Cognitive Cueing and Video Intervention for Gait in Parkinson's Disease

NCT ID: NCT06894030

Last Updated: 2025-03-25

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-30

Study Completion Date

2029-08-31

Brief Summary

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The goal of this clinical trial is to learn if cognitive cueing (eg., prompting individuals to think about taking big-long steps while walking), either as a stand- alone intervention or combined with a personalized gait training video, can improve gait (walking), mobility, and balance confidence for individuals with Parkinson's Disease. The main questions it aims to answer are:

1. Does focusing on cognitive cues while walking improve gait, mobility, and balance confidence for individuals with Parkinson's Disease?
2. Does incorporating a personalized gait training video alongside cognitive cueing lead to amplified improvements in gait, mobility, and balance confidence for individuals with Parkinson's Disease?

Researchers will compare how gait, mobility, balance confidence and quality of life change over time for participants when they practice walking with and without a cognitive cue alone, and when they practice with using a personalized gait training video.

The researchers are also interested in how participation in this trial will affect quality of life and conscious attention to gait.

Participants will

* Complete walking trials on an instrumented mat that records data on their walking ability. These trials will be undertaken without a cognitive cue and while participants mentally rehearse a series of 3 cognitive cues (Take big long steps; Walk heel-toe; Stand up straight).
* Be informed about which of the 3 cues best improved their walking and will receive a personalized gait training video for at home practice.
* Complete online surveys that ask questions about their Parkinson's Disease, mobility, balance confidence quality of life and conscious attention to gait.
* Visit the research facility 3 to 4 times during the study to have their gait (walking), mobility, balance confidence, quality of life and conscious attention to gait assessed and reassessed.
* Practice both with and without their personalized video at home and keep a diary to record their practice sessions
* Participate in a brief interview to discuss their experiences with the training and their perceptions of the effectiveness of cognitive cues and video-recorded feedback

Detailed Description

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Conditions

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Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The Video Start group will receive their gait training video once the intervention begins. The Video Delay group will receive their gait training video after a 4-week delay.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Video Start

Group Type EXPERIMENTAL

Gait Training Video

Intervention Type BEHAVIORAL

Personalized gait training videos featuring cued and non-cued gait for participants

Cognitive Cue

Intervention Type BEHAVIORAL

A verbal cue to be mentally rehearsed by each participant

Video Delay

Group Type EXPERIMENTAL

Gait Training Video

Intervention Type BEHAVIORAL

Personalized gait training videos featuring cued and non-cued gait for participants

Cognitive Cue

Intervention Type BEHAVIORAL

A verbal cue to be mentally rehearsed by each participant

Interventions

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Gait Training Video

Personalized gait training videos featuring cued and non-cued gait for participants

Intervention Type BEHAVIORAL

Cognitive Cue

A verbal cue to be mentally rehearsed by each participant

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Be diagnosed with Parkinson's Disease
* Be fluent in English
* Be able to walk independently and without a walking aid for at least 10 minutes
* Have no other cognitive or neurological impairments (e.g., brain tumours, recent concussion, stroke, brain injury)

Exclusion Criteria

* Deep Brain Stimulation (DBS) implant
* Standardized Mini Mental State Examination (SMMSE) score less than 24
Minimum Eligible Age

40 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Western University, Canada

OTHER

Sponsor Role lead

Responsible Party

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Jeffrey Holmes

Associate Professor, School of Occupational Therapy

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Centre for Brain and Mind, Western University

London, Ontario, Canada

Site Status

Countries

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Canada

Central Contacts

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Sarah V Park

Role: CONTACT

(902) 300 9488

Jeffrey Holmes

Role: CONTACT

Facility Contacts

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Administrative Assistant, Western Centre for Brain & Mind

Role: primary

(519) 661-2111 ext. 86057

Research Facility Manager

Role: backup

519-661-211 ext. 87988

Other Identifiers

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HSREB125635

Identifier Type: -

Identifier Source: org_study_id

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