Early Onset Parkinson Disease, Early Stage Parkinson Disease
Conditions
Keywords
Executive function, Dual-task performance, Dual-task training
Brief summary
This study aimed to investigate the effects of Game based dual-task training with treadmill on executive function and dual-task performance in individuals with early-onset PD and discuss the correlation between the change values of executive function and dual-task performance after training. Besides, investigate cortical activation after training.
Interventions
Participants in the experimental group will receive game based dual-task training with a treadmill
Participants in the control group will receive treadmill training
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed as PD and Hoehn and Yahr stage between 1\ 3 * Age between 20 to 80 * Able to walk 10 m independently without an assistive device * A score of greater than or equal to 24 on the mini-mental state examination (MMSE) * In stable medical condition allowing participation in the testing protocol and intervention
Exclusion criteria
* Any comorbidity or disability other than PD that would preclude gait training * Any uncontrolled health condition for which exercise was contraindicated * Any neurological or orthopedic disease that might interfere with the study * Server freezing of gait, FOG questionnaire \> 15
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dual-task walking performance | Change from baseline at 8 weeks | To evaluate gait parameters while doing dual-task walking |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Single walking performance | Change from baseline at 8 weeks | To evaluate gait parameters while doing single walking |
| Timed up and go test | Change from baseline at 8 weeks | To evaluate functional walking ability |
| Parkinson's Disease Questionnaire 39 | Change from baseline at 8 weeks | To evaluate the quality of life |
| Frontal lobe battery test-Chinese version | Change from baseline at 8 weeks | To evaluate executive function |
| Trail-making test | Change from baseline at 8 weeks | To evaluate executive function |
| Stroop color and word test-Chinese version | Change from baseline at 8 weeks | To evaluate executive function |
| Verbal fluency test-Chinese version | Change from baseline at 8 weeks | To evaluate executive function |
| Digit span test | Change from baseline at 8 weeks | To evaluate executive function |
| Dual-task costs | Change from baseline at 8 weeks | To compare the cost between doing dual task and single task |
| Functional near-infrared spectroscopy | Change from baseline at 8 weeks | To evaluate the changes of blood perfusion in frontal lobe |