Investigating the effects of a daily multidisciplinary intensive outpatient rehabilitation program on innovative biomarkers in people with Parkinson's disease: Study protocol for a phase III randomized controlled clinical trial

PLoS One. 2024 Oct 23;19(10):e0309405. doi: 10.1371/journal.pone.0309405. eCollection 2024.

Abstract

Background: To date, there has been no medication that has prevented the progression of Parkinson's disease (PD). Many benefits of intensive and multidisciplinary rehabilitation program for PD are supported by clinical, epidemiological, and experimental data. The main question is whether high-intensity motor and cognitive exercises have an effect on the disease's biological mechanisms.

Objective: This study protocol is a Randomized Controlled Trial (RCT) designed to determine the efficacy of an experimental, intensive, and multidisciplinary treatment in comparison to a home-based self-treatment in improving biomolecular and functional parameters in PD.

Methods: A total of 72 participants will be randomly allocated to two different groups, experimental (n = 36) and control group (n = 36). The rehabilitation program will last 6 consecutive weeks and will involve the execution of a total of 30 sessions, one for each day of the week from Monday to Friday. Participants allocated to the control group will carry out a home-based self-treatment program that includes muscle-stretching and active mobilization exercises for 40'/day for 6 consecutive weeks. The primary outcome measure is the effects of both treatments on a new set of molecular biomarkers such as oligomeric alpha-synuclein and neurotrophic factors measured in peripheral neural derived extracellular vesicles (NDEVs). Secondary outcomes will include changes of motor and non-motor symptoms, balance and gait performance and cognitive functioning. This RCT has been registered as "Intensive Multidisciplinary Rehabilitation and Biomarkers in Parkinson's Disease" on 30 May, 2022 to ClinicalTrials.gov with the Study ID number: NCT05452655.

Discussion: This rehabilitation program is believed to be crucial in modifying biomolecular and functional parameters in people with PD. We expect that this study will provide additional evidence to understand the impact of an aerobic and intensive rehabilitation program on brain plasticity in patients with PD.

Publication types

  • Clinical Trial Protocol

MeSH terms

  • Aged
  • Biomarkers*
  • Clinical Trials, Phase III as Topic
  • Exercise Therapy / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Outpatients
  • Parkinson Disease* / physiopathology
  • Parkinson Disease* / rehabilitation
  • Randomized Controlled Trials as Topic
  • alpha-Synuclein / metabolism

Substances

  • alpha-Synuclein
  • Biomarkers

Associated data

  • ClinicalTrials.gov/NCT05452655

Grants and funding

This study was financial funded by Ministero della Salute (ID: Ricerca Corrente 2020-2024) and by Roche S.p.A. (ID: "Bando Roche per la Ricerca Clinica – A supporto delle figure di Data Manager e Infermieri di Ricerca - Edizione 2022"). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.