Lateral Sclerosis Amyotrophy, Mindfulness Meditation
Conditions
Brief summary
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that results in progressive paralysis of the muscles involved in voluntary motor skills, speech, swallowing and breathing. It also causes non-motor symptoms including psychological, cognitive and behavioral difficulties that have a negative impact on patients' quality of life, well-being and long-term development. There is no curative therapy for ALS and drug treatments have little effect on non-motor symptoms. Interventions based on mindfulness meditation, defined as a state of consciousness that arises when one decides to focus attention in the present moment without judgment on the real experience, seem to be a promising tool for the reduction of non-motor symptoms in a number of progressive neurological conditions (Alzheimer's disease, multiple sclerosis, etc.), suggesting that mindfulness significantly helps in the management of these symptoms. Our project therefore aims to implement a mindfulness meditation program adapted to the management of non-motor symptoms in ALS based on virtual reality (VR).
Interventions
mindfulness meditation care
no mindfulness meditation care
Sponsors
Study design
Eligibility
Inclusion criteria
* Majors to inclusion * Mother tongue: French * Patients for whom ALS of bulbar or spinal form defined according to El Escorial criteria is possible, probable or certain * Able to carry out the investigations and interventions provided for in the protocol * Signature of informed consent to participate in the study
Exclusion criteria
* Participation in intervention research modifying management * History likely to disrupt cognition (constituted stroke, sequelae of traumatic brain injury, active epilepsy, learning disabilities, alcohol dependence syndrome, drug use, psychiatric disorders), severe cognitive impairment (MMSE \<24) * People who meet the diagnostic criteria for Frontotemporal Dementia * Pregnant or lactating women * Persons deprived of their liberty by administrative or judicial decision * Persons undergoing psychiatric care under duress * Persons subject to a legal protection measure * Persons unable to express their consent * Persons not affiliated or not beneficiaries of a social security scheme
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the benefits of psychological care with mindfulness meditation in virtual reality versus psychological management without mindfulness meditation in virtual reality in terms of evolution over time | at 3 months | from a quality of life scale : ALSSQOL-R : the lower the score, the more the person feels a sense of well-being |