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Trial registered on ANZCTR
Registration number
ACTRN12613000688785
Ethics application status
Approved
Date submitted
11/06/2013
Date registered
24/06/2013
Date last updated
3/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Stepping training in Parkinson’s disease: a randomised controlled trial of an interactive videogame.
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Scientific title
The effects of stepping training using an interactive videogame (modified Dance Dance Revolution) on balance and gait in people with Parkinson’s disease.
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Secondary ID [1]
282415
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Parkinson's disease
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Condition category
Condition code
Neurological
289343
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0
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Parkinson's disease
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Physical Medicine / Rehabilitation
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Stepping training using the modified Dance Dance Revoluation (DDR Konami) videogame 3 times a week for 3 months. Participants will perform 15 minutes of stepping practice per session and speed of stepping will be systematically increased to maintain challenge at home. Participants will receive 1 initial home visit from the physiotherapist to set up the videogame system and another home visit within a week to ensure that they are using the system safely. Participants will be provided with all equipment during the 3 month exercise period as well as a booklet containing safety precautions and instructions. Participants will be contacted by a study physiotherapist by phone once every two weeks to monitor adherence and answer any questions or concerns raised by the participant. Participants who have internet access will also be invited to participate in the online blog. If they wish to participate in the online blog, they will learn how to access, log-in and use the online blog to share their experience of using the stepping videogame with other participants. The researchers will monitor the blog daily and contribute to the blog. An additional home visit will be provided at 6 weeks to monitor progress. A final home visit will occur on completion of the 12 week program.
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Intervention code [1]
287049
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Treatment: Other
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Intervention code [2]
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Rehabilitation
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Comparator / control treatment
Participants will receive usual care and will be instructed to continue with their usual activities. Specifically, usual care includes any routine medical, nursing or allied health care. Usual activities included any regular physical activities undertaken by participants on entry to the study, such as regular walks or exercise sessions.
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Control group
Active
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Outcomes
Primary outcome [1]
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Choice stepping reaction time measured in milliseconds with and without the stroop test using a portable mat which connects with a computer and a monitor.
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Assessment method [1]
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Timepoint [1]
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At baseline and at one week after completion of 12 weeks intervention.
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Primary outcome [2]
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Functional Gait Assessment
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Assessment method [2]
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Timepoint [2]
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At baseline and at one week after completion of 12 weeks intervention.
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Secondary outcome [1]
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Peak muscle power and muscle power at low load (30% 1RM of population mean) of the hip abductor muscles, measured using Keiser pneumatic variable resistance equipment (Fresno, CA).
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Assessment method [1]
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Timepoint [1]
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At baseline and at one week after completion of 12 weeks intervention.
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Secondary outcome [2]
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Timed Up and Go test performed with and without a concurrent cognitive dual-task.
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Assessment method [2]
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Timepoint [2]
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At baseline and at one week after completion of 12 weeks.
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Secondary outcome [3]
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Trail making tests A and B.
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Assessment method [3]
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Timepoint [3]
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At baseline and at one week after completion of 12 weeks intervention.
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Secondary outcome [4]
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Montreal Cognitive Assessment.
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Assessment method [4]
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Timepoint [4]
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At baseline and at one week after completion of 12 weeks intervention.
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Secondary outcome [5]
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Hand reaction time test.
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Assessment method [5]
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Timepoint [5]
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At baseline and at one week after completion of 12 weeks intervention.
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Secondary outcome [6]
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Obstacle avoidance test.
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Assessment method [6]
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Timepoint [6]
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At baseline and at one week after completion of 12 weeks intervention.
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Secondary outcome [7]
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Fear of falling using the Falls Efficacy Scale International.
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Assessment method [7]
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Timepoint [7]
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At baseline and at one week after completion of 12 weeks intervention.
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Secondary outcome [8]
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Freezing of gait using the New Freezing of Gait Questionnaire.
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Assessment method [8]
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Timepoint [8]
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At baseline and at one week after completion of 12 weeks intervention.
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Secondary outcome [9]
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Global perceived effect of the participant’s perception of the effect of the intervention, using a standard 10 point scale.
