Trial Outcomes & Findings for Sing For Your Saunter Part 2 R33 (NCT NCT06115382)

NCT ID: NCT06115382

Last Updated: 2026-04-02

Results Overview

How quickly someone walks

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

74 participants

Primary outcome timeframe

Baseline and 12 weeks

Results posted on

2026-04-02

Participant Flow

Participants were recruited from our movement disorders clinic and through presentations at local support groups and conferences. The study was also advertised on social media.

Nothing to report

Participant milestones

Participant milestones
Measure
Self Cueing
Self-cueing training using singing, one hour sessions twice weekly for 12 weeks.
External Cueing
External cueing using music, one hour sessions twice weekly for 12 weeks.
Overall Study
STARTED
38
36
Overall Study
COMPLETED
28
33
Overall Study
NOT COMPLETED
10
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sing For Your Saunter Part 2 R33

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Self Cueing
n=38 Participants
Self-cueing training using singing, one hour sessions twice weekly for 12 weeks.
External Cueing
n=36 Participants
External cueing using music, one hour sessions twice weekly for 12 weeks.
Total
n=74 Participants
Total of all reporting groups
Age, Continuous
67.8 years
STANDARD_DEVIATION 7.5 • n=5 Participants
67.2 years
STANDARD_DEVIATION 7.9 • n=5 Participants
67.5 years
STANDARD_DEVIATION 7.6 • n=10 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
16 Participants
n=5 Participants
36 Participants
n=10 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
20 Participants
n=5 Participants
38 Participants
n=10 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=5 Participants
1 Participants
n=10 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=5 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=5 Participants
1 Participants
n=10 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=5 Participants
1 Participants
n=10 Participants
Race (NIH/OMB)
White
36 Participants
n=5 Participants
33 Participants
n=5 Participants
69 Participants
n=10 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=5 Participants
2 Participants
n=10 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=5 Participants
0 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=5 Participants
0 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
38 Participants
n=5 Participants
36 Participants
n=5 Participants
74 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=5 Participants
0 Participants
n=10 Participants
Hoehn & Yahr Stage
Hoehn & Yahr Stage 2
35 Participants
n=5 Participants
32 Participants
n=5 Participants
67 Participants
n=10 Participants
Hoehn & Yahr Stage
Hoehn & Yahr Stage 3
3 Participants
n=5 Participants
4 Participants
n=5 Participants
7 Participants
n=10 Participants

PRIMARY outcome

Timeframe: Baseline and 12 weeks

How quickly someone walks

Outcome measures

Outcome measures
Measure
Self Cueing
n=28 Participants
Self-cueing training using singing, one hour sessions twice weekly for 12 weeks.
External Cueing
n=33 Participants
External cueing using music, one hour sessions twice weekly for 12 weeks.
Gait Speed
Baseline gait speed
1.09 meters per second
Standard Deviation 0.20
1.04 meters per second
Standard Deviation 0.23
Gait Speed
Gait speed at 12 weeks
1.15 meters per second
Standard Deviation 0.21
1.08 meters per second
Standard Deviation 0.22

PRIMARY outcome

Timeframe: Baseline and 12 weeks

Population: Results are presented for each group during finger tapping during mental singing and finger tapping when listening to music at baseline and after 12 weeks of training in either the self cueing intervention or the external cueing interevention.

Measure of blood oxygen levels in different brain regions indicative of level of activity within different brain regions. We analyzed the Blood Oxygen Level Dependent (BOLD) signal in the brain to determine where there were areas of significant changes in brain activity, relative to rest, when participants were moving with to the beat during self cueing (mental singing) and move to the beat during external cueing (music). BOLD values are reported are Beta weights. Positive values indicate an increase in activity relative to rest and negative values indicate a decrease in activity relative to rest.

