This pilot study aims to evaluate the feasibility and acceptability of nocturnal translational vestibular stimulations (VS) applied by a rocking bed (Somnomat Casa) for two months in patients with Parkinson's Disease.
Twelve PD patients will receive overnight VS in their familiar home environment for two months via the rocking bed. Participants will be given questionnaires to obtain feedback on the acceptability of the nocturnal intervention device. Effects on sleep, motor and non-motor symptoms, and quality of life will be assessed using the appropriate validated scales and questionnaires. The corresponding assessments will be performed before, during, and two month after the intervention. Unobtrusive pressure-sensitive textiles and bioradar will be used to record physiological variables such as body position, movements, breathing rate, and heart rate to correlate them to the clinical assessments as well as to markers obtained from actigraphy devices that the patients will be wearing throughout the study. The primary feasibility outcomes include rate of accrual and retention, adherence to the protocol, acceptability and satisfaction with intervention using rocking bed specific questionnaires, semi-structured interviews, and data collected automatically from the bed. To assess the preliminary effectiveness of the intervention the secondary outcomes are the change in subjective sleep quality, daytime sleepiness, PD related sleep disorders, mentation, behaviour, mood, activities of daily living, motor performance, and quality of life.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
15
Nocturnal (overnight) translational vestibular stimulation applied by the rocking bed (Somnomat Casa) for two months in patients familiar home environment.
Insel Gruppe AG, University Hospital Bern
Bern, Switzerland
RECRUITINGETH Zurich, Sensory-Motor Systems Lab, IRIS
Zurich, Switzerland
NOT_YET_RECRUITINGEvaluation of acceptability and feasibility
The acceptability and feasibility of the translational vestibular stimulation with the Somnomat Casa will be evaluated with a custom-designed questionnaire. The questionnaire consists of 22 questions including questions with five-point likert scale and open questions ("I fully agree" to "I do not agree at all").
Time frame: At Visit 1 (1 month after start of intervention)
Evaluation of acceptability and feasibility
The acceptability and feasibility of the translational vestibular stimulation with the Somnomat Casa will be evaluated with a custom-designed questionnaire. The questionnaire consists of 22 questions including questions with five-point likert scale and open questions ("I fully agree" to "I do not agree at all").
Time frame: At Visit 2, at the end of the intervention (after 2 months)
Pittsburgh Sleep Quality Index (PSQI)
The PSQI is a self-report questionnaire that assesses sleep quality over a 1-month time interval. The measure consists of 19 individual items, assessing a broad range of domains associated with sleep quality, including: usual sleep wake patterns, duration of sleep, sleep latency, the frequency and severity of specific sleep-related problems, and the perceived impact of poor sleep on daytime functioning.
Time frame: At Baseline Visit (before the intervention)
Pittsburgh Sleep Quality Index (PSQI)
The PSQI is a self-report questionnaire that assesses sleep quality over a 1-month time interval. The measure consists of 19 individual items, assessing a broad range of domains associated with sleep quality, including: usual sleep wake patterns, duration of sleep, sleep latency, the frequency and severity of specific sleep-related problems, and the perceived impact of poor sleep on daytime functioning.
Time frame: At Visit 1 (1 month after start of intervention)
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Pittsburgh Sleep Quality Index (PSQI)
The PSQI is a self-report questionnaire that assesses sleep quality over a 1-month time interval. The measure consists of 19 individual items, assessing a broad range of domains associated with sleep quality, including: usual sleep wake patterns, duration of sleep, sleep latency, the frequency and severity of specific sleep-related problems, and the perceived impact of poor sleep on daytime functioning.
Time frame: At Visit 2, at the end of the intervention (after 2 months)
Pittsburgh Sleep Quality Index (PSQI)
The PSQI is a self-report questionnaire that assesses sleep quality over a 1-month time interval. The measure consists of 19 individual items, assessing a broad range of domains associated with sleep quality, including: usual sleep wake patterns, duration of sleep, sleep latency, the frequency and severity of specific sleep-related problems, and the perceived impact of poor sleep on daytime functioning.
