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CompletedNCT04931303Updated Aug 24, 2022

Digital GaitCare - Therapy Monitoring in the Home Environment of Patients With Parkinson

An observational study in Parkinson Disease and Gait Disorders, Neurologic, sponsored by Medical Valley Digital Health Application Center GmbH. Completed at 5 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-24.

Sponsored by Medical Valley Digital Health Application Center GmbH · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
31
Ages
18 Years and older
Sex
All
01

Study summary

Gait disturbances and movement restrictions occur frequently in Parkinson's disease. Patient-centered monitoring with objective aids in the patient's daily life, supports and promotes therapy decisions made by physicians and patients. Technical, sensor-based monitoring has the potential to generate objective target parameters at any point in time during therapy (patient journey), representing the state of health and its progression, and to make this information available to physicians and patients via telemedical data management. In this study, the gait analysis system "Mobile GaitLab Home 2.0", consisting of sensors for gait data acquisition, a smartphone application for study participants (Mobile GaitLab app) and a web portal for physicians (Mobile GaitLab portal) is used for data collection.

The research question is divided into three sub-objectives: First, the study explores and tests how technically generated parameters of sensor-based gait analysis can map the symptom "bradykinesis". The second goal is the explorative investigation of how a tele-health service support with low-threshold access to medical professionals, can be integrated into the care process. The third goal is the implementation evaluation of the technological developments. Here, it is examined to determine the extent to which the implementation of gait data and patient feedback (PROMs) in the patient-centered care process within the framework of clinical decision support contributes to early gait-associated therapy optimization and thus improves the general health of patients and how initial indications of positive care effects for patients can be derived.

During a 60-day observation phase, study participants use the gait analysis system, which records their gait pattern throughout the day and collects data via the Mobile GaitLab app. Study participants are asked to perform standardized gait tests in the home environment several times a day, in addition to continuous measurements during the awake phase. Frequency of data collection is controlled by Mobile GaitLab Home 2.0 and can be flexibly adjusted to the study participant's health status and therapy. The Mobile GaitLab app uses questionnaires to record data on gait safety, activity, general well-being, and events relevant to the disease. An evaluation of these data (PROMs) and the results from the gait analyses, are visualized for the study participants via the Mobile GaitLab app.

02

Conditions studied

  • Parkinson Disease
  • Gait Disorders, Neurologic

Keywords

  • Parkinson
  • Gait Analysis
  • Digital Health
  • Home-Monitoring
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 31 is below the median of 97 across 1,081 observational studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Medical Valley Digital Health Application Center GmbH is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Study participants will be enrolled during their routine outpatient or physician visit or inpatient stay.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Idiopathic Parkinson's disease (H\&Y I-IV)
  • Age > 18 years
  • Ability to walk > 4 x 10 m without assistance
  • Ability to speak and read
  • Ability to use an application that can be mapped on a smart device
  • Informed consent of the study participant
  • Willingness of the study participant to take therapy measures (e.g., medication therapy, exercise therapy)

Exclusion criteria

Exclusion Criteria:

  • Tremor-dominant Parkinson's syndrome without involvement of the lower extremities
  • Aphasia and alexia
  • Visual disturbances that make reading impossible
  • Higher-grade movement disorders, with high risk of falls and non-independent ability to walk
  • Higher grade cognitive deficits
  • Inability of the study participant to understand the information and procedures of the study
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
31 participants (actual)
Patient registry
No

Groups and cohorts

  • Study Group

    Enrolled patients receive a medical device which monitors gait quality and collects information about the patients health status. Possible changes of intervention (drug or physical therapy) within the observational phase (8 weeks) are initiated and prescribed by physicians as a result of routine care process or patient contact based on their (deteriorated) health status. With the chosen endpoints, changes of patients empowerment, gait quality and system usability by using a monitoring device are monitored.

06

What researchers measure

Primary outcomes

  1. Difference in gait parameters (stride length) during 4x10 meter gait test (4x10m) performed at clinic

    Difference in stride length in cm during 4x10m performed at clinic

    Time frame: day 1 and day 60

  2. Difference in gait parameters (stride time) during 4x10 meter gait test (4x10m) performed at clinic

    Difference in stride time in seconds during 4x10m performed at clinic

    Time frame: day 1 and day 60

  3. Difference in gait parameters (gait speed) during 4x10 meter gait test (4x10m) performed at clinic

    Difference in gait speed in m/s during 4x10m performed at clinic

    Time frame: day 1 and day 60

  4. Difference in gait parameters (heel-strike angle) during 4x10 meter gait test (4x10m) performed at clinic

    Difference in heel-strike angle in degree during 4x10m performed at clinic

    Time frame: day 1 and day 60

  5. Difference in gait parameters (toe-off angle) during 4x10 meter gait test (4x10m) performed at clinic

    Difference in toe-off angle in degree during 4x10m performed at clinic

    Time frame: day 1 and day 60

  6. Difference in gait parameters (foot-clearance) during 4x10 meter gait test (4x10m) performed at clinic

    Difference in foot clearance in cm during 4x10m performed at clinic

    Time frame: day 1 and day 60

  7. Difference in gait parameters (variability) during 4x10 meter gait test (4x10m) performed at clinic

    Difference in variability in percent during 4x10m performed at clinic

    Time frame: day 1 and day 60

  8. Difference in time of 1 x 10 meter gait test (1x10m) performed at baseline versus closeout

    Difference in time, measured in seconds of 6 meter constant walking within the 10-meter gait test at baseline and at closeout

