SA&M-I: Sleep, Awake & Move - Part I
Study Details
Study Description
Brief Summary
Sleep benefit (SB) is a prominent spontaneous, apparently unpredictable, transitory improvement in motor function reported by around 50% of patients affected by Parkinson's Disease (PD) after sleep and before taking their first dose of dopaminergic medications. This study aims at systematically characterizing SB in PD patients in an ecological setting and to explore the relationships between nocturnal and diurnal sleep and subjective and objective measures of motor function. A better understanding of this phenomenon is mandatory for future research on this topic.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The "Sleep & Move" study is the first part of the Sleep, Awake & Move project. In this observational study we plan to systematically investigate SB and the day-to-day variation in this phenomenon in PD patients by a prospective, repeated assessment for 14 days of both subjective and objective measures of motor function and sleep at patients' home, by an Android app developed ad hoc by our group and named "SleepFit".
Since is still unknown if a spontaneous, subclinical improvement in motor performance might also occur in healthy subjects or if the SB is a phenomenon only involving subjects with PD, we had the idea to test this hypothesis comparing a subgroup of PD patients with age- and sex-matched healthy volunteers, employing the same assessments as in the Sleep & Move study.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Parkinson Prospective observation of a cohort of consecutive patients with idiopathic PD in an ecological setting. |
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Healthy The same assessments will be performed in a subgroup of age- and sex-matched healthy volunteers. |
Outcome Measures
Primary Outcome Measures
- Objective prospective and repeated assessment of motor function [from day 0 to day 15]
Finger tapping test
Secondary Outcome Measures
- Objective prospective and repeated assessment of motor function [from day 0 to day 15]
Tri-axial accelerometry (from wrist actigraphy)
- Subjective prospective and repeated assessment of motor function [from day 0 to day 15]
Visual analogue scale (VAS)
- Objective prospective assessment of sleep and wakefulness [from day 0 to day 15]
Wrist actigraphy
- Subjective prospective assessment of sleep and wakefulness [from day 0 to day 15]
Electronic sleep diary
- Subjective prospective assessment of sleepiness [from day 0 to day 15]
Stanford Sleepiness Scale (SSS)
Eligibility Criteria
Criteria
PARKINSON'S DISEASE GROUP:
Inclusion Criteria:
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Diagnostic criteria of idiopathic Parkinson's disease (UKPDBB)
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Mild to moderate disease (Hoehn & Yahr score ≥ 1 and <= 3)
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Mentally and physically capable to give informed consent
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Stable antiparkinsonian and psychotropic therapy for the last 30 days
HEALTHY GROUP:
Inclusion Criteria:
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Absence of Parkinson's disease
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Mentally and physically capable to give informed consent
ALL SUBJECTS:
Exclusion Criteria:
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Atypical parkinsonian syndrome
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Cognitive impairment (MMSE ≥ 26)
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History of cerebro-vascular disease, epilepsy, or other disabling neurological diseases
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Psychiatric disorders, excepting mild depression (BDI score <14)
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Alcohol abuse
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Other clinically significant severe concomitant disease states
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Inability to follow the procedures of the study (e.g. due to language problems, psychological disorders, etc.)
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Participation in another study with investigational drug within the 60 days preceding and during the present project.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Sleep and Epilepsy center Department of Neurology, Neurocenter of Southern Switzerland | Lugano | Switzerland | 6903 |
Sponsors and Collaborators
- Neurocenter of Southern Switzerland
- Parkinson Schweiz
- Ente Ospedaliero Cantonale, Bellinzona
- Penn State University
Investigators
- Principal Investigator: Pietro Luca Ratti, MD, PhD, Neurocenter of Southern Switzerland
Study Documents (Full-Text)
None provided.More Information
Publications
- Bateman DE, Levett K, Marsden CD. Sleep benefit in Parkinson's disease. J Neurol Neurosurg Psychiatry. 1999 Sep;67(3):384-5.
- Currie LJ, Bennett JP Jr, Harrison MB, Trugman JM, Wooten GF. Clinical correlates of sleep benefit in Parkinson's disease. Neurology. 1997 Apr;48(4):1115-7.
- De Cock VC, Vidailhet M, Leu S, Texeira A, Apartis E, Elbaz A, Roze E, Willer JC, Derenne JP, Agid Y, Arnulf I. Restoration of normal motor control in Parkinson's disease during REM sleep. Brain. 2007 Feb;130(Pt 2):450-6.
- Factor SA, Weiner WJ. 'Sleep benefit' in Parkinson's disease. Neurology. 1998 May;50(5):1514-5.
- Högl B, Gershanik O. Sleep benefit in Parkinson's disease. J Neurol Neurosurg Psychiatry. 2000 Jun;68(6):798-9.
- Högl B, Peralta C, Wetter TC, Gershanik O, Trenkwalder C. Effect of sleep deprivation on motor performance in patients with Parkinson's disease. Mov Disord. 2001 Jul;16(4):616-21.
- Högl BE, Gómez-Arévalo G, García S, Scipioni O, Rubio M, Blanco M, Gershanik OS. A clinical, pharmacologic, and polysomnographic study of sleep benefit in Parkinson's disease. Neurology. 1998 May;50(5):1332-9.
- Merello M, Hughes A, Colosimo C, Hoffman M, Starkstein S, Leiguarda R. Sleep benefit in Parkinson's disease. Mov Disord. 1997 Jul;12(4):506-8.
- Noyce AJ, Nagy A, Acharya S, Hadavi S, Bestwick JP, Fearnley J, Lees AJ, Giovannoni G. Bradykinesia-akinesia incoordination test: validating an online keyboard test of upper limb function. PLoS One. 2014 Apr 29;9(4):e96260. doi: 10.1371/journal.pone.0096260. eCollection 2014. Erratum in: PLoS One. 2014;9(8):e105488.
- Sherif E, Valko PO, Overeem S, Baumann CR. Sleep benefit in Parkinson's disease is associated with short sleep times. Parkinsonism Relat Disord. 2014 Jan;20(1):116-8. doi: 10.1016/j.parkreldis.2013.09.005. Epub 2013 Sep 12.
- Stefani A, Galati S, Peppe A, Bassi A, Pierantozzi M, Hainsworth AH, Bernardi G, Orlacchio A, Stanzione P, Mazzone P. Spontaneous sleep modulates the firing pattern of parkinsonian subthalamic nucleus. Exp Brain Res. 2006 Jan;168(1-2):277-80. Epub 2005 Nov 18.
- Tandberg E, Larsen JP, Karlsen K. Excessive daytime sleepiness and sleep benefit in Parkinson's disease: a community-based study. Mov Disord. 1999 Nov;14(6):922-7.
- Urrestarazu E, Iriarte J, Alegre M, Clavero P, Rodríguez-Oroz MC, Guridi J, Obeso JA, Artieda J. Beta activity in the subthalamic nucleus during sleep in patients with Parkinson's disease. Mov Disord. 2009 Jan 30;24(2):254-60. doi: 10.1002/mds.22351.
- van Gilst MM, Bloem BR, Overeem S. "Sleep benefit" in Parkinson's disease: a systematic review. Parkinsonism Relat Disord. 2013 Jul;19(7):654-9. doi: 10.1016/j.parkreldis.2013.03.014. Epub 2013 Apr 21. Review.
- EOC.NSI.LS.15.3.I