Effects of Action Observation Training and Motor Imagery Delivered by Telerehabilitation in Patients with Parkinson's Disease
NCT ID: NCT06814782
Last Updated: 2025-02-07
Study Results
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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NOT_YET_RECRUITING
NA
60 participants
INTERVENTIONAL
2025-03-01
2026-09-30
Brief Summary
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* The primary endpoint will be mobility measured with the Timed Up and Go (TUG) test (differences before and after telerehabilitation treatment period).
* In addition, clinical and functional measures, instrumental analysis of gait and posture, and Magnetic Resonance Imaging (MRI) correlates will be assessed.
Participants will be asked to undergo 24 telerehabilitation sessions, cadenced 3 per week, over an 8-week period. In the two experimental groups (AOT and AOMI), each telerehabilitation session will encompass 4 motor tasks, each containing the observation of a video clip immediately followed by the patient's execution or imagination of the same exercises. Patients in the control group will be instructed to perform the same exercises after watching videos showing landscapes
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Detailed Description
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The study will enroll 60 PD patients, each meeting specific criteria. Participants will be randomly assigned to one of three groups: 1) AOT, 2) AOMI, or 3) a control group. The intervention will consist of 24 telerehabilitation sessions over 8 weeks (3 sessions per week). Each AOT and AOMI session will include four motor tasks, where patients will watch 3-minute video clips, followed by either performing (AOT) or imagining (AOMI) the exercise for 1 minute. Each task will be repeated twice, resulting in a 32-minute session. Exercises will focus on gait and balance, commonly used in PD rehabilitation. The control group will perform similar exercises after watching videos of neutral content, such as landscapes.
Assessments will be conducted by blinded evaluators at three time points: baseline (T0), immediately after the intervention period (T8W), and three months post-intervention (T5M).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Action Observation Training Group (AOT)
Patients in this group will be exposed to four video presentations showing movements with different degrees of focal vs. postural components. The patients will imitate immediately after watching.
Action Observation Training
Action Observation Training (AOT) consists of patients observing videos of specific movements, followed by practice of those movements
Action Observation and Motor Imagery Group (AOMI)
Patients in this group will be exposed to four video presentations showing movements with different degrees of focal vs. postural components. The patients will mentally rehearse what they saw in the videos immediately after watching.
Action Observation and Motor Imagery
Action Observation and Motor Imagery (AOMI) consists of patients observing videos of specific movements, followed by mental rehearsal of those movements
Control group
Patients in this group will be exposed to four video presentations showing landscape. Patients will perform the same exercise of AOT groupimmediately after watching.
Exercise
After watching a landscape video, patients will have to perform specific postural and balance exercises
Interventions
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Action Observation Training
Action Observation Training (AOT) consists of patients observing videos of specific movements, followed by practice of those movements
Action Observation and Motor Imagery
Action Observation and Motor Imagery (AOMI) consists of patients observing videos of specific movements, followed by mental rehearsal of those movements
Exercise
After watching a landscape video, patients will have to perform specific postural and balance exercises
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Hoehn and Yahr scale \<4
* Montreal Cognitive Assessment, MoCA ≥ 26
* a stable medication regimen for at least 4 weeks.
Exclusion Criteria
* a history of substance abuse influencing cognition or compliance
* visual disturbances
* head tremor
ALL
Yes
Sponsors
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Istituto Clinico Humanitas
OTHER
Responsible Party
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Locations
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Istituto Clinico Humanitas
Rozzano, Milan, Italy
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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PRIN: 2022FABKJ5_2
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
CLF24/01
Identifier Type: -
Identifier Source: org_study_id
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