    Time frame: day 1 and day 60

  9. Difference in time of Timed-Up-and-Go Test (TUG) performed at baseline versus closeout

    Difference in time, measured in seconds of TUG at baseline and at closeout

    Time frame: day 1 and day 60

  10. Difference in Unified Parkinson's Disease Rating Scale III (UPDRS III) Motor Score evaluated at baseline versus closeout

    Difference in UPDRS III Motor Score (range from 0 to 56, Lower scores mean a better outcome) at baseline and at closeout

    Time frame: day 1 and day 60

  11. Difference in Shared-Decision-Making-Questionaire-9 (SDM-Q9) evaluated at baseline versus closeout

    Difference in SDM-Q9 (range from 0 to 45, Higher scores mean a better outcome) at baseline and at closeout

    Time frame: day 1 and day 60

  12. Difference in Parkinsons-Disease-Questionaire (PDQ-39) evaluated at baseline versus closeout

    Difference in PDQ-39 (range from 0 to 100, Lower scores mean a better outcome) at baseline and at closeout

    Time frame: day 1 and day 60

  13. Difference in Parkinson-specific-health-literacy evaluated at baseline versus closeout

    Difference in Parkinson-specific-health-literacy (range from 0 to 100, Higher scores mean a better outcome) at baseline and at closeout

    Time frame: day 1 and day 60

  14. Number of useful Patient-Physician-Contacts evaluated at closeout

    Counted number of useful Patient-Physician-Contacts during study duration (range from 0 to individual number of Patient-Physician-Contacts) evaluated at closeout

    Time frame: day 60

  15. System Usability Scale (SUS) and modified SUS evaluated at closeout

    SUS score per patient - range from 0 to 100 score points (Higher scores mean a better outcome.)

    Time frame: day 60

  16. Collecting gait parameters (stride length) during gait tests and monitoring at home

    Collection of gait parameters (stride length in cm)

    Time frame: day 1 to day 60

  17. Collecting gait parameters (stride time) during gait tests and monitoring at home

    Collection of gait parameters (stride time in seconds)

    Time frame: day 1 to day 60

  18. Collecting gait parameters (gait speed) during gait tests and monitoring at home

    Collection of gait parameters (gait speed in m/s)

    Time frame: day 1 to day 60

  19. Collecting gait parameters (heel-strike angle) during gait tests and monitoring at home

    Collection of gait parameters (heel-strike angle in degree)

    Time frame: day 1 to day 60

  20. Collecting gait parameters (toe-off angle) during gait tests and monitoring at home

    Collection of gait parameters (toe-off angle in degree)

    Time frame: day 1 to day 60

  21. Collecting gait parameters (foot clearance) during gait tests and monitoring at home

    Collection of gait parameters (foot clearance in cm)

    Time frame: day 1 to day 60

  22. Collecting gait parameters (variability) during gait tests and monitoring at home

    Collection of gait parameters (variability in percent)

    Time frame: day 1 to day 60

07

Study locations

5 sites
  • University Hospital Erlangen
    Erlangen, 91054, Germany
  • Philipps University Marburg Medical Center
    Marburg, 35043, Germany
  • University of Regensburg
    Regensburg, 93053, Germany
  • Hospital Rummelsberg
    Schwarzenbruck, 90592, Germany
  • Neuropoint GmbH
    Ulm, 89073, Germany
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 24, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04931303
Lead sponsor
Medical Valley Digital Health Application Center GmbH
Collaborators
University Hospital Erlangen, University of Regensburg, Philipps University Marburg, Hospital Rummelsberg, NeuroPoint GmbH, Portabiles HealthCare Technologies GmbH, Systemhaus Ulm GmbH, Fraunhofer Institute for Integrated Circuits IIS, Friedrich-Alexander-Universität Erlangen-Nürnberg, University of Luxembourg, Leibniz Centre for European Economic Research GmbH
Responsible party
Sponsor
First posted
Jun 18, 2021
Start date
Jun 24, 2021
Primary completion
Feb 15, 2022
Completion
Feb 15, 2022
Last update
Aug 24, 2022

Study contacts

Jürgen Winkler, Professor
principal investigator · Molekulare Neurologie, Universitätsklinikum Erlangen

Oversight

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

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