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Trial registered on ANZCTR
Registration number
ACTRN12617000094370
Ethics application status
Approved
Date submitted
8/12/2016
Date registered
17/01/2017
Date last updated
17/01/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Evaluation of gait disorders and the effects of a physiotherapy program in patients with Huntington's disease.
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Scientific title
Evaluation of gait disorders and the effects of a physiotherapy program in patients with Huntington's disease based on the three-dimensional motion analysis system.
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Secondary ID [1]
290712
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none
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Universal Trial Number (UTN)
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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:
Huntington's disease
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gait disorders
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Condition category
Condition code
Physical Medicine / Rehabilitation
301035
301035
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0
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Physiotherapy
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Neurological
301189
301189
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
To evaluate the kinematic and spatio-temporal parameters of gait, and the effectiveness of the programmed motor improvement was used the three-dimensional motion analysis system VICON. Patients were treated in hospital 3-week motor improvement program, which consists of fifteen 90-minute individual sessions (one-on-one) conducted daily, except Saturdays and Sundays with physiotherapist. During each session the treating physiotherapist applied all the main techniques and principles of facilitation (e.g. slow approximation, timing for emphasis, bilateral reciprocal patterns) used mainly the closed kinematic chains. Each session was 90 minutes long and consisted of three parts:
- introductory part (10 min) which included: warm-up, education of a correct body awareness and
respiratory pattern,
- main part (70 min) which included: improvement of balance reactions, mat activities (rolling/prone
on elbows/bridging/side sitting/quadruped/kneeling/half-kneeling/standing), exercises in a sitting
position (rocking/scooting), gait training (weight shifting/one leg standing/walking forward,
backward, sideways/braiding),
- end part (10 min) which included relaxation techniques.
Patients attendance at session was registred.
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Intervention code [1]
296605
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Rehabilitation
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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mean spatio-temporal parameters of gait using the three-dimensional motion analysis system VICON
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Assessment method [1]
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Timepoint [1]
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baseline, after 3 weeks of physiotherapy
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Primary outcome [2]
300455
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mean kinematic parameters of gait using the three-dimensional motion analysis system VICON
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Assessment method [2]
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Timepoint [2]
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baseline, after 3 weeks of physiotherapy
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Secondary outcome [1]
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mean tinetti gait test score
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Assessment method [1]
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Timepoint [1]
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baseline, after 3 weeks of physiotherapy
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Secondary outcome [2]
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mean time up and go test
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Assessment method [2]
330012
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Timepoint [2]
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baseline, after 3 weeks of physiotherapy
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Eligibility
Key inclusion criteria
The inclusion criteria were as follows: mutation in the HTT gene in genetic testing, HD motor manifestation (chorea, dystonia, and/or gait disturbances) at baseline neurological examination, stable pharmacotherapy for at least one month prior to inclusion, the patient's informed consent to participate in the study.
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Minimum age
18
Years
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Maximum age
70
Years
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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
The exclusion criteria were: severe disability (stage 5 of the Shoulson and Fahn scale]), significant cognitive dysfunction or psychiatric symptoms (e.g. aggression, psychosis, depression) that prevented effective cooperation between the patient and physiotherapist, any orthopaedic condition (e.g. fractures, sprains) impeding movement
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
28/06/2010
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Date of last participant enrolment
Anticipated
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Actual
16/03/2011
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Date of last data collection
Anticipated
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Actual
15/06/2011
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment outside Australia
Country [1]
8471
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Poland
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State/province [1]
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Malopolska
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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 Physical Education in Krakow
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Address [1]
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31-571 Krakow Al. Jana Pawla II 78
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Country [1]
295142
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Poland
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Primary sponsor type
University
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Name
The University of Physical Education in Krakow
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Address
31-571 Krakow Al. Jana Pawla II 78
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Country
Poland
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Secondary sponsor category [1]
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None
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Name [1]
293961
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Address [1]
293961
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Country [1]
293961
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296488
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Bioethics Committee of the Jagiellonian University
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Ethics committee address [1]
296488
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ul. Jagiellonska 10 31-010 Cracow
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Ethics committee country [1]
296488
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Poland
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Date submitted for ethics approval [1]
296488
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26/05/2010
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Approval date [1]
296488
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24/06/2010
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Ethics approval number [1]
296488
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KBET/59B/2010
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Summary
Brief summary
Physiotherapy plays a pivotal role in Huntington disease (HD) therapy in its early and moderately advanced stage. Physiotherapy procedures influence patient’s independence and physical disability. In the scientific literature there are only a few papers on rehabilitation programs in HD. The efficacy of physiotherapy has not been evaluated using unbiased, instrumental methods. Physiotherapy techniques constitute the primary treatment approach in the management of motor control and balance disturbances irrespectively of the cause. One of physiotherapeutic techniques is Proprioceptive Neuromuscular Facilitation (PNF) which is one of widely used methods of physiotherapy e.g. in Parkinson’s disease or hemiplegia We believe the present study enables development of a specific physiotherapy program for HD patients and understand better mechanisms of physiotherapy in HD.
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Trial website
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Trial related presentations / publications
none
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Public notes
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Contacts
Principal investigator
Name
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Dr Elzbieta Mirek
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Address
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31-571 Cracow Al. Jana Pawla II 78
The University of Physical Education Cracow
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Country
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Poland
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Phone
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+48695327424
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Fax
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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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Magdalena Filip
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Address
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31-571 Cracow Al. Jana Pawla II 78
The University of Physical Education Cracow
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Country
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Poland
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Phone
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+48881304466
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Fax
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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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Magdalena Filip
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Address
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31-571 Cracow Al. Jana Pawla II 78
The University of Physical Education Cracow
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Country
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Poland
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Phone
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+48881304466
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Fax
71044
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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
Dimensions AI
The influence of motor ability rehabilitation on temporal-spatial parameters of gait in Huntington's disease patients on the basis of a three-dimensional motion analysis system: An experimental trial
2018
https://doi.org/10.1016/j.pjnns.2018.02.001
N.B. These documents automatically identified may not have been verified by the study sponsor.
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