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Trial registered on ANZCTR
Registration number
ACTRN12608000230358
Ethics application status
Approved
Date submitted
10/03/2008
Date registered
5/05/2008
Date last updated
8/09/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Training how to dual task when walking in Parkinson's Disease
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Scientific title
An investigation of variable-priority training versus fixed-priority training in people with Parkinson's Disease to evaluate the effects on dual tasking during gait
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Secondary ID [1]
529
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NHMRC project grant ID: 511170
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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:
Parkinson's Disease
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Condition category
Condition code
Neurological
3053
3053
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0
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Parkinson's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
One twenty-minute session of training walking to improve step length whilst concurrently performing cognitive tasks will be undertaken. Subjects will be asked to walk 25m repeatedly whilst concurrently performing cognitive tasks such as counting or word generation. Subjects undergoing variable-priority training will be instructed to vary the degree of attention paid to step length and the cognitive tasks, between trials.
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Intervention code [1]
2648
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Rehabilitation
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Comparator / control treatment
One twenty-minute session of training walking to improve step length whilst concurrently performing cognitive tasks will be undertaken. Subjects will be asked to walk 25m repeatedly whilst concurrently performing cognitive tasks such as counting or word generation. Subjects undergoing fixed-priority training will be instructed to always attend equally to step length and the cognitive tasks in all trials.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean step length when dual tasking over 8m
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Assessment method [1]
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Timepoint [1]
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Immediately following the 20 minute training session
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Primary outcome [2]
3937
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Mean gait speed when dual tasking over 8m
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Assessment method [2]
3937
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Timepoint [2]
3937
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Immediately following the 20 minute training session
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Secondary outcome [1]
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Cadence when dual tasking over 8m
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Assessment method [1]
6617
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Timepoint [1]
6617
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Immediately following the 20 minute training session
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Secondary outcome [2]
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Step variability when dual tasking over 8m
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Assessment method [2]
6618
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Timepoint [2]
6618
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Immediately following the 20 minute training session
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Secondary outcome [3]
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Correct response rate of the concurrent cognitive task
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Assessment method [3]
6619
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Timepoint [3]
6619
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Immediately following the 20 minute training session
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Eligibility
Key inclusion criteria
Diagnosed with ideopathic Parkinson's Disease, be medically stable, score >23 on the Mini Mental Status Examination, demonstrate gait hypokinesia
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Minimum age
21
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
visual pathology, deafness, neurological conditions other than Parkinson's Disease, or musculoskeletal or cardiopulmonary conditions that affect the ability to safely walk repeatedly, dyskinesias that interfere with daily functioning,
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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)
Off-site concealed randomisation will be prepared by a researcher using a computer generated random number sequence. Consecutively numbered, randomly ordered opaque envelopes containing group allocation will be opened consecutively by the therapist implementing the two types of intervention. The person recruiting thus will not know to which group the subject will be allocated.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer generated random number will be used to generate the sequence .
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Efficacy
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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
12/05/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
599
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4000
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Funding & Sponsors
Funding source category [1]
3170
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Government body
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Name [1]
3170
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National Health and Medical Research Council
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Address [1]
3170
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
3170
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Australia
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Primary sponsor type
Individual
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Name
Dr Sandra Brauer
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Address
Division of Physiotherapy
School of Health & Rehabilitation Sciences
The University of Queensland
St Lucia, Qld, 4072
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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]
2842
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Country [1]
2842
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Other collaborator category [1]
229
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Individual
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Name [1]
229
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Prof Meg Morris
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Address [1]
229
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School of Physiotherapy
The University of Melbourne
200 Berkeley St Carlton, Vic, 3010
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Country [1]
229
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Australia
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Other collaborator category [2]
230
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Individual
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Name [2]
230
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Prof Marjorie Woollacott
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Address [2]
230
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Department of Human Physiology
Institute of Neuroscience
University of Oregon
Eugene, OR, 97403
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Country [2]
230
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
5150
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The University of Queensland Medical Research Ethics Committee
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Ethics committee address [1]
5150
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The University of Queensland St Lucia, Qld, 4072
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Ethics committee country [1]
5150
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Australia
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Date submitted for ethics approval [1]
5150
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Approval date [1]
5150
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14/12/2007
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Ethics approval number [1]
5150
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2007001631
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Ethics committee name [2]
5376
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Princess Alexandra Hospital Medical Research Committee
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Ethics committee address [2]
5376
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Centres for Health Research Level 2, Building 35, Princess Alexandra Hospital Ipswich Rd Woolloongabba, Qld, 4102
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Ethics committee country [2]
5376
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Australia
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Date submitted for ethics approval [2]
5376
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Approval date [2]
5376
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03/04/2008
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Ethics approval number [2]
5376
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2008/047
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Summary
Brief summary
Difficulty performing more than one task at a time (dual tasking) is a common and disabling problem experienced by people with Parkinson disease (PD). If asked to perform another task when walking, people with PD have repeatedly shown markedly altered gait, such as taking shorter steps or walking more slowly. Currently there is uncertainty about whether clinicians should teach people with PD to avoid dual task performance or whether they should encourage them to practice dual-tasking with the hope that practice will lead to enhanced performance. This study will begin to investigate how to best retrain dual tasking by comparing two different ways to attend to the tasks trained.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
28431
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Contact person for public queries
Name
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Dr Sandra Brauer
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Address
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Division of Physiotherapy
School of Health & Rehabilitation Sciences
The University of Queensland
St Lucia, Qld, 4072
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Country
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Australia
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Phone
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07 3365 2317
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Fax
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07 3365 1622
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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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Dr Sandra Brauer
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Address
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Division of Physiotherapy
School of Health & Rehabilitation Sciences
The University of Queensland
St Lucia, Qld, 4072
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Country
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Australia
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Phone
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07 3365 2317
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Fax
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07 3365 1622
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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
No additional documents have been identified.
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