Trial Outcomes & Findings for Amped-PD: Amplifying Physical Activity Through Music in Parkinson Disease (NCT NCT05421624)

NCT ID: NCT05421624

Last Updated: 2025-05-31

Results Overview

The amount of moderate intensity walking, defined as mean number of minutes per day with \>100 steps/min. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

44 participants

Primary outcome timeframe

Baseline

Results posted on

2025-05-31

Participant Flow

Participant milestones

Participant milestones
Measure
Amped-PD
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Overall Study
STARTED
22
22
Overall Study
COMPLETED
21
20
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Amped-PD: Amplifying Physical Activity Through Music in Parkinson Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=20 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Total
n=41 Participants
Total of all reporting groups
Unified Parkinson's Disease Rating Scale Part III Score
20.71 Points
STANDARD_DEVIATION 7.68 • n=5 Participants
22.75 Points
STANDARD_DEVIATION 10.60 • n=7 Participants
20.73 Points
STANDARD_DEVIATION 8.57 • n=5 Participants
Age, Continuous
66.95 years
STANDARD_DEVIATION 8.84 • n=5 Participants
60.065 years
STANDARD_DEVIATION 9.13 • n=7 Participants
63.87 years
STANDARD_DEVIATION 9.42 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
10 Participants
n=7 Participants
21 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
21 Participants
n=5 Participants
19 Participants
n=7 Participants
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (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
21 participants
n=5 Participants
20 participants
n=7 Participants
41 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline

The amount of moderate intensity walking, defined as mean number of minutes per day with \>100 steps/min. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=16 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Physical Activity Based on the Amount of Moderate Intensity Walking
9.45 minutes of moderate intensity walking
Standard Deviation 9.39
16.17 minutes of moderate intensity walking
Standard Deviation 18.08

PRIMARY outcome

Timeframe: During training up to 4 days from start of training

The amount of moderate intensity walking, defined as mean number of minutes per day with \>100 steps/min. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=16 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Physical Activity Based on the Amount of Moderate Intensity Walking
32.83 minutes of moderate intensity walking
Standard Deviation 10.14
23.08 minutes of moderate intensity walking
Standard Deviation 12.09

PRIMARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

The amount of moderate intensity walking, defined as mean number of minutes per day with \>100 steps/min. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=16 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Physical Activity Based on the Amount of Moderate Intensity Walking
30.30 minutes of moderate intensity walking
Standard Deviation 11.45
24.15 minutes of moderate intensity walking
Standard Deviation 15.23

PRIMARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention)

The amount of moderate intensity walking, defined as mean number of minutes per day with \>100 steps/min. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=16 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Physical Activity Based on the Amount of Moderate Intensity Walking
6.85 minutes of moderate intensity walking
Standard Deviation 6.48
13.22 minutes of moderate intensity walking
Standard Deviation 9.62

PRIMARY outcome

Timeframe: Baseline

Daily step counts refer to the total number of steps taken on the leg with the monitor. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=16 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Step Activity Based on Daily Step Counts
8812 steps
Standard Deviation 3453
10311 steps
Standard Deviation 3497

PRIMARY outcome

Timeframe: During training up to 4 days from start of training

Daily step counts refer to the total number of steps taken on the leg with the monitor. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=16 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Step Activity Based on Daily Step Counts
12155 steps
Standard Deviation 3127
10483 steps
Standard Deviation 3751

PRIMARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

Daily step counts refer to the total number of steps taken on the leg with the monitor. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=16 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Step Activity Based on Daily Step Counts
11346 steps
Standard Deviation 2665
10926 steps
Standard Deviation 2756

PRIMARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

Daily step counts refer to the total number of steps taken on the leg with the monitor. This will be measured using research-grade activity monitors (StepWatch Activity Monitor, Modus Health, Edmonds, WA) validated for use in PD.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=16 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Step Activity Based on Daily Step Counts
8407 steps
Standard Deviation 2967
8284 steps
Standard Deviation 3933

