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BeatPark: Self-rehabilitation in Walking With Parkinson's Disease (BeatPark)

Primary Purpose

Parkinson Disease, Walking, Difficulty

Status
Unknown status
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
BeatPark Application
BeatPark Application without synchronized music
BeatPark Application without music
Sponsored by
Clinique Beau Soleil
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Parkinson Disease focused on measuring Walking rehabilitation, Parkinson Disease, Music

Eligibility Criteria

36 Years - 94 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Specific Inclusion Criteria:

  • Have a diagnosis of idiopathic PD according to the MDS clinical Diagnostic Criteria for PD (Postuma et al. 2015);
  • Have a walking disorder defined by the neurologist (Item 10 of the MDSUPDRS-III ≥1);
  • Be able to walk 30 consecutive minutes without technical assistance (e.g. cane or walker) or human assistance;
  • Receive an uninterrupted antiparkinsonian pharmacological treatment since one month (and throughout the study period).

Non-Specific Inclusion Criteria:

  • Be over 35 and under 95 of age;
  • Be able to understand the nature, purpose and methodology of the study and agree to cooperate during assessments;
  • Have signed the informed consent;
  • Be affiliated to a social security plan or affiliated to such a equivalent health plan.

Non-Inclusions:

Specific Non-Inclusion Criteria:

  • Presence of signs in favor of an atypical parkinsonian syndrome (involvement oculomotor, early falls, hallucinations, Montreal Cognitive Assessment <21/30, severe and early dysautonomia);
  • Have a hearing impairment;
  • Have any other neurological damage that affects walking;
  • Have a walking disorder of other origin (e.g. orthopedic, rheumatological, etc.);
  • Have severe or unbalanced heart or respiratory Failure which contraindicates walk rehabilitation.

Non-Specific Non-Inclusion Criteria:

  • Adult under legal protection or unfit to express their consent (Article 1121-8 of the CSP);
  • Vulnerable people (Article L 1121-6 of the CSP);
  • Loss of liberty by judicial or administrative decision;
  • High probability of non-compliance with the protocol or abandonment during the study;
  • Pregnant / lactating women.

Non-Inclusion Criteria for the subgroup that will carry out the MRI ancillary study:

  • Pacemaker or neurosensory stimulator or implantable defibrillator;
  • Cochlear implants;
  • Foreign ferromagnetic ocular or cerebral bodies close to nervous structures
  • Metal prosthesis;
  • Agitation of the participants: non-cooperative or agitated participants;
  • Claustrophobic participants;
  • Pregnant woman;
  • Ventriculo-peritoneal neurosurgical bypass valves;
  • Braces.

Exclusion Criteria:

  • Participant no longer wishing to participate in the study, or during the study with refusal to use data until the time of the study exit;
  • A change in the background treatment of PD will not systematically justify leaving the study but will be evaluated by the scientific committee on a case-by-case basis.

Sites / Locations

  • Clinique Beau SoleilRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

BeatPark Experimental Group

Control Group with Music at Random Tempo

Control Group without Music

Arm Description

Group of participants who will make its self-rehabilitation in walking program using BeatPark application, delivering synchronized music adapted to the patient walking progression.

Group of participants who will make its self-rehabilitation in walking program using an application delivering music at random tempo.

Group of participants who will make its self-rehabilitation in walking program using an application without music.

Outcomes

Primary Outcome Measures

Difference in average speeds
The main outcome measure is the difference in average speeds measured during walking with musical stimulation during the last 10 minutes of the last 3 self-rehabilitation sessions. These speeds will be measured by the "Feetme(c)" soles under the same conditions ecological. If the subject stops his program before having completed the 20 full sessions, the speed will be evaluated over the last 3 fully completed rehabilitation sessions. Statistical analysis will be done with intent to treat. This criterion will be applied in main judgment to compare groups with music adapted and music at random tempo.

Secondary Outcome Measures

Full Information

First Posted
July 6, 2020
Last Updated
November 23, 2020
Sponsor
Clinique Beau Soleil
Collaborators
Team Languedoc Mutualité / Nouvelles technologies, University Hospital, Montpellier, Euromov, Montpellier Univeristy, Université de Montréal, AxLR SATT
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1. Study Identification

Unique Protocol Identification Number
NCT04543058
Brief Title
BeatPark: Self-rehabilitation in Walking With Parkinson's Disease
Acronym
BeatPark
Official Title
Randomized Controlled Study of the Effectiveness of a Self-education Program When Walking by Rhythmic Auditory Stimulation Adapted Music, Delivered by BeatPark, in People With Parkinson's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Unknown status
Study Start Date
September 1, 2020 (Actual)
Primary Completion Date
May 2022 (Anticipated)
Study Completion Date
December 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Clinique Beau Soleil
Collaborators
Team Languedoc Mutualité / Nouvelles technologies, University Hospital, Montpellier, Euromov, Montpellier Univeristy, Université de Montréal, AxLR SATT

