Effectiveness of Noninvasive Vagus Stimulation for Upper Extremity in Parkinson's Disease

NCT ID: NCT05456451

Last Updated: 2022-07-13

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

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-25

Study Completion Date

2022-10-25

Brief Summary

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Vagus nerve stimulation in the treatment of PD is a non-pharmacological intervention with the potential to improve gait, cognition, fatigue, and autonomic functions, but more evidence is needed for VSS in the treatment of PD. The potential mechanisms of VSS in the improvement seen in PD are explained by increased cholinergic transmission, decreased neuroinflammation, and enhanced NE release.

In this study, it was aimed to investigate the effects of non-invasive vagus nerve stimulation to be applied to patients with Parkinson's disease on tremor and vagus nerve activity in patients.

The tremor and autonomic activations of the participants will be evaluated at pre and post treatment.

Detailed Description

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Vagus nerve stimulation in the treatment of PD is a non-pharmacological intervention with the potential to improve gait, cognition, fatigue, and autonomic functions, but more evidence is needed for VSS in the treatment of PD. The potential mechanisms of VSS in the improvement seen in PD are explained by increased cholinergic transmission, decreased neuroinflammation, and enhanced NE release.

5 patients who meet the inclusion criteria will be included in this prospectively planned study. As a vagus stimulation protocol, noninvasive auricular stimulation and stimulation frequency of 10 Hz, pulse width of 300 µs, biphasic application for 20 minutes will be applied to each patient 3 times on different days. Stimulations will be performed 3 times on 3 different days as the right ear, left ear and bilateral ear.

The tremor of the patients participating in the study will be evaluated with the smartphone application. After opening the phone application (G-Sensor), which is used to measure tremor, the patients will be asked to hold the phone in each hand at rest for 30 seconds and the tremor will be recorded. In this application, the maximum amplitude and frequency of the tremor in the 3D plane are calculated automatically.

The effect of vagus nerve stimulation on autonomic nervous system activity is evaluated using heart rate variability with Polar device.

The participants will be evaluated pre and post-treatment.

Conditions

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Parkinson Disease Upper Extremity Dysfunction Tremor

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The participants wit Parkinson disease, who has Hohen Yahr grade 2-3 will be included in the study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Parkinson group(pre and post treatment)

5 participants will be evaluated for tremor and autonomic dysfunction at pre and post treatment

Group Type EXPERIMENTAL

noninvasive vagus nerve srimulation

Intervention Type DEVICE

Non-invasive Vagus nerve stimulation (VNS) stimulates the vagus nerve through the ear via a headset. VNS is a non-pharmacological intervention with the potential to improve walking, cognition, fatigue, and autonomic functions in the treatment of Parkinson's disease.

Interventions

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noninvasive vagus nerve srimulation

Non-invasive Vagus nerve stimulation (VNS) stimulates the vagus nerve through the ear via a headset. VNS is a non-pharmacological intervention with the potential to improve walking, cognition, fatigue, and autonomic functions in the treatment of Parkinson's disease.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Being between the ages of 40-65.
* Diagnosed with Parkinson's Disease by a specialist neurologist.
* Hoehn-Yahr stage 2-3.
* Having bilateral resting tremor of the hands.
* Being agreed to participate in the study.

Exclusion Criteria

* Bilateral or unilateral previous injury to the vagus nerve (eg injury during carotid endarterectomy).
* Severe depression (Beck Depression Scale \> 29)
* Current use of any other stimulation device, such as a pacemaker or other neurostimulator; current use of any other investigational device or drug.
* Medical or mental instability (diagnosis of personality disorder, psychosis, or substance abuse) that would prevent the subject from following the protocol timeline.
* Pregnancy or planning to become pregnant or breast-feed during the study period.
* Botox injections or any other upper extremity rehabilitation within 6 months prior to treatment.
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sisli Hamidiye Etfal Training and Research Hospital

OTHER

Sponsor Role collaborator

Acibadem Atakent University Hospital

OTHER

Sponsor Role collaborator

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

OTHER_GOV

Sponsor Role collaborator

Kanuni Sultan Suleyman Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Merve Damla Korkmaz

Medical Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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E. Efe Is, M.D.

Role: PRINCIPAL_INVESTIGATOR

Sisli Hamidiye Etfal Training and Research Hospital

Ceyhun Basoglu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Acibadem Atakent University Hospital

Mustafa Corum, M.D.

Role: PRINCIPAL_INVESTIGATOR

Istanbul Physical Medicine and Rehabilitation Training and Research Hospital

Ali Veysel Ozden, M.D.

Role: PRINCIPAL_INVESTIGATOR

Bahçeşehir University

Locations

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Kanuni Sultan Suleyman Training and Research Hospital

Istanbul, Kucukcekmece, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Merve Damla Korkmaz, M.D.

Role: CONTACT

+90(212) 404 15 00

A. Kivanc Menekseoglu, M.D.

Role: CONTACT

+90(212) 404 15 00

Facility Contacts

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Merve Damla Korkmaz, M.D.

Role: primary

+90(212) 404 15 00

A. Kivanc Menekseoglu, M.D.

Role: backup

Other Identifiers

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3616

Identifier Type: -

Identifier Source: org_study_id

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