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Electrophysiological Study of the Effects of Limb Cooling on Essential Tremor

Primary Purpose

Tremor

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
15 - 30
30 - 15
Sponsored by
Mayo Clinic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tremor focused on measuring Essential Tremor, Cooling, Temperature, Patients with Essential Tremor involving the upper limbs with at least moderate tremor.

Eligibility Criteria

18 Years - 95 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Patients with clinical diagnosis of E.T. for at least a year by a movement disorder neurologist
  • A +2 or worse action or kinetic tremor of one or both upper limbs involving at least the forearm and/or hand
  • Ages 18 to 95 years old

Exclusion Criteria:

  • (+) sensory loss in the upper extremities
  • dermatologic lesions in upper extremities (e.g. skin cancer, eczema, fresh or healing wounds, abrasions, acne, pustules, abscesses, or skin rash)
  • known history of sensitivity to cold (i.e., cold urticaria)
  • known peripheral vascular disease
  • Raynaud's phenomenon
  • scleroderma

Sites / Locations

  • Mayo Clinic Arizona

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

15 - 30

30 - 15

Arm Description

The upper limb with tremor will be cooled with 15 degrees Celsius water for 10 minutes at Visit 1 and with 30 degrees Celsius water for 10 minutes at Visit 2.

The upper limb with tremor will be cooled with 30 degrees Celsius water for 10 minutes at Visit 1 and with 15 degrees Celsius water for 10 minutes at Visit 2.

Outcomes

Primary Outcome Measures

Tremor Amplitude
Average tremor amplitude during the Outstretched, Abducted, Nose, and Mug conditions of the Tremor Rating Scale test.

Secondary Outcome Measures

Tremor Rating Scale
Arm tremor severity was rated on a scale from 0=None to 4=Severe during each of four conditions: arm outstretched, hand close to mouth and arm abducted, performing a finger to nose maneuver, and holding a mug. The Tremor Rating Scale score was the mean of the scores for the four conditions, and ranged from a score of 0=None to 4=Severe.

Full Information

First Posted
March 24, 2010
Last Updated
December 14, 2012
Sponsor
Mayo Clinic
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1. Study Identification

Unique Protocol Identification Number
NCT01093027
Brief Title
Electrophysiological Study of the Effects of Limb Cooling on Essential Tremor
Official Title
Electrophysiological Study of the Effects of Limb Cooling on Essential Tremor
Study Type
Interventional

2. Study Status

Record Verification Date
December 2012
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Mayo Clinic

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To determine the effects of upper limb forearm cooling on Essential Tremor upper limb tremor using a more practical method of limb cooling through a forearm cold pack.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tremor
Keywords
Essential Tremor, Cooling, Temperature, Patients with Essential Tremor involving the upper limbs with at least moderate tremor.

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
15 - 30
Arm Type
Other
Arm Description
The upper limb with tremor will be cooled with 15 degrees Celsius water for 10 minutes at Visit 1 and with 30 degrees Celsius water for 10 minutes at Visit 2.
Arm Title
30 - 15
Arm Type
Other
Arm Description
The upper limb with tremor will be cooled with 30 degrees Celsius water for 10 minutes at Visit 1 and with 15 degrees Celsius water for 10 minutes at Visit 2.
Intervention Type
Other
Intervention Name(s)
15 - 30
Intervention Description
The upper limb with tremor will be cooled with 15 degrees Celsius water for 10 minutes at Visit 1 and with 30 degrees Celsius water for 10 minutes at Visit 2.
Intervention Type
Other
Intervention Name(s)
30 - 15
Intervention Description
The upper limb with tremor will be cooled with 30 degrees Celsius water for 10 minutes at Visit 1 and with 15 degrees Celsius water for 10 minutes at Visit 2.
Primary Outcome Measure Information:
Title
Tremor Amplitude
Description
Average tremor amplitude during the Outstretched, Abducted, Nose, and Mug conditions of the Tremor Rating Scale test.
Time Frame
After 10 minutes of limb cooling treatment.
Secondary Outcome Measure Information:
Title
Tremor Rating Scale
Description
Arm tremor severity was rated on a scale from 0=None to 4=Severe during each of four conditions: arm outstretched, hand close to mouth and arm abducted, performing a finger to nose maneuver, and holding a mug. The Tremor Rating Scale score was the mean of the scores for the four conditions, and ranged from a score of 0=None to 4=Severe.
Time Frame
After 10 minutes of limb cooling treatment.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
95 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Patients with clinical diagnosis of E.T. for at least a year by a movement disorder neurologist A +2 or worse action or kinetic tremor of one or both upper limbs involving at least the forearm and/or hand Ages 18 to 95 years old Exclusion Criteria: (+) sensory loss in the upper extremities dermatologic lesions in upper extremities (e.g. skin cancer, eczema, fresh or healing wounds, abrasions, acne, pustules, abscesses, or skin rash) known history of sensitivity to cold (i.e., cold urticaria) known peripheral vascular disease Raynaud's phenomenon scleroderma
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Virgilio Evidente, MD
Organizational Affiliation
Mayo Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic Arizona
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States

12. IPD Sharing Statement

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Electrophysiological Study of the Effects of Limb Cooling on Essential Tremor

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