ClinicalTrials.gg
CompletedNCT04440033Updated Sep 19, 2024

Factors Associated with Falling in Parkinson's Disease

An interventional study of Baseline assessment of demographic, anthropometric and clinical characteristics and Baseline assessment of demographic, anthropometric and clinical characteristics in Parkinson Disease, sponsored by University Hospital, Ghent. Completed at 2 sites in Belgium. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by University Hospital, Ghent · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The objective of this study will be to identify multidisciplinary fall risk factors in persons with stage 3 idiopathic Parkinson's Disease compared to age and sex-matched healthy adults. Both the relative contribution of each independent factor, as well as the interaction between these factors, will be examined. The study will include multidisciplinary assessments, including locomotor, speech, auditory, vestibular and opthalmologic assessments.

02

Conditions studied

  • Parkinson Disease

Keywords

  • Parkinson's Disease
  • Accidental Falls
  • Risk factor
  • Gait
  • Speech
  • Audiology
03

In context

Parkinson Disease

4,585 studies on the registry are indexed under Parkinson Disease; 1,097 are open to participants now.

This study's enrollment of 10 is below the median of 40 across 3,365 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

University Hospital, Ghent is the lead sponsor of 685 studies on the registry; 158 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Parkinson's Disease group

Inclusion criteria:

  • Persons with idiopathic PD diagnosed by a medical doctor according to the United Kingdom PD Brain Bank Criteria
  • Aged between 18 and 75 years-old
  • Stage 3 on the Hoehn and Yahr scale in the on-medication state
  • On a stable dose of PD medication (at least one week)
  • Able to stand and walk on a treadmill without support for at least 3 minutes
  • Able to give consent

Exclusion criteria:

  • Atypical parkinsonism
  • Unpredictable symptom fluctuations
  • Previous surgical management of PD (i.e., deep brain stimulation surgery; pallidotomy)
  • Duodopa pump therapy
  • Dementia (Montreal Cognitive Assessment (MoCA) \< 21)[1]
  • Symptomatic orthostatic hypotension (e.g. frequent syncope episodes)
  • Concurrent neurological disorders (e.g. stroke)
  • Comorbidities that affect gait or balance (e.g. peripheral neuropathy)
  • Acute illness
  • Epilepsy or history of seizures
  • Depression (MDS-UPDRS item 1.3 ≥ 2)
  • Body weight over 120 kilograms
  • Pregnancy
  • Participation in other ongoing experimental trials

Healthy control group

Inclusion criteria:

  • Age and sex-matched healthy adults

Exclusion criteria:

  • Symptomatic orthostatic hypotension (e.g. frequent syncope episodes)
  • Body weight over 120 kilograms
  • Pregnancy
  • Participation in other ongoing experimental trials
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Parkinson's Disease group

    Patients with stage 3 idiopathic Parkinson's Disease

    Other: Baseline assessment of demographic, anthropometric and clinical characteristics · Other: Locomotor assessments · Other: Speech assessments · Other: Audiology assessments

  • Active comparator
    Healthy control group

    Age and sex-matched healthy adults

    Other: Baseline assessment of demographic, anthropometric and clinical characteristics · Other: Locomotor assessments · Other: Speech assessments · Other: Audiology assessments

Interventions

  • OtherBaseline assessment of demographic, anthropometric and clinical characteristics

    * Age * Sex * Height * Body weight * Handedness * Medication use * Blood pressure * Global cognition (Montreal Cognitive Assessment) * Fear of falling (Shortened Iconographical Falls Efficacy Scale) * History of falls (number of falls in the past month) * Time since diagnosis and symptom onset * Disease severity (UPDRS part III, Hoehn and Yahr) * Non-motor symptoms (UPDRS part I) * Motor symptoms (UPDRS part III) * Motor complications (UPDRS part IV) * Disease-dominant side (UPDRS part III) * Freezing of gait (New Freezing of Gait Questionnaire)

  • OtherBaseline assessment of demographic, anthropometric and clinical characteristics

