Alternating DBS for Stepping Control in Parkinson's Disease

Last updated: August 5, 2019
Sponsor: University of Oxford
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

N/A

Clinical Study ID

NCT04047498
230144
  • Ages 18-80
  • All Genders

Study Summary

Parkinson's disease (PD) is a disabling, progressive condition characterised by severe problems with movement for which medical treatment in the longer term can be unsatisfactory. Deep brain stimulation (DBS) is a treatment, which directly stimulates the nerve cells affected inside the brain to help overcome the difficulties with movement. Classically, DBS stimulates in a manner that is constant. Many patients develop severe problems with walking, so-called freezing of gait, which can be unresponsive to constant DBS. In this study the investigators will test if left-right alternating DBS helps to improve gait problems by potentially promoting left-right alternating up- and down-modulated brain activity, which was found during walking in a previous study. The investigators will test if alternating DBS improves the ability to adjust walking speed and to walk freely compared to constant DBS.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • PD patients with bilateral subthalamic nucleus DBS electrodes and stimulatorsimplanted for at least 6 months

  • Able to give consent.

Exclusion

Exclusion Criteria:

  • Lack of capacity to consent

  • Cognitive impairment/lack of capacity to perform experimental task. The investigatorswill additionally conduct a short (10 min) quantitative assessment of cognitivefunction using a validated test (MMSE). Patients with a score < 20 will be excludedfrom the study.

Study Design

Total Participants: 20
Study Start date:
May 01, 2019
Estimated Completion Date:
November 30, 2020

Connect with a study center

  • University College London Hospitals NHS Trust

    London, WC1N 3BG
    United Kingdom

    Active - Recruiting

  • University of Oxford

    Oxford, OX3 9DU
    United Kingdom

    Site Not Available

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