Cycling and Treadmill With Dual Task for Parkinson's Disease Improvement

NCT ID: NCT06355947

Last Updated: 2024-04-10

Study Results

Results pending

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

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-07

Study Completion Date

2018-07-31

Brief Summary

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Motor impairment in lower extremities is common in individuals with Parkinson disease (PD). Development sensitive test for early motor deviations is important. Conventional walking test cannot induce the PD related motor impairments, such as freezing of gait. Therefore, finding a safe substitute test to induce PD related motor impairments is important.

Studies showed that working memory related dual task walking was a sensitive test for PD. However, the optimal cognitive test needs to be clarified. Studies also showed that the neuromuscular control mechanism of leg movements during cycling were similar to those during walking. Therefore, dual task cycling test is potential to be a safe and sensitive testing model.

Studies showed that exercise could improve cognitive function and induce brain plasticity. Dual task exercise training was shown to be more effective than single task exercise training for older people to prevent fall. Whether the added cognitive task could improve to detriment brain plasticity in PD should be investigated. Transcranial magnetic stimulation can evaluate the motor cortex plasticity on-invasively and can evaluate the exercise induced brain plasticity.

The purpose of this three-year project is to develop PD-sensitive. The purposes of the first year are to translate the dual task walking test to dual task cycling test, and to establish the reliability of the dual task cycling test.

The purposes of the second year are to compare the motor cortex plasticity induced by single task cycling versus dual task cycling and to compare the difference response between PD and healthy control people.

The purpose of the third year is to evaluate the effect of 8 week long term cycling training or treadmill training of individuals with PD on motor cortex plasticity, dual task performance, and ambulation ability.

Detailed Description

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Conditions

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Parkinson Disease(PD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Stage 1:Healthy people

To establish a baseline and ensure reliability, and to explore the relationship between dual-task gait performance and dual-task cycling

Group Type NO_INTERVENTION

No interventions assigned to this group

No Intervention: Stage 2:PD people

To explore the relationship between dual-task gait and dual-task cycling performances in individuals with Parkinson's Disease (PD)

Group Type NO_INTERVENTION

No interventions assigned to this group

Stage 3:PD cycling training group

Cycling training conducted with cognitive tasks

Group Type EXPERIMENTAL

Cognitive cycling training

Intervention Type OTHER

Cycling training conducted with cognitive tasks

Stage 3: PD treadmill training group

Treadmill training conducted with cognitive tasks

Group Type EXPERIMENTAL

Cognitive treadmill training

Intervention Type OTHER

Treadmill training conducted with cognitive tasks

Stage 3:PD Control group

Control group

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Cognitive cycling training

Cycling training conducted with cognitive tasks

Intervention Type OTHER

Cognitive treadmill training

Treadmill training conducted with cognitive tasks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

\- Clinical diagnosis of Parkinson disease.

Exclusion Criteria

* Musculoskeletal injuries on legs.
* Osteoporosis.

PD subjects:


* Musculoskeletal injuries on legs
* Osteoporosis.
* Any peripheral or central nervous system injury or disease patients.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Chang Gung University

OTHER

Sponsor Role lead

Responsible Party

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Ya-Ju Chang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Chang Gung University

Taoyuan District, , Taiwan

Site Status

Countries

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Taiwan

Other Identifiers

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103-7445B

Identifier Type: -

Identifier Source: org_study_id

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