运动康复治疗帕金森病及其机制的前瞻性队列研究

注册号:

Registration number:

ChiCTR2000036306 

最近更新日期:

Date of Last Refreshed on:

2020-09-06 06:08:40 

注册时间:

Date of Registration:

2020-08-22 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

运动康复治疗帕金森病及其机制的前瞻性队列研究

Public title:

A prospective cohort study of exercise rehabilitation in the treatment of Parkinson's disease and its mechanism

注册题目简写:

English Acronym:

研究课题的正式科学名称:

运动康复治疗帕金森病及其代谢机制的前瞻性队列研究

Scientific title:

A prospective cohort study of exercise rehabilitation in the treatment of Parkinson's disease and its metabolic mechanism

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

黄沛 

研究负责人:

黄沛 

Applicant:

Pei Huang 

Study leader:

Pei Huang 

申请注册联系人电话:

Applicant telephone:

+86 15821966704

研究负责人电话:

Study leader's
telephone:

+86 15821966704

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

huangpei699@126.com

研究负责人电子邮件:

Study leader's E-mail:

huangpei699@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

上海市黄浦区瑞金二路197号

研究负责人通讯地址:

上海市黄浦区瑞金二路197号

Applicant address:

197 Second Ruijin Road, Huangpu District, Shanghai, China

Study leader's address:

197 Second Ruijin Road, Huangpu District, Shanghai, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

上海交通大学医学院附属瑞金医院

Applicant's institution:

Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine

研究负责人所在单位:

上海交通大学医学院附属瑞金医院

Affiliation of the Leader:

Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

(2020)临伦审第(232)号Y

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

上海交通大学医学院附属瑞金医院伦理委员会

Name of the ethic committee:

Ethics Committee of Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2020-08-20 00:00:00

伦理委员会联系人:

王译锋

Contact Name of the ethic committee:

Yifeng Wang

伦理委员会联系地址:

上海市黄浦区瑞金二路197号

Contact Address of the ethic committee:

197 Second Ruijin Road, Huangpu District, Shanghai, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

上海交通大学医学院附属瑞金医院

Primary sponsor:

Ruijin Hospital, Shanghai Jiao Tong University School of medicine

研究实施负责(组长)单位地址:

上海市黄浦区瑞金二路197号

Primary sponsor's address:

197 Second Ruijin Road, Huangpu District, Shanghai, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海交通大学医学院附属瑞金医院

具体地址:

上海市黄浦区瑞金二路197号

Institution
hospital:

Ruijin Hospital, Shanghai Jiao Tong University School of medicine

Address:

197 Second Ruijin Road, Huangpu District

经费或物资来源:

国家自然科学基金

Source(s) of funding:

National Natural Science Foundation of China

研究疾病:

帕金森病  

Target disease:

Parkinson's Disease

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1、明确运动康复是否可有效改善早期帕金森病患者的运动及非运动症状,明确运动康复是否可以延缓帕金森病的疾病进展。 2、比较太极拳训练与快步走训练之间的效果差异,明确更能有效改善帕金森病症状以及延缓病程进展的运动形式。 3、明确运动康复对帕金森病患者外周血代谢组学、脑代谢的影响,探讨运动康复对帕金森病患者病理生理过程的作用机制。  

Objectives of Study:

1. To determine whether exercise can effectively improve the motor function and non-motor symptoms of PD patients, and whether exercise can delay the progression of Parkinson's disease. 2. Compare the effect between TaiChi training and brisk walking training, and identify the exercise forms that can effectively improve the symptoms of Parkinson's disease and delay the progression of Parkinson's disease. 3. To determine the effect of exercise on blood metabonomics and brain metabolism in patients with Parkinson's disease, and to explore the mechanism of exercise on pathophysiological process in patients with Parkinson's disease.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1)正在参加其他药物临床试验或其他干预研究,或参与其他锻炼计划;
2)过去2年内有规律性或经常性锻炼史;
3)近6个月发生摔倒;
4)有骨骼肌肉疾病或心肺功能障碍;
5)文盲及痴呆或MMSE评分小于24分;
6)伴有严重的抑郁症或精神症状;
7)既往脑外伤或接受颅脑手术治疗;
8)合并其他严重的中枢神经系统病变;
9)服用影响血糖、血脂水平的药物。

Exclusion criteria:

1) participating in other drug clinical trials or other intervention studies, or participating in other exercise programs;
2) regular or regular exercise in the past 2 years;
3) fall in the past 6 months;
4) skeletal muscle disease or cardiopulmonary dysfunction;
5) illiteracy and dementia or MMSE score less than 24;
6) accompanied by severe depression or mental symptoms;
7) previous brain trauma or craniocerebral surgery;
8) complicated with other severe central nervous system lesions;
9) take drugs that affect the levels of blood sugar and blood lipids.

