Evidence map›Paper›PMID 26499867›Full record

Trial reportBMC neurology2015

Do cognitive measures and brain circuitry predict outcomes of exercise in Parkinson Disease: a randomized clinical trial.

L A King, D S Peterson, M Mancini, P Carlson-Kuhta, B W Fling, K Smulders, J G Nutt, M Dale, J Carter, K M Winters-Stone and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02231073 (Peripheral and Central Postural Disorders in the Elderly), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02231073 nacompletednot on this map

Peripheral and Central Postural Disorders in the Elderly

TypeinterventionalSponsorOregon Health and Science UniversityRan2014 to 2018Enrolled94ConditionsParkinson's DiseaseArmsExercise and Education for Parkinson's Disease
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Early implementation of intended exercise improves quality of life in Parkinson's disease patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

L A KingVeterans Affairs Portland Health Care System, Portland, Oregon, USA. kingla@ohsu.edu.
D S PetersonVeterans Affairs Portland Health Care System, Portland, Oregon, USA. petedani@ohsu.edu.
M ManciniVeterans Affairs Portland Health Care System, Portland, Oregon, USA. mancinim@ohsu.edu.
P Carlson-KuhtaVeterans Affairs Portland Health Care System, Portland, Oregon, USA. carlsonp@ohsu.edu.
B W FlingVeterans Affairs Portland Health Care System, Portland, Oregon, USA. fling@ohsu.edu.
K SmuldersVeterans Affairs Portland Health Care System, Portland, Oregon, USA. smulders@ohsu.edu.
J G NuttVeterans Affairs Portland Health Care System, Portland, Oregon, USA. nuttj@ohsu.edu.
M DaleVeterans Affairs Portland Health Care System, Portland, Oregon, USA. Dalem@ohsu.edu.
J CarterVeterans Affairs Portland Health Care System, Portland, Oregon, USA. carterju@ohsu.edu.
K M Winters-StoneKnight Cancer Institute and School of Nursing, Oregon Health & Science University, Portland, Oregon, USA. wintersk@ohsu.edu.
F B HorakVeterans Affairs Portland Health Care System, Portland, Oregon, USA. horakf@ohsu.edu.

Funding

PERIPHERAL AND CENTRAL POSTURAL DISORDERS IN THE ELDERLYR01AG006457 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI HORAK, FAY BAHLING · 1986 to 2018
$5.2M
Frontal Cortex and Gait Freezing in Parkinson's Disease: Rehabilitation ImpactI01RX001075 · VA · PORTLAND VA MEDICAL CENTER · PI HORAK, FAY BAHLING · 2015 to 2017
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NIA NIH HHS R01 AG006457RRD VA I01 RX001075
6 · The paper itself

Abstract

backgroundThere is emerging research detailing the relationship between balance/gait/falls and cognition. Imaging studies also suggest a link between structural and functional changes in the frontal lobe (a region commonly associated with cognitive function) and mobility. People with Parkinson's disease have important changes in cognitive function that may impact rehabilitation efficacy. Our underlying hypothesis is that cognitive function and frontal lobe connections with the basal ganglia and brainstem posture/locomotor centers are responsible for postural deficits in people with Parkinson's disease and play a role in rehabilitation efficacy. The purpose of this study is to 1) determine if people with Parkinson's disease can improve mobility and/or cognition after partaking in a cognitively challenging mobility exercise program and 2) determine if cognition and brain circuitry deficits predict responsiveness to exercise rehabilitation. METHODS/

designThis study is a randomized cross-over controlled intervention to take place at a University Balance Disorders Laboratory. The study participants will be people with Parkinson's disease who meet inclusion criteria for the study. The intervention will be 6 weeks of group exercise (case) and 6 weeks of group education (control). The exercise is a cognitively challenging program based on the Agility Boot Camp for people with PD. The education program is a 6-week program to teach people how to better live with a chronic disease. The primary outcome measure is the MiniBESTest and the secondary outcomes are measures of mobility, cognition and neural imaging. DISCUSSION: The results from this study will further our understanding of the relationship between cognition and mobility with a focus on brain circuitry as it relates to rehabilitation potential.

trial registrationThis trial is registered at clinical trials.gov (NCT02231073).

Indexed as

Cognition DisordersOutcome Assessment, Health CareParkinson DiseaseAgedAged, 80 and overBrainExercise TherapyFemaleHumansMaleMiddle AgedPatient Education as TopicPostural BalancePrognosis

Identifiers

PMID26499867
PMCPMC4619336

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.