Department of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200025, China
Location status: Recruiting
NCT Number: NCT05171205
Spinal Cord Stimulation (SCS) is a newly emerged neuromodulation technique in recent years. It is now a mature technique in the treatment of chronic pain and is generally accepted by patients because of its non-destructive and reversible nature, few complications, no side effects, and avoidance of unnecessary surgical procedures. Combining the results of previous studies and the group's previous research, this study first proposes an innovative treatment protocol for PDS with SCS. We intend to conduct a prospective single-center open clinical trial to evaluate the improvement of orthostatic hypotension, urinary retention, sleep disturbance, dysarthria, and dysphagia in Parkinsonism (PDS) patients before and after SCS treatment, and shed new light on the treatment for PDS.
Interested in participating?
Request Info50 year–80 year
All sexes
Interventional
Not applicable
Shanghai, Shanghai Municipality, 200025, China
Location status: Recruiting
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Spinal cord stimulation (SCS) is a very thin electrode implanted in the dorsal epidural space of the spinal cord to improve the patient's symptoms by stimulating the spinal nerves with pulsed electrical currents, which attenuate or enhance the flow of nerve impulses from the periphery to the central system, i.e., stimulating thick fibers to achieve therapeutic results. SCS system consists of three components: an electrode implanted in the epidural space of the patient's spinal cord, a stimulator implanted subcutaneously in the abdomen or buttocks that delivers electrical impulses, and an extension cord that connects the two.
Time frame: 3 months
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 3 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 6 months
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 6 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 9 months
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 9 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 12 months
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 12 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 18 months
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 18 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes. Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 24 months
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 24 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes. Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 3 months
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 3 months post-operation
Time frame: 6 months
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 6 months post-operation
Time frame: 9 months
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 9 months post-operation
Time frame: 12 months
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 12 months post-operation
Time frame: 18 months
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 18 months post-operation
Time frame: 24 months
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 24 months post-operation
Time frame: 3 months
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 3 months post-operation
Time frame: 6 months
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 6 months post-operation
Time frame: 9 months
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 9 months post-operation
Time frame: 12 months
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 12 months post-operation
Time frame: 18 months
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 18 months post-operation
Time frame: 24 months
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 24 months post-operation
Time frame: 3 months
Change of on-off 24-hour blood pressure monitoring from baseline to 3 months post-operation.
Time frame: 6 months
Change of on-off 24-hour blood pressure monitoring from baseline to 6 months post-operation.
Time frame: 9 months
Change of on-off 24-hour blood pressure monitoring from baseline to 9 months post-operation.
Time frame: 12 months
Change of on-off 24-hour blood pressure monitoring from baseline to 12 months post-operation.
Time frame: 18 months
Change of on-off 24-hour blood pressure monitoring from baseline to 18 months post-operation.
Time frame: 24 months
Change of on-off 24-hour blood pressure monitoring from baseline to 24 months post-operation.
Time frame: 3 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 3 months post-operation.
Time frame: 6 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 6 months post-operation.
Time frame: 9 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 9 months post-operation.
Time frame: 12 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 12 months post-operation.
Time frame: 18 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 18 months post-operation.
Time frame: 24 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 24 months post-operation.
Time frame: 3 months
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 3 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 6 months
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 6 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 9 months
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 9 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 12 months
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 12 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 18 months
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 18 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 24 months
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 24 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 3 months
Change of on-off delta heart rate variability from baseline to 3 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 6 months
Change of on-off delta heart rate variability from baseline to 6 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 9 months
Change of on-off delta heart rate variability from baseline to 9 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 12 months
Change of on-off delta heart rate variability from baseline to 12 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 18 months
Change of on-off delta heart rate variability from baseline to 18 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 24 months
Change of on-off delta heart rate variability from baseline to 24 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 3 months
Change of on-off length of walking during 6-minute walking test from baseline to 3 months post-operation.
Time frame: 6 months
Change of on-off length of walking during 6-minute walking test from baseline to 6 months post-operation.
Time frame: 9 months
Change of on-off length of walking during 6-minute walking test from baseline to 9 months post-operation.
Time frame: 12 months
Change of on-off length of walking during 6-minute walking test from baseline to 12 months post-operation.
Time frame: 18 months
Change of on-off length of walking during 6-minute walking test from baseline to 18 months post-operation.
Time frame: 24 months
Change of on-off length of walking during 6-minute walking test from baseline to 24 months post-operation.
Time frame: 3 months
Change of on-off time of walking during 6-minute walking test from baseline to 3 months post-operation.
