Official Title: Effect of Combined PAS Balance Training on Individuals With PD
Status: RECRUITING
Status Verified Date: 2024-10
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Gait initiation GI difficulty is a common problem in individuals with Parkinsons disease PD often linked to impaired anticipatory postural adjustments APA Currently there are no targeted rehabilitation programs designed specifically for GI-related APA in PD patients Research has shown that while motor learning deficits are common in PD explicit learning is better preserved than implicit learning Therefore a GI-related APA training system using an explicit learning model could be particularly effective for this population
During motor learning long-term potentiation LTP increases the excitability of the primary motor cortex Paired associative stimulation PAS has been demonstrated to induce LTP-like changes in the motor cortex making it a potential priming method to enhance motor learning However the priming effect of PAS targeted at leg muscles and the motor cortex on motor learning related to GI-APA has not been previously studied
The objectives of this study are
1 To investigate the effects of explicit and implicit training on GI-related APA 2 To evaluate the priming effect of PAS on GI-related APA training and the associated plasticity changes in the motor cortex