    * Age * Sex * Height * Body weight * Handedness * Medication use * Blood pressure * Global cognition (Montreal Cognitive Assessment) * Fear of falling (Shortened Iconographical Falls Efficacy Scale) * History of falls (number of falls in the past month)

  • OtherLocomotor assessments

    First, 9 anthropometric measurements will be taken, 39 reflective markers will be placed, and a 6-min practice walking session will be conducted to familiarize participants with self-paced treadmill walking (SPTW). Thereafter, participants will partake in 7 experimental conditions in a (semi-)randomized order: * 3 min standing * 3 min standing while answering semi-standardized questions * 3 min SPTW * 3 min SPTW while answering semi-standardized questions (SPTW-Q) * 3 min SPTW while verbally describing a VR environment (SPTW-VR1) * 6 min SPTW in a VR environment containing freezing of gait provoking elements (SPTW-VR2)

  • OtherSpeech assessments

    * Acoustic analysis (including voice reports and formant analysis), video recording and motor speech profile (including analysis of diadochokinesis, voice, standard syllabic rate, intonation and second formant (F2)). * Spontaneous speech production will be assessed by answering semi-standardized questions based on the Aachen Aphasia Test and by describing a VR environment projected on a 180-degree cylindrical screen * The Speech Handicap Index (a 15-item self-reported questionnaire)

  • OtherAudiology assessments

    * Otoscopy * Tympanometry * Pure tone audiometry * Otoacoustic emissions * Video Head Impuls Test * Cervical Vestibular Evoked Myogenic Potentials * Ocular Vestibular Evoked Myogenic Potentials * Oculomotor function testing * Positional testing * Static visual acuity test * Dynamic visual acuity test * Dizziness Handicap Inventory (a 25-item self-assessment inventory)

06

What researchers measure

Primary outcomes

  1. Fall events

    Number of accidental falls documented using a daily fall diary with monthly telephone follow-ups.

    Time frame: baseline to 6 months after baseline

Secondary outcomes

  1. Walking speed

    Walking speed (meters/second) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

    Time frame: baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

  2. Walking cadence

    Walking cadence (steps/minute) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

    Time frame: baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

  3. Step length

    Step length (meters) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

    Time frame: baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

  4. Hip, knee and ankle joint angle during walking

    Hip, knee and ankle joint angle during walking (°) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

    Time frame: baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

  5. Hip, knee and ankle joint moment during walking

    Hip, knee and ankle joint moment during walking (Nm/kg) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

    Time frame: baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

  6. Hip, knee and ankle joint power during walking

    Hip, knee and ankle joint moment during power (W/kg) measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

    Time frame: baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

  7. Freezing of gait

    Number of freezing of gait events measured using the Gait Real-time Interactive Lab (GRAIL) system (Motekforce Link, The Netherlands).

    Time frame: baseline during 6 min self-paced treadmill walking in a virtual environment

  8. Spontaneous speech production

    Audio recordings analyzed using PRAAT software to assess spontaneous speech production

    Time frame: baseline; baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

  9. Spontaneous speech production

    Audio recordings analyzed using Motor Speech Profile software to assess spontaneous speech production

    Time frame: baseline; baseline during 3 min self-paced treadmill walking; baseline during 3 min self-paced treadmill walking while answering semi-standardized questions; baseline during 3 min self-paced treadmill walking while describing a virtual environment

  10. Speech Handicap Index

    A 15-item self-reported questionnaire based on the Parole Handicap Index to evaluate the physical, functional and psychosocial impact of dysarthria (0-60). Higher scores indicate a higher level of speech-related problems.

