UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040079
Receipt number R000045633
Scientific Title Effects of intensive exercise on cognitive dysfunction in patients with pure cerebellar degeneration: a single-arm pilot study
Date of disclosure of the study information 2020/04/30
Last modified on 2021/11/09 18:24:14

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Basic information

Public title

Effects of rehabilitation on cognitive dysfunction in spinocerebellar degeneration

Acronym

Examination of rehabilitation effect of spinocerebellar degeneration

Scientific Title

Effects of intensive exercise on cognitive dysfunction in patients with pure cerebellar degeneration: a single-arm pilot study

Scientific Title:Acronym

Effect of exercise on cognitive dysfunction in SCD

Region

Japan


Condition

Condition

spinocerebellar degeneration

Classification by specialty

Neurology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify whether rehabilitation is effective for cognitive dysfunction in spinocerebellar degeneration

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Cognitive function evaluation
Evaluate before intervention and after 4 weeks

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

4 weeks of rehabilitation
6 times a week
3 hours a day rehabilitation

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit

79 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with spinocerebellar degeneration

Key exclusion criteria

Exclusion criteria included history of stroke, depression, complications including severe infection, deep vein thrombosis, orthopedic diseases causing pain during gait, unstable angina and cardiopulmonary disease causing dyspnea during exercise, and recent history of surgical intervention, including coronary artery bypass graft.

Target sample size

16


Research contact person

Name of lead principal investigator

1st name Toshiya
Middle name
Last name Shimamoto

Organization

kumamoto southern regional hospital

Division name

department of rehabilitation

Zip code

861-4214

Address

mu-banchi mainohara jhonan-machi minami-ku kumamoto

TEL

0964-28-2555

Email

sentyoukansetu@icloud.com


Public contact

Name of contact person

1st name Toshiya
Middle name
Last name Shimamoto

Organization

kumamoto southern regional hospital

Division name

department of rehabilitation

Zip code

861-4214

Address

mu-banchi mainohara jhonan-machi minami-ku kumamoto

TEL

0964-28-2555

Homepage URL


Email

sentyoukansetu@icloud.com


Sponsor or person

Institute

kumamoto southern regional hospital

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

N/A

Address

N/A

Tel

N/A

Email

N/A


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 04 Month 30 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-bin/ctr_e/ctr_view.cgi?recptno=R000045633

Publication of results

Published


Result

URL related to results and publications

https://upload.umin.ac.jp/cgi-bin/ctr_e/ctr_view.cgi?recptno=R000045633

Number of participants that the trial has enrolled

16

Results

Motor function and ADL
SARA scores significantly improved from 10.7 to 8.1 points after exercise. BBS scores significantly increased from 43.6 to 48.8 points after exercise. FIM scores significantly increased from 119.7 to 122.3 points after exercise.
Cognitive function
MMSE scores significantly improved from 27.7 to 29.0 points after exercise. FAB scores significantly increased from 14.8 to 15.8 points after exercise. MoCA-J scores significantly increased from 24.6 to 26.7 points after exercise.

Results date posted

2021 Year 10 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

We enrolled patients diagnosed with SCD of the purely cerebellar type, identified by an expert neurologist based on the results of DNA analysis. Patients had to be capable of independent activities of daily living and walking in order to be eligible for the study. Exclusion criteria included any abnormalities other than those within the cerebellum on magnetic resonance imaging and voxel based specific regional analysis system for Alzheimer disease, muscle weakness, marked range of motion limitation, sensory deficits including superficial deep sensation, vestibular dysfunction, motor dysfunction due to other diseases, and mental illness.

Participant flow

This study was a comparative study with a control group for the assessment of cognitive function, but a single-arm pilot study with only an intervention group and no comparison group for the assessment after the exercise intervention. Each participant in the control group underwent cognitive function tests. Participants in the patient group underwent cognitive and motor function and ADL assessments on admission. The same assessments were then performed again after intensive exercise therapy to evaluate the effect of exercise.

Adverse events

No adverse events were observed.

Outcome measures

Evaluation of motor function and ADL
1) Scale for the Assessment and Rating of Ataxia (SARA)
2) Berg Balance Scale (BBS)
3) Functional Independence Measure (FIM).
Evaluation of cognitive function
1) Mini-Mental State Examination (MMSE)
2) Frontal Assessment Battery (FAB)
3) Montreal Cognitive Assessment-Japanese (MoCA-J).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 04 Month 01 Day

Date of IRB

2018 Year 01 Month 25 Day

Anticipated trial start date

2018 Year 04 Month 01 Day

Last follow-up date

2020 Year 01 Month 01 Day

Date of closure to data entry

2020 Year 01 Month 30 Day

Date trial data considered complete

2020 Year 01 Month 30 Day

Date analysis concluded

2021 Year 04 Month 01 Day


Other

Other related information



Management information

Registered date

2020 Year 04 Month 06 Day

Last modified on

2021 Year 11 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045633


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name
2021/04/22 UMIN英語登録用.xlsx