How to Get Started: Identifying the Critical Ingredients to Improve Gait Initiation in Parkinson Disease
NCT05625789 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2024-09-20
Summary
The purpose of this study is to understand the treatment approach (i.e., targeting gait or targeting the postural adjustment prior to gait) that is most effective at improving gait initiation dynamics in people with Parkinson disease. Ten adults with idiopathic Parkinson disease who self-report difficulty initiating gait will complete the study. The investigators will be using a randomized crossover design, where the participants will participate in two series of training (i.e., postural training and steady-state gait training) with a one-week washout between trainings. Investigators will evaluate the changes induced in gait initiation postural adjustment size, first step length, and first step speed from each intervention. Due to the anticipated limitation of steady-state walking to directly address postural adjustment amplitude, it is hypothesized that training for larger amplitude weight shift during gait initiation will yield improved gait initiation dynamics compared to training with large amplitude movements during steady-state walking.
Conditions
- Parkinson Disease
Interventions
- BEHAVIORAL
-
Postural control (weight shift) training
Visual cues to improve amplitude of weight shift prior to initiating gait.
- BEHAVIORAL
-
Steady state gait training
Auditory cues are provided to increase amplitude of movement (e.g., step length) during continuous walking, to determine its effects on gait initiation amplitude of movement.
Sponsors & Collaborators
-
LSVT Global
collaborator UNKNOWN -
University of North Carolina, Chapel Hill
lead OTHER
Principal Investigators
-
Michael Lewek, PhD · UNC Chapel Hill
-
Chelsea P Duppen, DPT · UNC Chapel Hill
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 35 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-10
- Primary Completion
- 2024-08-09
- Completion
- 2024-08-09
Countries
- United States
Study Locations
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