研究实施时间:

Study execute time:

From 2020-10-01 00:00:00 To 2023-09-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-10-01 00:00:00 To 2021-09-30 00:00:00

干预措施:

Interventions:

组别:

太极拳组

样本量:

30

Group:

TaiChi Group

Sample size:

干预措施:

太极拳训练

干预措施代码:

Intervention:

TaiChi training

Intervention code:

组别:

快步走组

样本量:

30

Group:

Brisk walking Group

Sample size:

干预措施:

快步走训练

干预措施代码:

Intervention:

Brisk walking training

Intervention code:

组别:

不运动对照

样本量:

30

Group:

Non-exercise control

Sample size:

干预措施:

干预措施代码:

Intervention:

No intervention

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海交通大学医学院附属瑞金医院 

单位级别:

三级甲等 

Institution
hospital:

Ruijin Hospital, Shanghai Jiao Tong University School of medicine

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

统一帕金森病评定量表

指标类型:

主要指标

Outcome:

The unified Parkinson's disease rating scale, UPDRS

Type:

Primary indicator

测量时间点:

基线、6个月、12个月

测量方法:

Measure time point of outcome:

baseline,6months,12months

Measure method:

指标中文名:

起立-行走时间

指标类型:

主要指标

Outcome:

Time Up and Go, TUG

Type:

Primary indicator

测量时间点:

基线、6个月、12个月

测量方法:

Measure time point of outcome:

baseline, 6 months, 12 months

Measure method:

指标中文名:

Berg平衡量表

指标类型:

主要指标

Outcome:

Berg Balance Test, BBT

Type:

Primary indicator

测量时间点:

基线、6个月、12个月

测量方法:

Measure time point of outcome:

baseline, 6 months, 12 months

Measure method:

指标中文名:

三维步态测试

指标类型:

次要指标

Outcome:

3D gait analysis

Type:

Secondary indicator

测量时间点:

基线、6个月、12个月

测量方法:

Measure time point of outcome:

baseline, 6 months, 12 months

Measure method:

指标中文名:

帕金森病认知功能评定量表

指标类型:

主要指标

Outcome:

Parkinson's Disease Cognitive Rating Scale, PD-CRS

Type:

Primary indicator

测量时间点:

基线、6个月、12个月

测量方法:

Measure time point of outcome:

baseline, 6 months, 12 months

Measure method:

指标中文名:

血浆代谢组学

指标类型:

次要指标

Outcome:

Plasma metabonomics

Type:

Secondary indicator

测量时间点:

基线、6个月、12个月

测量方法:

Measure time point of outcome:

baseline, 6 months, 12 months

Measure method:

指标中文名:

头颅磁共振影像

指标类型:

次要指标

Outcome:

Brain magnetic resonance imaging

Type:

Secondary indicator

测量时间点:

基线、6个月、12个月

测量方法:

Measure time point of outcome:

baseline, 6 months, 12 months

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 50 years
最大 Max age 80 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

采用抽签法进行随机分组,将90例病人依次编为1、2、3…90,并准备好90个信封,依次放入数字卡1-90,信封充分混匀后,先抽取30个信封,将对应数字编号的患者设为第1组,再抽取30个信封,对应数字的患者设为第2组,余下30个患者设为第3组。

Randomization Procedure (please state who generates the random number sequence and by what method):

90 patients were randomly divided into three groups by the method of drawing lots, and 90 patients were divided into 1, 2 and 3 in turn. 90 envelopes were prepared and put into the digital card 1-90 in turn. After the envelopes were fully mixed, 30 envelopes were selected, the patients with

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

该研究为运动干预研究,分组后受试者可知晓分组情况,无法针对受试者设盲。因此,实验针对研究的资料收集者、最终干预效果的评价者设盲,以避免评价过程中由主观因素带来的偏倚。实验医师不参与分组,也不知晓分组情况,由两名监察员负责对病例进行分组、监督盲法执行、盲态审核以及实验过程中保证受试对象安全。实验医师在双盲情况下,完成对90个病例的处理,并将结果记录交给两名监察员。两名监察员在对数据进行整理、核实后,最后进行揭盲。

Blinding:

This study is an exercise intervention study, after grouping, the subjects can know the situation of the grouping, and can not be blind for the subjects. Therefore, the experiment aimed at the data collectors of the study and the evaluators of the final intervention effect, in order to avoid the bias caused by subjective factors in the evaluation process. Experimental physicians do not participate in the grouping and do not know the grouping situation. Two inspectors are responsible for grouping cases, supervising the implementation of the blind method, blind audit and ensuring the safety of the subjects during the experiment. In a double-blind case, the experimental physician completed the treatment of 90 cases and handed the results records to two monitors. After collating and verifying the data, the two monitors finally revealed their blindness.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

2023-09-30 发表论文形式公开

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

2023-09-30 share IPD with papers published

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例记录表

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case record form

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2020-08-22 04:47:54