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Physical activity has beneficial effects on the quality of walking for persons with Parkinson's disease (PD). However, regular physical activity is still limited in most patients' daily lives. The rhythm of music makes you want to move whether you are sick or not. In addition, it has been found that in people with PD, it can also improve walking by helping the participant to regain the regularity of alternating steps and a better walking dynamic (i.e. better position, better arm swinging, etc.). Studies have shown that music allows persons with PD to walk faster, with bigger steps. However, if the tempo of the music does not correspond to the participant's walking pace, instead of helping him, it can disturb him. So it seems necessary for music to help people with PD to walk better if the tempo of the music is set to match their steps. BeatPark is a smartphone application which makes it possible to synchronize the tempo of the music with the participant's walking rhythm detected thanks to feet insoles. Once synchronized to the participant's walking pace, BeatPark imperceptibly accelerates the tempo of the music to help the participant's acceleration. This clinical trial proposes to study the effects of walking rehabilitation depending on the use of music synchronized to the participant's step with BeatPark, music with random tempo or without music.
Detailed Description
Groups, with and without music, will have the same visits and the same instructions throughout the study. Visit 0 (inclusion visit) Verification of inclusion and non-inclusion criteria Signature of consent Information gathering Demographic information (date of birth, height, weight, activity, etc.) professional). Clinical information about the disease (age of onset and duration of the disease, treatments and their distribution). Medical history including present or past medical conditions and any other conditions that may be relevant to the study and their treatment. Neurological examination with MDS-UPDRS (Movement Disorder Society - Unified Parkinson's Disease Rating Scale) and NFOG-Q (New Freezing of Gait-Questionnaire) scales Explanation and delivery of the agenda for the next 2 weeks "Feetme(c)" soles in place Remittance of self-questionnaires for a home refill before V1 Base Line From the day of inclusion until visit 1 the patient will complete a diary to record the occurrence of falls and freezing, and to self-assess on a visual numerical scale their levels of pain, fatigue and motivation. Visit 1 (week 2) Run the 6 minutes test in silence. Actualization of the Battery for the Assessment of Auditory Sensorimotor and Timing Abilities (BAASTA). Collecting and checking the completeness of the different scales given at visit 0 and helping to fill in incomplete scales. Information and training in the use of the BeatPark device (programmed with or without music according to randomization) Explanation of the self-education program (number of sessions, duration, location...) for the 4 weeks. Delivery of questionnaires to be completed within 3 days prior to the visit 2. MRI: morphological sequences (T1 3D, T2 FLAIR, T2*) and functional sequences (Resting state and with the different types of auditory indication) for the subgroup explored in imaging. Intervention phase *Self-reeducation program: This program will consist of walking outdoors for 5 sessions of 30 minutes per week for 4 consecutive weeks with the BeatPark device (set to deliver music or not, adapted music or random tempo). * Phone call: The clinical research associate (CRA) will contact the patient to ensure the proper functioning and compliance with the rehabilitation program, if any difficulties are encountered. *Self-assessment schedule: From the day of visit 1 through visit 2 the participant will complete a diary to record the occurrence of falls and freezing, and to self-assess on a visual numerical scale their levels of pain, fatigue, motivation and satisfaction. Visit 2 (end-of-study visit, week 4): Neurological evaluation with the MDS-UPDRS, NFOG and CGI (Clinical Global Impression) scales. Running the 6 minutes test in silence Achievement of the BAASTA Collection and verification of the completeness of the different scales submitted to V1 (and completed within the last 3 days) and helps to fill in incomplete scales Checking for no change in anti-parkinsonian treatment. Return the equipment to the investigation team. MRI: morphological sequences (T1 3D, T2 FLAIR, T2*) and functional sequences (Resting, T2 FLAIR, T2*). state and with the different types of auditory indication))) for the subgroup explored in imagery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson Disease, Walking, Difficulty
Keywords
Walking rehabilitation, Parkinson Disease, Music