Time frame: At Final Visit (two months after the intervention)
Epworth Sleepiness Scale (ESS)
The ESS is a short self-administered questionnaire designed to assess daytime sleepiness. This basic test involves a self-assessment of how likely a person is to fall asleep in eight different situations.
Time frame: At Baseline Visit (before the intervention)
Epworth Sleepiness Scale (ESS)
The ESS is a short self-administered questionnaire designed to assess daytime sleepiness. This basic test involves a self-assessment of how likely a person is to fall asleep in eight different situations.
Time frame: At Visit 1 (1 month after start of intervention)
Epworth Sleepiness Scale (ESS)
The ESS is a short self-administered questionnaire designed to assess daytime sleepiness. This basic test involves a self-assessment of how likely a person is to fall asleep in eight different situations.
Time frame: At Visit 2, at the end of the intervention (after 2 months)
Epworth Sleepiness Scale (ESS)
The ESS is a short self-administered questionnaire designed to assess daytime sleepiness. This basic test involves a self-assessment of how likely a person is to fall asleep in eight different situations.
Time frame: At Final Visit (two months after the intervention)
Parkinson's Disease Sleep Scale version 2 (PDSS-2)
The PDSS-2 is a patient-completed clinical rating scale that assesses the frequency of sleep disturbances over the past week. The PDSS-2 covers three domains: motor symptoms at night, PD specific symptoms at night and disturbed sleep.
Time frame: At Baseline Visit (before the intervention)
Parkinson's Disease Sleep Scale version 2 (PDSS-2)
The PDSS-2 is a patient-completed clinical rating scale that assesses the frequency of sleep disturbances over the past week. The PDSS-2 covers three domains: motor symptoms at night, PD specific symptoms at night and disturbed sleep.
Time frame: At Visit 1 (1 month after start of intervention)
Parkinson's Disease Sleep Scale version 2 (PDSS-2)
The PDSS-2 is a patient-completed clinical rating scale that assesses the frequency of sleep disturbances over the past week. The PDSS-2 covers three domains: motor symptoms at night, PD specific symptoms at night and disturbed sleep.
Time frame: At Visit 2, at the end of the intervention (after 2 months)
Parkinson's Disease Sleep Scale version 2 (PDSS-2)
The PDSS-2 is a patient-completed clinical rating scale that assesses the frequency of sleep disturbances over the past week. The PDSS-2 covers three domains: motor symptoms at night, PD specific symptoms at night and disturbed sleep.
Time frame: At Final Visit (two months after the intervention)
Restless Legs Syndrome Rating Scale (IRLS)
IRLS is a 10-item questionnaire to assess the severity of the Restless Legs Syndrome (RLS).
Time frame: At Baseline Visit (before the intervention)
Restless Legs Syndrome Rating Scale (IRLS)
IRLS is a 10-item questionnaire to assess the severity of the Restless Legs Syndrome (RLS).
Time frame: At Visit 1 (1 month after start of intervention)
Restless Legs Syndrome Rating Scale (IRLS)
IRLS is a 10-item questionnaire to assess the severity of the Restless Legs Syndrome (RLS).
Time frame: At Visit 2, at the end of the intervention (after 2 months)
Restless Legs Syndrome Rating Scale (IRLS)
IRLS is a 10-item questionnaire to assess the severity of the Restless Legs Syndrome (RLS).
Time frame: At Final Visit (two months after the intervention)
Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
The MDS-UPDRS is a scale used to measure the severity of PD. A higher score denotes greater disability. It includes four parts: mentation, behaviour and mood (MDS-UPDRS I); activities of daily living (MDS-UPDRS II); motor examination MDS-UPDRS III); complication of treatment (MDS-UPDRS IV).
Time frame: At Baseline Visit (before the intervention)
Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
The MDS-UPDRS is a scale used to measure the severity of PD. A higher score denotes greater disability. It includes four parts: mentation, behaviour and mood (MDS-UPDRS I); activities of daily living (MDS-UPDRS II); motor examination MDS-UPDRS III); complication of treatment (MDS-UPDRS IV).
Time frame: At Visit 1 (1 month after start of intervention)
Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
The MDS-UPDRS is a scale used to measure the severity of PD. A higher score denotes greater disability. It includes four parts: mentation, behaviour and mood (MDS-UPDRS I); activities of daily living (MDS-UPDRS II); motor examination MDS-UPDRS III); complication of treatment (MDS-UPDRS IV).
Time frame: At Visit 2, at the end of the intervention (after 2 months)
Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
The MDS-UPDRS is a scale used to measure the severity of PD. A higher score denotes greater disability. It includes four parts: mentation, behaviour and mood (MDS-UPDRS I); activities of daily living (MDS-UPDRS II); motor examination MDS-UPDRS III); complication of treatment (MDS-UPDRS IV).
Time frame: At Final Visit (two months after the intervention)
Parkinson's disease quality of life questionnaire (PDQ-39)
The Parkinson's disease quality of life questionnaire evaluates the disease specific QoL. This questionnaire quantifies disease-specific and disease-referred quality of life in PD patients. In 39 items 8 main dimensions are interrogated (mobility, activities of daily living, emotional well-being, stigma, social support, cognitive impairment, communication and bodily discomfort). Each of these 8 domains contributes equally to a summary index of overall disease specific QoL.
Time frame: At Baseline Visit (before the intervention)
Parkinson's disease quality of life questionnaire (PDQ-39)
The Parkinson's disease quality of life questionnaire evaluates the disease specific QoL. This questionnaire quantifies disease-specific and disease-referred quality of life in PD patients. In 39 items 8 main dimensions are interrogated (mobility, activities of daily living, emotional well-being, stigma, social support, cognitive impairment, communication and bodily discomfort). Each of these 8 domains contributes equally to a summary index of overall disease specific QoL.
Time frame: At Visit 1 (1 month after start of intervention)
Parkinson's disease quality of life questionnaire (PDQ-39)
The Parkinson's disease quality of life questionnaire evaluates the disease specific QoL. This questionnaire quantifies disease-specific and disease-referred quality of life in PD patients. In 39 items 8 main dimensions are interrogated (mobility, activities of daily living, emotional well-being, stigma, social support, cognitive impairment, communication and bodily discomfort). Each of these 8 domains contributes equally to a summary index of overall disease specific QoL.
Time frame: At Visit 2, at the end of the intervention (after 2 months)
Parkinson's disease quality of life questionnaire (PDQ-39)
The Parkinson's disease quality of life questionnaire evaluates the disease specific QoL. This questionnaire quantifies disease-specific and disease-referred quality of life in PD patients. In 39 items 8 main dimensions are interrogated (mobility, activities of daily living, emotional well-being, stigma, social support, cognitive impairment, communication and bodily discomfort). Each of these 8 domains contributes equally to a summary index of overall disease specific QoL.
Time frame: At Final Visit (two months after the intervention)
Patients' Global Impression of Severity Scale (PGIS)
The Patient Global Impression of Severity scale is a single, self-administered question asking respondents about the severity of their current general condition.
Time frame: At Baseline Visit (before the intervention)
Patients' Global Impression of Change Scale (PGICS)
The Patient Global Impression of Change scale is a single, self-administered question asking respondents to rate how their condition has changed since a certain point in time.
Time frame: At Visit 1 (1 month after start of intervention)
Patients' Global Impression of Change Scale (PGICS)
The Patient Global Impression of Change scale is a single, self-administered question asking respondents to rate how their condition has changed since a certain point in time.
Time frame: At Visit 2, at the end of the intervention (after 2 months)
Patients' Global Impression of Change Scale (PGICS)
The Patient Global Impression of Change scale is a single, self-administered question asking respondents to rate how their condition has changed since a certain point in time.
Time frame: At Final Visit (two months after the intervention)