lacks motivational aspects key to keep people with Parkinson's Disease adhered to treatment. Virtual reality and gamification are posed as useful tools to address both these issues, turning training into a more engaging activity and allowing complicated gait situations to be trained in a safe environment. Transcranial direct current stimulation (tDCS) could be combined with these mentioned treatment options, which could reinforce the learning of motor and cognitive skills during training.

The aim of this study is to evaluate the effects of the inclusion of a gamified virtual reality environment to a treadmill gait training program with tDCS in PD compared to the same training protocol with virtual reality and without it

Conditions

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Parkinson Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

3 groups of 22 participants will each follow a different treatment option.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The outcome measuring assessors will not know from which group any of the participants comes from, and will have no interaction with any of the interventions applied.

Study Groups

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Gamified virtual reality environtment + tDCS + treadmill gait training

The first group will follow an 18-session gait training protocol for 6 weeks. Duration of the sessions will progressively increase from 20 to 45 minutes from first session to last. They will be immersed in a gamified virtual reality environment in which they will interact with the in-game ambient by having their feet represented on the screen and move as their own on the treadmill. They will also receive tDCS for the first 20 minutes of each session.

Group Type EXPERIMENTAL

Gamified virtual reality treadmill gait training with tDCS

Intervention Type OTHER

Progressive treadmill gait training in a gamified virtual reality environment with tDCS

Gamified virtual reality environtment + treadmill gait training

The second group will follow an 18-session gait training protocol for 6 weeks. Duration of the sessions will progressively increase from 20 to 45 minutes from first session to last. They will be immersed in a gamified virtual reality environment in which they will interact with the in-game ambient by having their feet represented on the screen and move as their own on the treadmill.

Group Type EXPERIMENTAL

Gamified virtual reality treadmill gait training

Intervention Type OTHER

Progressive treadmill gait training in a gamified virtual reality environment

Treadmill gait training

The third group will follow an 18-session gait training protocol for 6 weeks. Duration of the sessions will progressively increase from 20 to 45 minutes from first session to last.

Group Type ACTIVE_COMPARATOR

Treadmill gait training

Intervention Type OTHER

Progressive treadmill gait training

Interventions

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Gamified virtual reality treadmill gait training with tDCS

Progressive treadmill gait training in a gamified virtual reality environment with tDCS

Intervention Type OTHER

Gamified virtual reality treadmill gait training

Progressive treadmill gait training in a gamified virtual reality environment

Intervention Type OTHER

Treadmill gait training

Progressive treadmill gait training

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Idiopathic Parkinson's Disease
* Stage II - III in the Hoehn and Yahr Scale during ON state
* Ability to walk for 10 minutes independently without stop

Exclusion Criteria

* Significant cognitive decline based on mini mental status examination (MMSE \<23)
* Severe auditory or visual deficits
* Other neurological/psychiatric conditions
* Any kind of cardiovascular complications that contraindicates physical activity
* Clinical history of any brain surgery or deep brain stimulation device
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Turku

OTHER

Sponsor Role collaborator

University of Maryland, Baltimore

OTHER

Sponsor Role collaborator

Universitat de Lleida

OTHER

Sponsor Role lead

Responsible Party

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Helena Fernández-Lago

Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Helena Fernández-Lago

Role: PRINCIPAL_INVESTIGATOR

Universitat de Lleida

Locations

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Institut de Recerca Biomèdica de Lleida

Lleida, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Helena Fernández-Lago

Role: CONTACT

973702282

Pere Bosch-Barceló

Role: CONTACT

645091315

Facility Contacts

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Helena Fernández-Lago

Role: primary

973702282

Pere Bosch-Barceló

Role: backup

645091315

References

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Yogev-Seligmann G, Hausdorff JM, Giladi N. The role of executive function and attention in gait. Mov Disord. 2008 Feb 15;23(3):329-42; quiz 472. doi: 10.1002/mds.21720.

Reference Type BACKGROUND
PMID: 18058946 (View on PubMed)

Shahed J, Jankovic J. Motor symptoms in Parkinson's disease. Handb Clin Neurol. 2007;83:329-42. doi: 10.1016/S0072-9752(07)83013-2. No abstract available.

Reference Type BACKGROUND
PMID: 18808920 (View on PubMed)

Mehrholz J, Kugler J, Storch A, Pohl M, Hirsch K, Elsner B. Treadmill training for patients with Parkinson Disease. An abridged version of a Cochrane Review. Eur J Phys Rehabil Med. 2016 Oct;52(5):704-713. Epub 2016 Mar 4.

Reference Type BACKGROUND
PMID: 26940123 (View on PubMed)

Dockx K, Bekkers EM, Van den Bergh V, Ginis P, Rochester L, Hausdorff JM, Mirelman A, Nieuwboer A. Virtual reality for rehabilitation in Parkinson's disease. Cochrane Database Syst Rev. 2016 Dec 21;12(12):CD010760. doi: 10.1002/14651858.CD010760.pub2.

Reference Type BACKGROUND
PMID: 28000926 (View on PubMed)

Schootemeijer S, van der Kolk NM, Ellis T, Mirelman A, Nieuwboer A, Nieuwhof F, Schwarzschild MA, de Vries NM, Bloem BR. Barriers and Motivators to Engage in Exercise for Persons with Parkinson's Disease. J Parkinsons Dis. 2020;10(4):1293-1299. doi: 10.3233/JPD-202247.

Reference Type BACKGROUND
PMID: 32925106 (View on PubMed)

Broeder S, Nackaerts E, Heremans E, Vervoort G, Meesen R, Verheyden G, Nieuwboer A. Transcranial direct current stimulation in Parkinson's disease: Neurophysiological mechanisms and behavioral effects. Neurosci Biobehav Rev. 2015 Oct;57:105-17. doi: 10.1016/j.neubiorev.2015.08.010. Epub 2015 Aug 20.

Reference Type BACKGROUND
PMID: 26297812 (View on PubMed)

Mirelman A, Rochester L, Reelick M, Nieuwhof F, Pelosin E, Abbruzzese G, Dockx K, Nieuwboer A, Hausdorff JM. V-TIME: a treadmill training program augmented by virtual reality to decrease fall risk in older adults: study design of a randomized controlled trial. BMC Neurol. 2013 Feb 6;13:15. doi: 10.1186/1471-2377-13-15.

Reference Type BACKGROUND
PMID: 23388087 (View on PubMed)

Bosch-Barcelo P, Climent-Sanz C, Martinez-Navarro O, Masbernat-Almenara M, Pakarinen A, Ghosh PK, Fernandez-Lago H. A treadmill training program in a gamified virtual reality environment combined with transcranial direct current stimulation in Parkinson's Disease: Study protocol for a randomized controlled trial. PLoS One. 2024 Jul 16;19(7):e0307304. doi: 10.1371/journal.pone.0307304. eCollection 2024.

Reference Type DERIVED
PMID: 39012877 (View on PubMed)

Bosch-Barcelo P, Masbernat-Almenara M, Martinez-Navarro O, Tersa-Miralles C, Pakarinen A, Fernandez-Lago H. A gamified virtual environment intervention for gait rehabilitation in Parkinson's Disease: co-creation and feasibility study. J Neuroeng Rehabil. 2024 Jun 24;21(1):107. doi: 10.1186/s12984-024-01399-6.

Reference Type DERIVED
PMID: 38915103 (View on PubMed)

Other Identifiers

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PI20/00403

Identifier Type: -

Identifier Source: org_study_id

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