PRIMARY outcome

Timeframe: Baseline

Stride-to-stride variability of stride time of the gait cycle will be measured using wearable sensors. Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as percentage. Worse gait quality is indicated by higher stride time variability, while improved gait quality is indicated by lower stride time variability.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Gait Quality Based on Variability of Stride Time
4.19 %coefficient of variation
Standard Deviation 2.38
2.88 %coefficient of variation
Standard Deviation 0.81

PRIMARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

Stride-to-stride variability of stride time of the gait cycle will be measured using wearable sensors. Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as percentage. Worse gait quality is indicated by higher stride time variability, while improved gait quality is indicated by lower stride time variability.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Gait Quality Based on Variability of Stride Time
3.46 %coefficient of variation
Standard Deviation 1.64
3.18 %coefficient of variation
Standard Deviation 1.07

PRIMARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

Stride-to-stride variability of stride time of the gait cycle will be measured using wearable sensors. Stride time variability is calculated by dividing the standard deviation of stride time by the mean of stride time, multiplied by 100 to express as percentage. Worse gait quality is indicated by higher stride time variability, while improved gait quality is indicated by lower stride time variability.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Gait Quality Based on Variability of Stride Time
3.70 %coefficient of variation
Standard Deviation 2.01
3.05 %coefficient of variation
Standard Deviation 1.70

PRIMARY outcome

Timeframe: Baseline

The Self-Report Habit Index (SRHI) will be used to assess habit formation. This index is a patient-reported outcome that examines habit strength. This self-report index comprises of 12 statements with constructs spanning behavior repetition, automaticity, and identity, with responses made on 11-point Likert scales (0 = strongly disagree; 10 = strongly agree). Higher scores indicate stronger habit formation (min = 0, max = 100).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Self-Report Habit Index (SRHI)
59.40 percent (out of 100%)
Standard Deviation 26.57
44.08 percent (out of 100%)
Standard Deviation 29.79

PRIMARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

The Self-Report Habit Index (SRHI) will be used to assess habit formation. This index is a patient-reported outcome that examines habit strength. This self-report index comprises of 12 statements with constructs spanning behavior repetition, automaticity, and identity, with responses made on 11-point Likert scales (0 = strongly disagree; 10 = strongly agree). Higher scores indicate stronger habit formation (min = 0, max = 100).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Self-Report Habit Index (SRHI)
74.25 percent (out of 100%)
Standard Deviation 20.72
57.85 percent (out of 100%)
Standard Deviation 24.68

SECONDARY outcome

Timeframe: Baseline

This is a test of short-distance walking function. The participant will be asked to walk at comfortable walking speed (CWS) on a ten-meter straight walkway. Two trials will be administered, and the average of two trials will be reported.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
10-Meter Walk Test (10MWT) - Comfortable Walking Speed
1.16 m/s
Standard Deviation 0.15
1.27 m/s
Standard Deviation 0.16

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

This is a test of short-distance walking function. The participant will be asked to walk at comfortable walking speed (CWS) on a ten-meter straight walkway. Two trials will be administered, and the average of two trials will be reported.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
10-Meter Walk Test (10MWT) - Comfortable Walking Speed
1.18 m/s
Standard Deviation 0.16
1.32 m/s
Standard Deviation 0.15

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

This is a test of short-distance walking function. The participant will be asked to walk at comfortable walking speed (CWS) on a ten-meter straight walkway. Two trials will be administered, and the average of two trials will be reported.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
10-Meter Walk Test (10MWT) - Comfortable Walking Speed
1.18 m/s
Standard Deviation 0.14
1.36 m/s
Standard Deviation 0.16

SECONDARY outcome

Timeframe: Baseline

This is a test of short-distance walking function. The participant will be asked to walk at maximum walking speed (MWS) on a ten-meter straight walkway. Two trials will be administered, and the average of two trials will be reported.

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
10-Meter Walk Test (10MWT) - Maximum Walking Speed
1.74 m/s
Standard Deviation 0.36
1.82 m/s
Standard Deviation 0.26

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

This is a test of short-distance walking function. The participant will be asked to walk at maximum walking speed (MWS) on a ten-meter straight walkway. Two trials will be administered, and the average of two trials will be reported.