    Time frame: baseline

  11. Otoscopy

    A otoscopic test to examine the external auditory canal and the tympanic membrane

    Time frame: baseline

  12. Tympanometry

    An auditory test to assess the middle-ear function

    Time frame: baseline

  13. Pure tone audiometry

    An auditory test to assess hearing threshold levels

    Time frame: baseline

  14. Otoacoustic Emissions Test

    An auditory test to measure cochlear outer hair cell function

    Time frame: baseline

  15. Video Head Impuls Test

    A vestibular function test to objectify high frequency function of the horizontal and vertical semicircular canals

    Time frame: baseline

  16. Cervical Vestibular Evoked Myogenic Potential Testing

    A vestibular function test to assess the saccular and inferior vestibular nerve function

    Time frame: baseline

  17. Ocular Vestibular Evoked Myogenic Potential Testing

    A vestibular function test to assess the utricular and superior vestibular nerve function

    Time frame: baseline

  18. Ocular Motor Testing

    A vestibular function test to evaluate oculomotor function

    Time frame: baseline

  19. Dix-Hallpike Test

    A diagnostic maneuver to identify benign paroxysmal positional vertigo

    Time frame: baseline

  20. Roll Test

    A diagnostic maneuver to identify benign paroxysmal positional vertigo

    Time frame: baseline

  21. Static visual acuity

    Static visual acuity measured using a Snellen chart (static logMAR)

    Time frame: baseline

  22. Dynamic visual acuity

    Visual acuity during head movement measured using a Snellen chart relative to static visual acuity (static logMAR - dynamic logMAR)

    Time frame: baseline

  23. Dizziness Handicap Inventory

    A 25-item self-assessment inventory to evaluate self-perceived handicapping effects of dizziness (0-100). Higher scores indicate a greater perceived handicap due to dizziness.

    Time frame: baseline

Other outcomes

  1. Age

    Years since birth

    Time frame: baseline

  2. Sex

    Male or female

    Time frame: baseline

  3. Montreal Cognitive Assessment

    A screening test to assess global cognition (0-30). Higher scores indicate better performance.

    Time frame: baseline

  4. Shortened Iconographical Falls Efficacy Scale

    A 10-item scale to assess fear of falling. Each item is scored on a 4-point scale (1 = not at all concerned to 4 = very concerned).

    Time frame: baseline

  5. Fall history

    Number of falls in the past month

    Time frame: baseline

  6. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part I

    A 13-item rating scale to assess non-motor experiences of daily living (0-52). Higher scores indicate a worse outcome.

    Time frame: baseline

  7. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part III

    An 18-item motor examination to assess motor symptoms (0-132). Higher scores indicate a worse outcome.

    Time frame: baseline

  8. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part IV

    A 6-item rating scale to assess motor complications. Higher scores indicate a worse outcome.

    Time frame: baseline

  9. Hoehn and Yahr scale

    A scale to assess disease severity/progression (0-5). Higher scores indicate more severe symptoms.

    Time frame: baseline

  10. New Freezing of Gait Questionnaire

    A 9-item questionnaire to assess freezing of gait severity (0-28). Higher scores indicate more severe freezing of gait.

    Time frame: baseline

  11. Time since diagnosis

    The number of days since the diagnosis of Parkinson's Disease

    Time frame: baseline

  12. Blood pressure

    The ratio of systolic over diastolic blood pressure (mm Hg)

    Time frame: baseline

  13. Medication

    Number, type and dose (mg) of medication

    Time frame: baseline

07

Study locations

2 sites
  • Ghent University Hospital
    Ghent, 9000, Belgium
  • Ghent University
    Ghent, 9000, Belgium
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2020 to primary completion in Dec 2023, 37 months.

Of 1,296 non-industry interventional studies with no phase under Parkinson Disease, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 45. This study's 37 months is above that.

Counting every sponsor, half of 1,369 studies reached it within 24 months; a quarter within 11 and three quarters within 44.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 3, 2020
First posted
Jun 19, 2020
StartActual
Oct 12, 2020
Primary completionActual
Dec 1, 2023
CompletionActual
Dec 1, 2023
Last update
Sep 19, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04440033
Collaborators
University Ghent
Responsible party
Sponsor
First posted
Jun 19, 2020
Start date
Oct 12, 2020
Primary completion
Dec 1, 2023
Completion
Dec 1, 2023
Last update
Sep 19, 2024

Study contacts

Katie Bouche, PhD
principal investigator · University Hospital, Ghent
Leen Maes, PhD
principal investigator · University Ghent
Anke Van Bladel, PhD
principal investigator · University Ghent
Nina Lefeber, PhD
principal investigator · University Ghent

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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