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Parkinson DiseaseNCT05160025

Immersive Virtual Reality Bicycling for Persons With Parkinson's Disease

A study testing Virtual reality bicycling in people with Parkinson Disease, run by Rutgers, The State University of New Jersey at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study has three objectives about persons with Parkinson's Disease during bicycling: 1. Determine the effect of visual feedback and competition during virtual bicycling on neuromuscular and cardiovascular intensity 2. Read more about this study

Who is it for?
Ages 45 to 80 years
Conditions the study is for
Parkinson Disease
What is being tested?
Virtual reality bicycling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
1 siteUnited States
Study dates
27 Oct 2022to 17 Feb 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 45 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of Parkinson's disease following the UK Brain Bank Diagnostic Criteria,
  • Hoehn and Yahr stages II-III,
  • 45-80 years old,
  • Able to ride a stationary upright bicycle,
  • Able to sign informed consent.

Who cannot join

  • Have a recent history of severe heart disease, severe lung disease, uncontrolled diabetes, traumatic brain injury or neurological disorder other than Parkinson Disease,
  • Are unable to follow directions or sign a consent form,
  • Do not have adequate vision or hearing ability to see or hear a television,
  • Have unstable medical condition or musculoskeletal disorder such as severe arthritis, recent knee surgery, hip surgery, or any other condition that the investigators determine would impair the ability to ride the bicycle,
  • Have any other medical condition that prevents bicycling,
  • Have moderate depression (score of 9 or more on GDS screening tool).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Rutgers School of Health Professions

    Newark, New Jersey, 07107

Other trials in United States

About this study

Official title: Enhancing Exercise Intensity, Motivation and Enjoyment for Persons With PD (VCycle-Competition)

This study has three objectives about persons with Parkinson's Disease during bicycling:

  1. Determine the effect of visual feedback and competition during virtual bicycling on neuromuscular and cardiovascular intensity
  2. Determine the effect of visual-feedback and competition during virtual bicycling on the user experience of motivation, enjoyment \& perception of exercise intensity
  3. Determine if attention differs during visual feedback compared to competition virtual bicycling
Read the detailed description

Participants will attend one sessions lasting about 2-3 hours. They will complete movement assessments and questionnaires about physical activity. They will then exercise exercise in three different virtual reality augmented bicycling conditions while wearing a head mounted display (goggles). Each of the three conditions will last approximately 8 minutes and will be followed by questionnaires about the participant's experience.

Being tested
Virtual reality bicycling
Keywords
parkinson disease, parkinsonian disorders, Basal ganglia disease, Brain diseases, central nervous system diseases, nervous system diseases, movement disorders, synucleinopathies, neurodegenerative diseases
Medical subject headings
Parkinson Disease, Parkinsonian Disorders, Basal Ganglia Diseases, Brain Diseases, Central Nervous System Diseases, Nervous System Diseases, Movement Disorders, Synucleinopathies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Virtual reality bicyclingOther

    This is a single arm study in which all participants will execute the same three bicycling tasks over one session. Exercise intensity and enjoyment are measured while participants bicycle in a virtual reality environment (wearing virtual reality goggles) in three different conditions lasting approximately 8 minutes each.

Study groups in NCT05160025
Study groupRoleWhat they receive
Virtual Reality BicyclingOtherThis is a single arm study in which all participants will execute the same three bicycling tasks over one session. Exercise intensity and enjoyment are measured while participants bicycle in a virtual reality environment (wearing virtual reality goggles) in three different conditions lasting approximately 8 minutes each.
Receives: Other: Virtual reality bicycling

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Neuromuscular Intensity (Bicycling Cadence, Revolutions Per Minute) - Feedback

    Bicycling cadence collected continuously (1 value per second, 1 Hz)

    Measured: Session 1 - During the 8-minute feedback bout

  2. Neuromuscular Intensity (Bicycling Cadence, Revolutions Per Minute) - Self-Competition

    Bicycling cadence collected continuously (1 value per second, 1 Hz)