Time frame: 6 months
Change of on-off time of walking during 6-minute walking test from baseline to 6 months post-operation.
Time frame: 9 months
Change of on-off time of walking during 6-minute walking test from baseline to 9 months post-operation.
Time frame: 12 months
Change of on-off time of walking during 6-minute walking test from baseline to 12 months post-operation.
Time frame: 18 months
Change of on-off time of walking during 6-minute walking test from baseline to 18 months post-operation.
Time frame: 24 months
Change of on-off time of walking during 6-minute walking test from baseline to 24 months post-operation.
Time frame: 3 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 3 months post-operation.
Time frame: 6 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 6 months post-operation.
Time frame: 9 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 9 months post-operation.
Time frame: 12 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 12 months post-operation.
Time frame: 18 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 18 months post-operation.
Time frame: 24 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 24 months post-operation.
Time frame: 3 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 3 months post-operation.
Time frame: 6 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 6 months post-operation.
Time frame: 9 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 9 months post-operation.
Time frame: 12 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 12 months post-operation.
Time frame: 18 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 18 months post-operation.
Time frame: 24 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 24 months post-operation.
Time frame: 3 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 3 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 6 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 6 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 9 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 9 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 12 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 12 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 18 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 18 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 24 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 24 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 3 months
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 3 months post-operation
Time frame: 6 months
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 6 months post-operation
Time frame: 9 months
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 9 months post-operation
Time frame: 12 months
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 12 months post-operation
Time frame: 18 months
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 18 months post-operation
Time frame: 24 months
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 24 months post-operation
Time frame: 3 months
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 3 months post-operation
Time frame: 6 months
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 6 months post-operation
Time frame: 9 months
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 9 months post-operation
Time frame: 12 months
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 12 months post-operation
Time frame: 18 months
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 18 months post-operation
Time frame: 24 months
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 24 months post-operation
Time frame: 3 months
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 3 months post-operation
Time frame: 6 months
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 6 months post-operation
Time frame: 9 months
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 9 months post-operation
Time frame: 12 months
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 12 months post-operation
Time frame: 18 months
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 18 months post-operation
Time frame: 24 months
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 24 months post-operation
Time frame: 3 months
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 3 months post-operation
Time frame: 6 months
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 6 months post-operation
Time frame: 9 months
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 9 months post-operation
Time frame: 12 months
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 12 months post-operation
Time frame: 18 months
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 18 months post-operation
Time frame: 24 months
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 24 months post-operation
Time frame: 3 months
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 3 months post-operation
Time frame: 6 months
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 6 months post-operation
Time frame: 9 months
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 9 months post-operation
Time frame: 12 months
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 12 months post-operation
Time frame: 18 months
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 18 months post-operation
Time frame: 24 months
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 24 months post-operation
Time frame: 3 months
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 3 months post-operation
Time frame: 6 months
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 6 months post-operation
Time frame: 9 months
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 9 months post-operation
Time frame: 12 months
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 12 months post-operation
Time frame: 18 months
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 18 months post-operation
Time frame: 24 months
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 24 months post-operation
Time frame: 3 months
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 3 months post-operation
Time frame: 6 months
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 6 months post-operation
Time frame: 9 months
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 9 months post-operation
Time frame: 12 months
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 12 months post-operation
Time frame: 18 months
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 18 months post-operation
Time frame: 24 months
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 24 months post-operation
Time frame: 3 months
Change of on-off delta cerebral artery velocity from baseline to 3 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 6 months
Change of on-off delta cerebral artery velocity from baseline to 6 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 9 months
Change of on-off delta cerebral artery velocity from baseline to 9 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 12 months
Change of on-off delta cerebral artery velocity from baseline to 12 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 18 months
Change of on-off delta cerebral artery velocity from baseline to 18 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 24 months
Change of on-off delta cerebral artery velocity from baseline to 24 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 3 months
Change of on-off timed up and go from baseline to 3 months post-operation.
Time frame: 6 months
Change of on-off timed up and go from baseline to 6 months post-operation.
Time frame: 9 months
Change of on-off timed up and go from baseline to 9 months post-operation.
Time frame: 12 months
Change of on-off timed up and go from baseline to 12 months post-operation.
Time frame: 18 months
Change of on-off timed up and go from baseline to 18 months post-operation.
Time frame: 24 months
Change of on-off timed up and go from baseline to 24 months post-operation.
Contact information is provided by the study sponsor or research team.
Ruijin Hospital
Other
Spinal Cord Stimulation for Parkinsonism: a Single-center, Single-arm Open Trial
Acronym: SCS for PDS
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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