Study on the Efficacy of Speed-Feedback Therapy for Elderly People With Dementia - Full Text View

Sponsored by:	Hiroshima University
Information provided by:	Hiroshima University
ClinicalTrials.gov Identifier:	NCT00450047

Purpose

The purpose of this study is to verify the efficacy of speed-feedback therapy in improving the cognitive function of elderly people with dementia by a randomized controlled trial, and to demonstrate how that affects ADL and QOL.

Condition	Intervention	Phase
Dementia	Device: Speed-feedback therapy system with a bicycle ergometer Device: Ergometer at conventional settings	Phase IV

MedlinePlus related topics: Dementia Methamphetamine

Drug Information available for: Amphetamine Methamphetamine

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Open Label, Active Control, Parallel Assignment
Official Title:	Study on the Efficacy of Speed-Feedback Therapy for Elderly People With Dementia: a Randomized Controlled Trial

Further study details as provided by Hiroshima University:

Primary Outcome Measures:

score on a scale of cognitive function immediately after completion of the 6-week intervention and 1 month after completion of the intervention

Secondary Outcome Measures:

attentiveness score immediately after completion of the intervention, and score on an ADL scale and a QOL scale immediately after completion of the intervention and 1 month after completion of the intervention

Estimated Enrollment:	120
Study Start Date:	September 2005
Study Completion Date:	December 2006

Detailed Description:

Dementia is a syndrome caused by diseases of the cerebral parenchyma, and it is a state in which cognitive functions, including attention, memory, thinking, comprehension, judgment, and computation, are diminished. Because of the mental symptoms, problem behaviors, and decreased activities of daily living (ADL) it is also recognized as a major social problem. However, rehabilitation of elderly people with dementia is still at the trial-and-error stage, and establishing a method of rehabilitation is an urgent task. In 2004, the authors devised and created a training method that integrates exercise therapy with feedback therapy to treat the cognitive dysfunction of elderly people with dementia. To do so the authors introduced speed-feedback therapy with a bicycle ergometer as a feedback therapy intervention. The results of a preliminary study of the efficacy of this method in improving cognitive dysfunction in 17 elderly persons with dementia showed improvement in cognitive dysfunction, and their attentiveness also improved, suggesting that the impaired attentiveness may have improved in response to treatment by this method and, as a result, have led to improvement of cognitive dysfunction. However, it became clear that it would be necessary to further improve and develop the system, and to demonstrate its efficacy in a controlled trial and verify associations between improvement of cognitive dysfunction and improvement of the ADL of dementia patients and their quality of life (QOL).

Eligibility

Ages Eligible for Study:	65 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

65 years of age or older
Diagnosed with dementia by a physician
Mini-Mental State Examination score of 23 points or less
Capable of participating at least once a week for 6 weeks in succession

Exclusion Criteria:

Management of a medical risk required
Impaired ability to pedal the ergometer because of an orthopedic or surgical disease of the lower extremities or central nerve paralysis
Never having been on a bicycle, and incapable of pedaling well

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00450047

Sponsors and Collaborators

Hiroshima University

Investigators

Study Director:

Hitoshi Okamura, MD, PhD

Graduate School of Health Sciences, Hiroshima University

More Information

Study ID Numbers:	0662
Study First Received:	March 20, 2007
Last Updated:	March 20, 2007
ClinicalTrials.gov Identifier:	NCT00450047
Health Authority:	Japan: Institutional Review Board

Keywords provided by Hiroshima University:

cognitive impairment, ergometer, speed-feedback therapy

Study placed in the following topic categories:

Methamphetamine
Delirium, Dementia, Amnestic, Cognitive Disorders
Mental Disorders
Central Nervous System Diseases
Amphetamine

Brain Diseases
Dementia
Cognition Disorders
Delirium

Additional relevant MeSH terms:

Nervous System Diseases

ClinicalTrials.gov processed this record on January 14, 2009