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
10-Meter Walk Test (10MWT) - Maximum Walking Speed
1.77 m/s
Standard Deviation 0.37
1.83 m/s
Standard Deviation 0.32

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

This is a test of short-distance walking function. The participant will be asked to walk at maximum walking speed (MWS) on a ten-meter straight walkway. Two trials will be administered, and the average of two trials will be reported.

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
10-Meter Walk Test (10MWT) - Maximum Walking Speed
1.80 m/s
Standard Deviation 0.36
1.80 m/s
Standard Deviation 0.26

SECONDARY outcome

Timeframe: Baseline

This is test of long-distance walking function. The participant will be asked to "cover as much distance as they safely can" for 6 minutes, and total distance is the main metric from this test.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
6-Minute Walk Test (6MWT)
520.32 m
Standard Deviation 86.99
548.56 m
Standard Deviation 79.93

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

This is test of long-distance walking function. The participant will be asked to "cover as much distance as they safely can" for 6 minutes, and total distance is the main metric from this test.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
6-Minute Walk Test (6MWT)
524.56 m
Standard Deviation 83.56
562.31 m
Standard Deviation 84.79

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

This is test of long-distance walking function. The participant will be asked to "cover as much distance as they safely can" for 6 minutes, and total distance is the main metric from this test.

Outcome measures

Outcome measures
Measure
Amped-PD
n=20 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
6-Minute Walk Test (6MWT)
533.31 m
Standard Deviation 92.65
570.98 m
Standard Deviation 83.06

SECONDARY outcome

Timeframe: Baseline

Quantified metrics of walking velocity (m/s) will be collected using wearable sensors.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Gait Velocity During In-clinic Walking
1.50 m/s
Standard Deviation 0.26
1.58 m/s
Standard Deviation 0.22

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

Quantified metrics of walking velocity (m/s) will be collected using wearable sensors.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Gait Velocity During In-clinic Walking
1.53 m/s
Standard Deviation 0.25
1.63 m/s
Standard Deviation 0.25

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

Quantified metrics of walking velocity (m/s) will be collected using wearable sensors.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Gait Velocity During In-clinic Walking
1.55 m/s
Standard Deviation 0.26
1.63 m/s
Standard Deviation 0.25

SECONDARY outcome

Timeframe: Baseline

Quantified metrics of stride length (m) will be collected using wearable sensors.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Stride Length During In-clinic Walking
1.49 m
Standard Deviation 0.18
1.54 m
Standard Deviation 0.24

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

Quantified metrics of stride length (m) will be collected using wearable sensors.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Stride Length During In-clinic Walking
1.52 m
Standard Deviation 0.20
1.56 m
Standard Deviation 0.28

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention)

Quantified metrics of stride length (m) will be collected using wearable sensors.

Outcome measures

Outcome measures
Measure
Amped-PD
n=19 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=15 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Stride Length During In-clinic Walking
1.53 m
Standard Deviation 0.20
1.56 m
Standard Deviation 0.25

SECONDARY outcome

Timeframe: Baseline

The MDS UPDRS is the most widely used clinical rating scale for Parkinson disease. Part III is a motor examination (33 scores summed from 18 questions) conducted by the rater. The total score is reported, which can range from 0 (no impairment) to 141 (maximum impairment).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Movement Disorder Society Unified Parkinson Disease Rating Scale Motor Subsection (MDS-UPDRS III)
20.71 points
Standard Deviation 7.68
22.75 points
Standard Deviation 10.60

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

The MDS UPDRS is the most widely used clinical rating scale for Parkinson disease. Part III is a motor examination (33 scores summed from 18 questions) conducted by the rater. The total score is reported, which can range from 0 (no impairment) to 141 (maximum impairment).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Movement Disorder Society Unified Parkinson Disease Rating Scale Motor Subsection (MDS-UPDRS III)
23.48 points
Standard Deviation 9.41
21.11 points
Standard Deviation 18.74