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
396 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
BeatPark Experimental Group
Arm Type
Experimental
Arm Description
Group of participants who will make its self-rehabilitation in walking program using BeatPark application, delivering synchronized music adapted to the patient walking progression.
Arm Title
Control Group with Music at Random Tempo
Arm Type
Active Comparator
Arm Description
Group of participants who will make its self-rehabilitation in walking program using an application delivering music at random tempo.
Arm Title
Control Group without Music
Arm Type
Active Comparator
Arm Description
Group of participants who will make its self-rehabilitation in walking program using an application without music.
Intervention Type
Device
Intervention Name(s)
BeatPark Application
Intervention Description
The participant walks for 30 minutes a day, 5 day a week for 4 weeks. During the walking session, BeatPark Application delivers synchronized music adapted to the patient walking. The application allows participants to know the progress of their session through graphical representation and voice messages, informs them at the end of the session of their performance and congratulate them for their efforts.
Intervention Type
Other
Intervention Name(s)
BeatPark Application without synchronized music
Intervention Description
The participant walks for 30 minutes a day, 5 days a week for 4 weeks. During the walking session, BeatPark Application delivers random music at random tempo. The application allows participants to know the progress of their session through graphical representation and voice messages, informs them at the end of the session of their performance and congratulate them for their efforts.
Intervention Type
Other
Intervention Name(s)
BeatPark Application without music
Intervention Description
The participant walks for 30 minutes a day, 5 days a week for 4 weeks. During the walking session, BeatPark Application does not deliver music. The application allows participants to know the progress of their session through graphical representation and voice messages, informs them at the end of the session of their performance and congratulate them for their efforts.
Primary Outcome Measure Information:
Title
Difference in average speeds
Description
The main outcome measure is the difference in average speeds measured during walking with musical stimulation during the last 10 minutes of the last 3 self-rehabilitation sessions. These speeds will be measured by the "Feetme(c)" soles under the same conditions ecological. If the subject stops his program before having completed the 20 full sessions, the speed will be evaluated over the last 3 fully completed rehabilitation sessions. Statistical analysis will be done with intent to treat. This criterion will be applied in main judgment to compare groups with music adapted and music at random tempo.
Time Frame
Up to 6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
36 Years
Maximum Age & Unit of Time
94 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Specific Inclusion Criteria: Have a diagnosis of idiopathic PD according to the MDS clinical Diagnostic Criteria for PD (Postuma et al. 2015); Have a walking disorder defined by the neurologist (Item 10 of the MDSUPDRS-III ≥1); Be able to walk 30 consecutive minutes without technical assistance (e.g. cane or walker) or human assistance; Receive an uninterrupted antiparkinsonian pharmacological treatment since one month (and throughout the study period). Non-Specific Inclusion Criteria: Be over 35 and under 95 of age; Be able to understand the nature, purpose and methodology of the study and agree to cooperate during assessments; Have signed the informed consent; Be affiliated to a social security plan or affiliated to such a equivalent health plan. Non-Inclusions: Specific Non-Inclusion Criteria: Presence of signs in favor of an atypical parkinsonian syndrome (involvement oculomotor, early falls, hallucinations, Montreal Cognitive Assessment <21/30, severe and early dysautonomia); Have a hearing impairment; Have any other neurological damage that affects walking; Have a walking disorder of other origin (e.g. orthopedic, rheumatological, etc.); Have severe or unbalanced heart or respiratory Failure which contraindicates walk rehabilitation. Non-Specific Non-Inclusion Criteria: Adult under legal protection or unfit to express their consent (Article 1121-8 of the CSP); Vulnerable people (Article L 1121-6 of the CSP); Loss of liberty by judicial or administrative decision; High probability of non-compliance with the protocol or abandonment during the study; Pregnant / lactating women. Non-Inclusion Criteria for the subgroup that will carry out the MRI ancillary study: Pacemaker or neurosensory stimulator or implantable defibrillator; Cochlear implants; Foreign ferromagnetic ocular or cerebral bodies close to nervous structures Metal prosthesis; Agitation of the participants: non-cooperative or agitated participants; Claustrophobic participants; Pregnant woman; Ventriculo-peritoneal neurosurgical bypass valves; Braces. Exclusion Criteria: Participant no longer wishing to participate in the study, or during the study with refusal to use data until the time of the study exit; A change in the background treatment of PD will not systematically justify leaving the study but will be evaluated by the scientific committee on a case-by-case basis.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nicolas Benard-Serre
Phone
0033499236915
Email
n.benard@languedoc-mutualite.fr
First Name & Middle Initial & Last Name or Official Title & Degree
Sandy Lacombe
Phone
0033467459397
Email
s.lacombe@languedoc-mutualite.fr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Valérie Cohen, M.D.
Organizational Affiliation
Clinique Beau Soleil
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinique Beau Soleil
City
Montpellier
State/Province
Hérault
ZIP/Postal Code
34070
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Valérie Cochen De Cock, M.D.
Phone
0033467789847
Email
valerie.cochen@gmail.com
First Name & Middle Initial & Last Name & Degree
Valérie Cochen De Cock, M.D.

12. IPD Sharing Statement

Learn more about this trial

BeatPark: Self-rehabilitation in Walking With Parkinson's Disease

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