Pain and Autonomic Symptoms in Parkinson's Disease and Atypical Parkinsonisms

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorIstituti Clinici Scientifici Maugeri SpA

About this trial

The goal of this observational study is to learn about the impact of the different types of pain and of the domains involved in the autonomic disorders of inpatients and outpatients diagnosed with Parkinson disease (PD) and multiple system atrophy (MSA) admitted to Istituti Clinici Scientifici Maugeri Centers.

The main aims are:

Evaluate the prevalence of pain and characterize it in Parkinson's disease and atypical parkinsonisms (MSA) Evaluate the effect of rehabilitation on pain and autonomic symptoms Evaluate the prevalence of autonomic symptoms in Parkinson's disease and atypical parkinsonisms (MSA) Assess the impact of pain and autonomic symptoms on quality of life. Participants will perform neurological examination, rehabilitation program and clinical scales.

Researchers will compare the two groups of patients (PD and MSA) and the effect of the rehabilitation on pain, autonomic symptoms and quality of life.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Clinical diagnosis of Parkinson's Disease or Multiple System Atrophy according to current international criteria (Gilman S et al, 2008; Postuma RB et al. 2015).

Mini-Mental State Examination score at least 10

Disqualifiers

vascular or pharmacological parkinsonism

diabetes mellitus

hepatic or renal dysmetabolism,

hypothyroidism or hyperthyroidism

Trial population

Patients will be enrolled from the population of inpatient and outpatient admitted for rehabilitation to ICS Maugeri SpA institutes.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Rehabilitation

    Other intervention

    All patients included in the study will undergo a basic evaluation with a neurological examination, a rehabilitation program to improve strength, coordination, balance, endurance, and the ability to perform activities of daily life.

  • Administration of Clinical scales

    Other intervention

    All patients included in the study will be evaluated by clinical scales assessing the disease stage, clinical severity, freezing, motor and non-motor impairment, cognitive impairment, depression, quality of life, autonomic dysfunction, pain.

Treatment groups

280 Participants
are divided into 2 treatment groups
Group A: Parkinson Disease2 interventions
Group B: Multiple System Atrophy2 interventions

Trial outcomes

Primary outcomes

1

Prevalence and Characterization of Pain

Evaluate the prevalence of pain and characterize it in Parkinson's disease and atypical parkinsonisms through KING'S PAIN score

Time frame
At the recruitment
2

Prevalence and Characterization of Pain

Evaluate the prevalence of pain and characterize it in Parkinson's disease and atypical parkinsonisms through KING'S PAIN score

Time frame
At the end of the rehabilitation program, an average of 30 days

Secondary outcomes

1

Autonomic symptoms

Evaluate the prevalence of autonomic symptoms in Parkinson's disease and atypical parkinsonisms through the score of SCOPA-AUT questionnaire

Time frame
At the recruitment
2

Autonomic symptoms

Evaluate the prevalence of autonomic symptoms in Parkinson's disease and atypical parkinsonisms through the score of SCOPA-AUT questionnaire

Time frame
At the end of the rehabilitation program, an average of 30 days

Other outcomes

Sponsors and contacts

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