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Assessment method [9]
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Timepoint [9]
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At one week after completion of 12 weeks intervention.
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Secondary outcome [10]
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Performance and adherence measures recorded by the videogame system.
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Assessment method [10]
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Timepoint [10]
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Over 12 weeks of intervention.
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Secondary outcome [11]
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Number of falls, recorded using monthly falls diaries.
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Assessment method [11]
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Timepoint [11]
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Over 6 months after randomisation .
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Eligibility
Key inclusion criteria
Diagnosis of idiopathic Parkinson’s disease
Stable PD medications for at least 2 weeks
Able to walk for 30m independently without a walking aid
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Mini-Mental State Examination Score less than 24/30
Any unstable cardiovascular, orthopaedic or neurological conditions that would interfere with the safety of assessment and/or interpretation of results
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomisation will be performed off-site by an investigator not involved in participant recruitment using block randomisation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer will be used to generate the randomisation schedule
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
N/A
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Between group comparisons of final test performance for the continuously-scored outcome measures will be made using General Linear Models (ANCOVA) controlled for pre-test performance. An intention-to-treat approach will be used. Calculations of statistical power based on scores from our previous work in people with PD suggest 60 participants (30 per group) will be sufficient to detect a 20% between-group difference in choice stepping reaction time (assuming a control group mean is equal to 36 seconds and SD is equal to 10) with 80% power at the 5% alpha level, a correlation between pre- and post measures of 0.8 and 15% dropouts. An estimate of the effect on falls will also be calculated, to inform sample size calculations for any future trial to determine the effect on the intervention on fall rates.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2013
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Actual
10/07/2013
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Date of last participant enrolment
Anticipated
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Actual
2/09/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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The University of Sydney
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Address [1]
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PO Box 170, Lidcombe NSW 1825
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Country [1]
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Australia
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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Parkinson's NSW
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Address [2]
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PO Box 71 North Ryde BC NSW 1670
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Country [2]
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Australia
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Primary sponsor type
University
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Name
The University of Sydney
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Address
PO Box 170, Lidcombe NSW 1825
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Research Integrity Human Research Ethics Committee
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Ethics committee address [1]
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Research Integrity
Research Portfolio
Level 6, Jane Foss Russell Building
The University of Sydney, NSW 2006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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25/02/2013
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Approval date [1]
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01/05/2013
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Ethics approval number [1]
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2013/207
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Summary
Brief summary
Reduced balance and gait are debilitating impairments associated with PD. A home-based interactive stepping videogame has been shown to be an enjoyable and effective form of training in the general older population. The aim of this randomised controlled trial is to determine if a home-based, interactive, stepping videogame for people with PD is effective in improving balance and gait. Secondary aims are to determine the effect on muscle power, mobility, fear of falling and freezing of gait, and to provide data that will establish an effect size for fall rates to inform the design of future trials. The use of the online blog to enhance participation and engagement in the training, as well as gauge acceptability of the interactive stepping videogame program, will also be evaluated. Since poor balance is a major risk factor for falls in people with PD, the development of effective, sustainable and engaging exercise programs to improve balance is an urgent research priority.
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Trial website
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Trial related presentations / publications
Presented at Australian and New Zealand Falls Prevention Conference 2014 (17/11/2014)
Title - Slow step movement time is associated with past falls in Parkinson's disease.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Colleen Canning
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Address
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Physiotherapy, Faculty of Health Sciences
The University of Sydney
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61 2 9351 9263
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Fax
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+61 2 9351 9278
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Jooeun Song
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Address
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Physiotherapy, Faculty of Health Sciences
The University of Sydney
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61 2 9351 9436
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Fax
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+61 2 9351 9278
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Email
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[email protected]
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Contact person for scientific queries
Name
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A/Prof Colleen Canning
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Address
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Physiotherapy, Faculty of Health Sciences
The University of Sydney
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61 2 9351 9263
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Fax
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+61 2 9351 9278
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Executive functioning, muscle power and reactive balance are major contributors to gait adaptability in people with Parkinson's disease.
2019
https://dx.doi.org/10.3389/fnagi.2019.00154
N.B. These documents automatically identified may not have been verified by the study sponsor.
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