Comparison of Sensory Cuing Modalities for Freezing of Gait

Veterans Health Service Medical Center, Seoul, Korea

Status: Completed

Conditions: Parkinson Disease

Treatments: Device: Laser shoes; Device: Metronome

Study type: Interventional

Funder types: Other

Identifiers

NCT05080413

2020-08-025

Details and patient eligibility

About

The investigators intend to compare the effects on the resolution of visual and auditory sensory cues on the resolution of freezing of gait in patients with idiopathic Parkinson's disease.

Full description

As Parkinson's disease progresses, the patients develop 'Freezing of gait', which make it difficult to initiate gait, turn at the corner, and enter a narrow space. This is considered to be a very important symptom, as it is related to the performance of daily activities, independence of life, and serious injuries caused by falls while walking in Parkinson's disease patients.

It has been found that the use of external sensory stimulation (visual, auditory) can reduce the symptoms of Freezing of Gait, and is used as rehabilitation treatment and instant symptomatic resolution. However, the relative effectiveness of sensory stimulation is not studied yet.

Accordingly, the investigators intend to compare the effects of visual and auditory sensory cues on the resolution of freezing of gait in patients with idiopathic Parkinson's disease.

Enrollment: 10 patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Diagnosed with idiopathic Parkinson's disease with freezing of gait according to the United Kingdom (UK) Brain Bank.
2. Scored more than 15 points of Korean version of mini-mental status exam (K-MMSE).
3. Independent gait for at least a minute without walking assistance device.

Exclusion criteria

1. History of concomitant brain disease other than idiopathic Parkinson's disease.
2. Other neurologically deteriorated states, such as neuromuscular disease, which can cause gait disturbance.
3. Other psychiatric disorders.

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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10 participants in 1 patient group

Parkinson disease group

Experimental group

Description:

A total of 10 patients in this group will walk under the same conditions (off- state of antiparkinson drugs). Participants will be instructed to walk three laps on a 10-meter track under each of the following three conditions : 1) without stimulation, 2) with visual cues using a laser shoe, 3) with auditory cues using a metronome.

Treatment:

Device: Metronome

Device: Laser shoes