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| Name | Class |
|---|---|
| German Center for Neurodegenerative Diseases (DZNE) | OTHER |
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The purpose of this study is to investigate whether markers of brain structure and function from MRI are associated with different levels of spatial orientation and gait parameters in people with mild cognitive impairment or dementia due to Alzheimer's disease when walking through a real world environment.
This is an experimental cross-sectional study which primarily aims at identifying characteristic features of spatial disorientation among people with mild cognitive impairment and dementia. The features of interest are motion and physiological related changes that occur during instances of spatial disorientation, which will be derived from wearable sensors.
Additionally, brain structure and functional connectivity changes associated with different levels of spatial orientation and gait parameters will also be investigated through resting-state functional imaging.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Neurologically healthy older adults above the age of 50 | ||
| Experimental | Older adults above the age of 50 with Mild Cognitive Impairment or Dementia |
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| Measure | Description | Time Frame |
|---|---|---|
| Spatial disorientation | Incidences of disorientation will be annotated in real-time using a customized annotation scheme in the pocket observer software | Up to 3 years from start of the study |
| Measure | Description | Time Frame |
|---|---|---|
| Heart rate variability | Rate of change in heart rate will be measured using a wearable Photoplethysmography sensor | Up to 3 years from start of the study |
| Skin conductance | Rate of change in electrodermal response will be measured using a wearable electrodermal activity sensor |
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Inclusion Criteria:
Exclusion Criteria:
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Healthy older adults and older adults with mild cognitive impairment or dementia
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chimezie O Amaefule, M.Sc | Contact | 0049-381-494-9478 | chimezie.amaefule@dzne.de |
| Name | Affiliation | Role |
|---|---|---|
| Stefan J. Teipel, Prof. Dr. | University Medical Center Rostock | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinic and Polyclinic for Psychosomatics and Psychotherapeutic Medicine, University Medical Center Rostock | Recruiting | Rostock | Mecklenburg-Vorpommern | 18147 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31362286 | Background | Schaat S, Koldrack P, Yordanova K, Kirste T, Teipel S. Real-Time Detection of Spatial Disorientation in Persons with Mild Cognitive Impairment and Dementia. Gerontology. 2020;66(1):85-94. doi: 10.1159/000500971. Epub 2019 Jul 30. | |
| 25180158 | Background | Ranasinghe KG, Hinkley LB, Beagle AJ, Mizuiri D, Dowling AF, Honma SM, Finucane MM, Scherling C, Miller BL, Nagarajan SS, Vossel KA. Regional functional connectivity predicts distinct cognitive impairments in Alzheimer's disease spectrum. Neuroimage Clin. 2014 Jul 23;5:385-95. doi: 10.1016/j.nicl.2014.07.006. eCollection 2014. |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| D003704 | Dementia |
| D003221 | Confusion |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D001927 | Brain Diseases |
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| Up to 3 years from start of the study |
| Accelerometry | Incidences of change in movement behaviour and activity level will be measured using accelerometers | Up to 3 years from start of the study |
| Grey matter volume | Rate of change in brain structural volume will be measured using a 3-Tesla scanner | Up to 3 years from start of the study |
| White matter integrity | Rate of change in structural connectivity of brain white matter will be measured using a 3-Tesla scanner | Up to 3 years from start of the study |
| Resting-state functional connectivity | Rate of change in functional connectivity of resting-state brain networks will be measured using a 3-Tesla scanner | Up to 3 years from start of the study |
| Interview responses | Participants assessments of their sense of orientation are obtained using a structured interview. | Up to 3 years from start of the study |
| D002493 |
| Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |