About this trial
The goal of this observational cross-sectional study is to explore the characteristics of language, speech, and motor function in persons with Mild Cognitive Impairment due to Alzheimer's disease ("MCI due to AD") and persons with mild and moderate Alzheimer's disease ("AD"). This study aims to:
* Explore motor, speech, and language functions in MCI due to AD and mild and moderate AD. * Combine the characteristics of motor, language, and speech functions to gain more insight into the association of language, speech, and motor changes during MCI due to AD and mild and moderate AD.
Researchers will compare the outcomes to an age-matched control group without cognitive impairment.
Participants will undergo:
* Two motor function tests to assess gait and hand grip strength. * Four language and speech function tests to assess spontaneous speech and verbal fluency..
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Established diagnosis of MCI due to AD with a likelihood according to NIA-AA criteria (Albert et al., 2011).
A score of stage three on the Global Deterioration Scale (GDS) (Reisberg et al., 1982).
Established diagnosis of AD (amnestic or non-amnestic) or etiologically mixed presentation of AD according to DSM-5 (American Psychiatric Association, 2013) or NINCDS-ARDRA criteria (Jack et al., 2018; McKann et al., 2011).
The following scores on the Global Deterioration Scale (GDS): four for mild AD, five for moderate AD (Reisberg et al., 1982).
Disqualifiers
Having a neurological or neurodegenerative disease or disorder that may be contributing to cognitive impairment above and beyond that caused by AD or mixed AD; Down's syndrome, other subtypes of dementia, autism spectrum disorder.
Having an established diagnosis of a psychiatric disorder, e.g. schizophrenia, depression.
Hearing loss (with or without hearing aid) that affects communication.
Vision loss (with or without glasses or lenses) that affects communication.
Trial population
The envisaged total participants of this study is: 52 persons with MCI due to AD, 52 persons with mild AD, 52 persons with moderate AD, 52 and 52 age-matched persons without cognitive impairment. The first language of the participants is either Frisian and/or Dutch. The participants may in addition to that also speak a Dutch dialect or another language
Trial design
Case-control
Cross-sectional
Treatments tested in this trial
GAITRite walkway system OR 4-meter walking speed test
BehavioralGait will be assessed by the GAITRite walkway system OR the 4-meter walking speed test
Jamar hand dynamometer
BehavioralHand grip strength will be assessed by a Jamar hand dynamometer
Picture description task
BehavioralCharacteristics Dutch/Frisian language Language and speech will be assessed by the Cookie Theft Picture-task (a picture description task from Berube et al., 2019)
Autobiographical semi-structured conversation
BehavioralCharacteristics Dutch/Frisian language and speech will be assessed by an autobiographical semi-structured conversation
Verbal fluency
BehavioralThe mental lexicon of Dutch/Frisian language will be assessed by a two verbal fluency tests, including letter fluency and categorical fluency
Treatment groups
Trial outcomes
Primary outcomes
Language and speech characteristics of spontaneous speech
Autobiographical semi-structured interview and a picture description task ("The Cookie Theft Picture (Berube et al., 2019))
Verbal fluency
Naming animals and professions
Letter fluency
Naming letters starting with the letters D and A
Temporal and spatial parameters of gait
Gaitrite walkway system (GAITRite) or 4-meter walking speed test
Sponsors and contacts
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Hanze University of Applied Sciences Groningen
Lead sponsor
University of Groningen
Collaborator