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| ID | Type | Description | Link |
|---|---|---|---|
| PI21/00459 | Other Grant/Funding Number | Instituto de Salud Carlos III |
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| Name | Class |
|---|---|
| Instituto de Salud Carlos III | OTHER_GOV |
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The main objective is to study the effect of deep propioceptive stimulation with a heavy blanket for 2 weeks compared with a placebo blanket on sleep quality and behavior in patients with PWS
Prader-Willi syndrome (PWS) is a genetic disease associated with sleep disorders whose etiology is partly central due to the inherent hypothalamic deficit. It is associated with low cognitive performance and worsening behavior with more impulsivity, tantrums, scratches and obsession for food. Deep propioceptive stimulation with a heavy blanket (HB) stimulates the parasympathetic system and improves the state of anxiety in persons with autism or other causes of intellectual disability and/or psychopathology. To date, there are no studies evaluating the effect of HB on sleep quality or brain activity in persons with PWS. The main objective is to study the effect of HB for 2 weeks compared to a placebo blanket on sleep quality and behavior in patients with SPW.
Methodology: Actigraphy, questionnaires, crossover study in 60 patients with PWS, with HB/placebo blankets (15 days each). Effect of HB on brain connectivity with functional magnetic resonance imaging in 30 patients and 30 controls. Expected results: PWS group will show worse sleep quality and behavior that will improve after using HB. Brain connectivity will be different with/without HB. These favorable changes will help to justify the use of this ecological treatment and its inclusion in the NHS clinical practice guidelines for improving the quality of life of these patients and their caregivers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Heavy blanket | Experimental | Patients will start with heavy blanket during 15 days |
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| Non-heavy blanket | Placebo Comparator | Patients will start with non-heavy blanket during 15 days |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Deep propioceptive stimulation | Device | Participants will start using the blanket (of the arm name), 30 days wash-out and 15d with the other blanket |
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| Measure | Description | Time Frame |
|---|---|---|
| Changes in number of awakenings | measured by actigraphy | 14 nights |
| Change in duration of awakenings | minutes measured by actigraphy | 14 nights |
| Measure | Description | Time Frame |
|---|---|---|
| Number of tantrums | caregivers report | 15 days |
| number of skin injuries | physical examination by the principal investigator or collaborators |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Assumpta Caixas, MD, PhD | Corporacio Sanitaria Parc Tauli | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Consorci Corporacio Sanitaria Parc TAuli | Sabadell | Barcelona | 08208 | Spain |
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| ID | Term |
|---|---|
| D012893 | Sleep Wake Disorders |
| D006963 | Hyperphagia |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Heavy blanket and similar blanket (not heavy)
| 15 days |
| Interest for food | Hyperphagia questionnaire for clinical trials (9 items from 1-4, maximum score 36, more is worse) | 15 days |
| Brain connectivity | functional magnetic resonance imaging | 1 day |
| D012817 | Signs and Symptoms, Digestive |