    Measured: Session 1 - During the 8-minute self-competition bout

  3. Neuromuscular Intensity (Bicycling Cadence, Revolutions Per Minute) - Other-Competition

    Bicycling cadence collected continuously (1 value per second, 1 Hz)

    Measured: Session 1 - During the 8-minute other-competition bout

  4. Motivation (Intrinsic Motivation Inventory) - Feedback

    Intrinsic Motivation Inventory - enjoyment, competence, effort, and value subscales (16 questions total). Scores in each subscale are averaged, with a minimum score of 1 and a maximum score of 7. Higher scores indicate higher motivation.

    Measured: Session 1 - Immediately after completing the 8-minute feedback bout

  5. Motivation (Intrinsic Motivation Inventory) - Self-Competition

    Intrinsic Motivation Inventory - enjoyment, competence, effort, and value subscales (16 questions total). Scores in each subscale are averaged, with a minimum score of 1 and a maximum score of 7. Higher scores indicate higher motivation.

    Measured: Session 1 - Immediately after completing the 8-minute self-competition bout

  6. Motivation (Intrinsic Motivation Inventory) - Other-Competition

    Intrinsic Motivation Inventory - enjoyment, competence, effort, and value subscales (16 questions total). Scores in each subscale are averaged, with a minimum score of 1 and a maximum score of 7. Higher scores indicate higher motivation.

    Measured: Session 1 - Immediately after completing the 8-minute other-competition bout

  7. Cardiovascular Intensity (Heart Rate, Beats Per Minute) - Feedback

    Heart rate collected continuously (1 value per second, 1 Hz)

    Measured: Session 1 - During the 8-minute feedback bout

  8. Cardiovascular Intensity (Heart Rate, Beats Per Minute) - Self-Competition

    Heart rate collected continuously (1 value per second, 1 Hz)

    Measured: Session 1 - During the 8-minute self-competition bout

  9. Cardiovascular Intensity (Heart Rate, Beats Per Minute) - Other-Competition

    Heart rate collected continuously (1 value per second, 1 Hz)

    Measured: Session 1 - During the 8-minute other-competition bout

  10. Visual Attention (Infrared Eye-tracking Data Representing Gaze Positions in a 3D Coordinate Plane to be Used in Calculating Dwell Time in Regions of Interest in the Virtual Simulation) - Feedback

    3D gaze positions are measured continuously (40 values per second, 40 Hz) and valid gaze datapoints are extracted. The percentage of total valid gaze datapoints that are directed to the task are calculated as a metric of visual attention. A higher percentage reflects higher task focus, meaning that the higher percentage the higher degree of focus on the task. The reported value is measured as a percentage (%).

    Measured: Session 1 - During the 8-minute feedback bout

  11. Visual Attention (Infrared Eye-tracking Data Representing Gaze Positions in a 3D Coordinate Plane to be Used in Calculating Dwell Time in Regions of Interest in the Virtual Simulation) - Self-Competition

    3D gaze positions are measured continuously (40 values per second, 40 Hz) and valid gaze datapoints are extracted. The percentage of total valid gaze datapoints that are directed to the task are calculated as a metric of visual attention. A higher percentage reflects higher task focus, meaning that the higher percentage the higher degree of focus on the task. The reported value is measured as a percentage (%).

    Measured: Session 1 - During the 8-minute self-competition bout

  12. Visual Attention (Infrared Eye-tracking Data Representing Gaze Positions in a 3D Coordinate Plane to be Used in Calculating Dwell Time in Regions of Interest in the Virtual Simulation) - Other-Competition

    3D gaze positions are measured continuously (40 values per second, 40 Hz) and valid gaze datapoints are extracted. The percentage of total valid gaze datapoints that are directed to the task are calculated as a metric of visual attention. A higher percentage reflects higher task focus, meaning that the higher percentage the higher degree of focus on the task. The reported value is measured as a percentage (%).

    Measured: Session 1 - During the 8-minute other-competition bout

Secondary outcomes (13)
  1. Rating of Perceived Exertion - Feedback (Start)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - Immediately at the start (0-minute mark) of the 8-minute feedback bout

  2. Rating of Perceived Exertion - Feedback (Middle)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - At the midpoint (4-minute mark) of the 8-minute feedback bout

  3. Rating of Perceived Exertion - Feedback (End)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - At the endpoint (8-minute mark) of the 8-minute feedback bout

  4. Rating of Perceived Exertion - Self-Competition (Start)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - Immediately at the start (0-minute mark) of the 8-minute self-competition bout

  5. Rating of Perceived Exertion - Self-Competition (Middle)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - At the midpoint (4-minute mark) of the 8-minute self-competition bout

  6. Rating of Perceived Exertion - Self-Competition (End)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - At the end (8-minute mark) of the 8-minute self-competition bout

  7. Rating of Perceived Exertion - Other-Competition (Start)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - Immediately at the start (0-minute mark) of the 8-minute other-competition bout

  8. Rating of Perceived Exertion - Other-Competition (Middle)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - At the midpoint (4-minute mark) of the 8-minute other-competition bout

  9. Rating of Perceived Exertion - Other-Competition (End)

    Borg scale measures a self-report of effort collected at multiple time points to compare the 3 exercise bouts. The score ranges from 6-20 with higher scores representing higher perceived exertion.

    Measured: Session 1 - At the end (8-minute mark) of the 8-minute other-competition bout

  10. Competitiveness (Multidimensional Competitive Orientation Inventory)

    Measured once using the Multidimensional Competitive Orientation Inventory consisting of 12 items from 4 subscales (hyper competitive, self-developmental, anxious, lack of interest) For each subscale, mean scores range from 1-6 with higher scores representing higher levels of that subscale metric.

    Measured: Measured once before exercise bouts begin (after clinical assessments) (Repeat of Baseline Outcome Measure)

  11. Ranking of Perceived Effort

    Once, after completing all 3 bicycling conditions, participants will be asked in which of the 3 bicycling conditions they felt they worked the hardest. They will rank the 3 conditions with a score from 1-3, with a 1 indicating the condition in which they felt they worked the hardest and a 3 indicating the condition in which they felt they worked the least hard.

    Measured: Session 1 - once at the end of the session. Collected upon study completion, immediately after finishing the final bicycling condition

  12. Ranking of Enjoyment

    Once, after completing all 3 bicycling conditions, participants will be asked which of the 3 bicycling conditions they liked the best. They will rank the 3 conditions with a score from 1-3, with a 1 indicating the condition they liked the best and a 3 indicating the condition they liked the least.

    Measured: Session 1 - once at the end of the session. Collected upon study completion, immediately after finishing the final bicycling condition

  13. Audio Recordings of Exercise Experience

    Once, after completing all 3 bicycling conditions, participants will be asked about their exercise experience. Quantitative and qualitative analysis of recordings were not conducted. However, sample quotes representing constructs of the Intrinsic Motivation Inventory will be included in future publications.

    Measured: Session 1 - once at the end of the session. Collected upon study completion, immediately after finishing the final bicycling condition

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Dec 2021
  2. Study start27 Oct 2022
  3. Primary completion17 Feb 2023
  4. Study completion17 Feb 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
Repeated measures design
Masking
None (open label)
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05160025
Sponsor's protocol ID
Pro2021001412
Other IDs
1F30AG072807-01, 1R15AG063348-01
Status last verified
Dec 2023
First submitted
26 Oct 2021
Last updated
22 Dec 2023
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Immediately following completion of the proposed study the investigators will submit a de-identified data set of the protocol and links to published papers.

Questions about this trial

What is this clinical trial studying?

A study testing Virtual reality bicycling in people with Parkinson Disease, run by Rutgers, The State University of New Jersey at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Neuromuscular Intensity (Bicycling Cadence, Revolutions Per Minute) - Feedback (time frame: Session 1 - During the 8-minute feedback bout). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Dec 2023.

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