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

The MDS UPDRS is the most widely used clinical rating scale for Parkinson disease. Part III is a motor examination (33 scores summed from 18 questions) conducted by the rater. The total score is reported, which can range from 0 (no impairment) to 141 (maximum impairment).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Movement Disorder Society Unified Parkinson Disease Rating Scale Motor Subsection (MDS-UPDRS III)
22.86 points
Standard Deviation 10.15
18.74 points
Standard Deviation 7.65

SECONDARY outcome

Timeframe: Baseline

The SEW-D is a 10-item self-report that will be administered to determine participants' beliefs of their physical capabilities to successfully complete incremental 5-minute intervals (5 to 40 minutes) of walking at a moderately fast pace, with responses made on 11-point Likert scale (0% = not at all confident; 100% = highly confident).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Self-Efficacy of Walking - Duration (SEW-D)
73.76 percent
Standard Deviation 18.85
69.89 percent
Standard Deviation 18.83

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

The SEW-D is a 10-item self-report that will be administered to determine participants' beliefs of their physical capabilities to successfully complete incremental 5-minute intervals (5 to 40 minutes) of walking at a moderately fast pace, with responses made on 11-point Likert scale (0% = not at all confident; 100% = highly confident).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Self-Efficacy of Walking - Duration (SEW-D)
78.14 percent
Standard Deviation 19.49
76.95 percent
Standard Deviation 15.39

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

The SEW-D is a 10-item self-report that will be administered to determine participants' beliefs of their physical capabilities to successfully complete incremental 5-minute intervals (5 to 40 minutes) of walking at a moderately fast pace, with responses made on 11-point Likert scale (0% = not at all confident; 100% = highly confident).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Self-Efficacy of Walking - Duration (SEW-D)
78.57 percent
Standard Deviation 19.51
76.89 percent
Standard Deviation 19.48

SECONDARY outcome

Timeframe: Baseline

The GDS is a brief, self-report involving yes/no questions instrument on psychological aspects and social consequences of depression in the elderly. The short form of GDS of 15-items will be used in this study. Higher scores indicate greater depression (min = 0, max = 15).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Geriatric Depression Scale (GDS)
2 points
Standard Deviation 2.19
2.42 points
Standard Deviation 2.34

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

The GDS is a brief, self-report involving yes/no questions instrument on psychological aspects and social consequences of depression in the elderly. The short form of GDS of 15-items will be used in this study. Higher scores indicate greater depression (min = 0, max = 15).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Geriatric Depression Scale (GDS)
2.24 points
Standard Deviation 2.70
2.16 points
Standard Deviation 2.09

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

The GDS is a brief, self-report involving yes/no questions instrument on psychological aspects and social consequences of depression in the elderly. The short form of GDS of 15-items will be used in this study. Higher scores indicate greater depression (min = 0, max = 15).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Geriatric Depression Scale (GDS)
2.76 points
Standard Deviation 1.70
2.53 points
Standard Deviation 1.54

SECONDARY outcome

Timeframe: Baseline

The PDQ- 39 is a self-report questionnaire that assesses quality of life over the past month across 8 different dimensions. Items are scored based on a 5-point ordinal system with lower scores reflecting better quality of life. Lower scores reflect better quality of life (min = 0, max = 100).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Parkinson's Disease Questionnaire - 39 (PDQ-39)
11.95 points
Standard Deviation 8.24
14.36 points
Standard Deviation 8.46

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

The PDQ- 39 is a self-report questionnaire that assesses quality of life over the past month across 8 different dimensions. Items are scored based on a 5-point ordinal system with lower scores reflecting better quality of life. Lower scores reflect better quality of life (min = 0, max = 100).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Parkinson's Disease Questionnaire - 39 (PDQ-39)
13.57 points
Standard Deviation 8.92
15.44 points
Standard Deviation 8.10