Outcome measures

Outcome measures
Measure
Self Cueing
n=19 Participants
Self-cueing training using singing, one hour sessions twice weekly for 12 weeks.
External Cueing
n=24 Participants
External cueing using music, one hour sessions twice weekly for 12 weeks.
MRI Bold Beta Weights
12 week left putamen activity when tapping to music
-.039 Beta weights (arbitrary units)
Standard Deviation .151
-.045 Beta weights (arbitrary units)
Standard Deviation .209
MRI Bold Beta Weights
Baseline bilateral auditory cortex activity when tapping during mental singing
-.892 Beta weights (arbitrary units)
Standard Deviation .323
-.764 Beta weights (arbitrary units)
Standard Deviation .323
MRI Bold Beta Weights
12 weeks bilateral auditory cortex activity when tapping during mental singing
-.854 Beta weights (arbitrary units)
Standard Deviation .277
-.674 Beta weights (arbitrary units)
Standard Deviation .378
MRI Bold Beta Weights
Baseline left putamen activity when tapping during mental singing
-.018 Beta weights (arbitrary units)
Standard Deviation .197
-.023 Beta weights (arbitrary units)
Standard Deviation .210
MRI Bold Beta Weights
12 weeks left putamen activity when tapping to mental singing
.060 Beta weights (arbitrary units)
Standard Deviation .186
-.093 Beta weights (arbitrary units)
Standard Deviation .156
MRI Bold Beta Weights
Baseline bilateral anterior cerebellum activity when tapping during mental singing
-.023 Beta weights (arbitrary units)
Standard Deviation .293
.014 Beta weights (arbitrary units)
Standard Deviation .220
MRI Bold Beta Weights
12 weeks bilateral anterior cerebellum activity when tapping during mental singing
.044 Beta weights (arbitrary units)
Standard Deviation .275
-.035 Beta weights (arbitrary units)
Standard Deviation .199
MRI Bold Beta Weights
Baseline bilateral auditory cortex activity when tapping to music
.492 Beta weights (arbitrary units)
Standard Deviation .286
.249 Beta weights (arbitrary units)
Standard Deviation .500
MRI Bold Beta Weights
12 week bilateral auditory cortex activity when tapping to music
.324 Beta weights (arbitrary units)
Standard Deviation .236
.339 Beta weights (arbitrary units)
Standard Deviation .309
MRI Bold Beta Weights
Baseline left putamen activity when tapping to music
.097 Beta weights (arbitrary units)
Standard Deviation .197
-.035 Beta weights (arbitrary units)
Standard Deviation .178
MRI Bold Beta Weights
Baseline bilateral anterior cerebellum activity when tapping to music
.060 Beta weights (arbitrary units)
Standard Deviation .131
.047 Beta weights (arbitrary units)
Standard Deviation .230
MRI Bold Beta Weights
12 week bilateral anterior cerebellum activity when tapping to music
-.024 Beta weights (arbitrary units)
Standard Deviation .112
-.024 Beta weights (arbitrary units)
Standard Deviation .246

Adverse Events

Self Cueing

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

External Cueing

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Self Cueing
n=38 participants at risk
Self-cueing training using singing, one hour sessions twice weekly for 12 weeks.
External Cueing
n=36 participants at risk
External cueing using music, one hour sessions twice weekly for 12 weeks.
Musculoskeletal and connective tissue disorders
Fall
7.9%
3/38 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
2.8%
1/36 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
Musculoskeletal and connective tissue disorders
Back pain
10.5%
4/38 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
2.8%
1/36 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
Musculoskeletal and connective tissue disorders
Foot pain
5.3%
2/38 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
2.8%
1/36 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
Skin and subcutaneous tissue disorders
Skin condition
2.6%
1/38 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
2.8%
1/36 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
Musculoskeletal and connective tissue disorders
Fracture
5.3%
2/38 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
2.8%
1/36 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
Nervous system disorders
Dizziness
0.00%
0/38 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
5.6%
2/36 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
Respiratory, thoracic and mediastinal disorders
Feeling unwell
7.9%
3/38 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.
0.00%
0/36 • From enrollment to end of follow-up, up to 20 weeks.
Participants were asked about adverse events on a weekly basis during the period of the intervention. Any reported events were then documented on a standardized adverse events form that allowed us to collect information about the nature, severity, and relatedness of the event as well as any treatment received. Any open adverse events were followed up on each week during the period of intervention and each conversation again documented with an adverse event follow up form.

Additional Information

Gammon Earhart

Washington University in St. Louis

Phone: 314-286-1407

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place