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

The PDQ- 39 is a self-report questionnaire that assesses quality of life over the past month across 8 different dimensions. Items are scored based on a 5-point ordinal system with lower scores reflecting better quality of life. Lower scores reflect better quality of life (min = 0, max = 100).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Parkinson's Disease Questionnaire - 39 (PDQ-39)
12.34 points
Standard Deviation 8.23
14.61 points
Standard Deviation 9.23

SECONDARY outcome

Timeframe: Baseline

This test comprises of 14 items that span anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. Each item is scored from 0-2 (0 = lowest level of function, 2 = highest level of function). The total score is reported, calculated as the sum of all items, with possible scores of 0 (lowest level of balance function) and a maximum score of 28 (highest level of balance function).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Mini Balance Evaluation Systems Test (Mini BESTest)
24.24 points
Standard Deviation 2.43
24.89 points
Standard Deviation 2.66

SECONDARY outcome

Timeframe: Immediately after the intervention (up to 6 weeks)

This test comprises of 14 items that span anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. Each item is scored from 0-2 (0 = lowest level of function, 2 = highest level of function). The total score is reported, calculated as the sum of all items, with possible scores of 0 (lowest level of balance function) and a maximum score of 28 (highest level of balance function).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Mini Balance Evaluation Systems Test (Mini BESTest)
24.43 points
Standard Deviation 2.09
25.84 points
Standard Deviation 1.53

SECONDARY outcome

Timeframe: Follow-up (up to 2 weeks post-intervention completion, and up to 8 weeks from baseline/start of intervention)

This test comprises of 14 items that span anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. Each item is scored from 0-2 (0 = lowest level of function, 2 = highest level of function). The total score is reported, calculated as the sum of all items, with possible scores of 0 (lowest level of balance function) and a maximum score of 28 (highest level of balance function).

Outcome measures

Outcome measures
Measure
Amped-PD
n=21 Participants
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=19 Participants
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Mini Balance Evaluation Systems Test (Mini BESTest)
24.86 points
Standard Deviation 2.03
26.00 points
Standard Deviation 1.53

Adverse Events

Amped-PD

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Active-Control

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Amped-PD
n=21 participants at risk
6-week community-based, self-directed walking program that uses a novel digital therapeutic that delivers music-adaptive rhythmic auditory stimulation. Digital music therapeutic: The digital music therapeutic is comprised of foot sensors, a smart phone with pre-installed proprietary software application, and headphones. The device obtains real-time walking data through movement sensors that communicate wirelessly with the smartphone application software. Music cues are tailored to the person's walking pattern, and are transmitted wirelessly to the headphones. Music cues are time-shifted to the user's baseline cadence and adjusted in real-time based on the user's walking performance metrics.
Active-Control
n=20 participants at risk
6-week community-based, self-directed walking program without using a novel digital therapeutic or any form of rhythmic auditory stimulation. Active-Control: The Active-Control intervention will implement a similarly structured community-based walking program as Amped-PD, with the only exception the digital music therapeutic.
Nervous system disorders
Fall (unrelated)
9.5%
2/21 • Number of events 2 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
5.0%
1/20 • Number of events 1 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
General disorders
Fall (related)
0.00%
0/21 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
10.0%
2/20 • Number of events 2 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
Musculoskeletal and connective tissue disorders
Toe pain
0.00%
0/21 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
5.0%
1/20 • Number of events 1 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
Hepatobiliary disorders
Surgery
0.00%
0/21 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
5.0%
1/20 • Number of events 1 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
Musculoskeletal and connective tissue disorders
Arm pain
4.8%
1/21 • Number of events 1 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
0.00%
0/20 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
Infections and infestations
Covid-19
4.8%
1/21 • Number of events 1 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
0.00%
0/20 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
Infections and infestations
Pneumonia
0.00%
0/21 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.
5.0%
1/20 • Number of events 1 • 8 weeks (includes 6-week intervention and 2-week follow-up)
The 6-week walking program received by both intervention arms incurs negligible risk for all-cause mortality.

Additional Information

Franchino Porciuncula, EdD, PT, DScPT

Boston University

Phone: (617) 353-7525

Results disclosure agreements

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