ClinicalTrials.gov record NCT05748028
Pain and Autonomic Symptoms in Parkinson's Disease and Atypical Parkinsonisms
Pain and Autonomic Symptoms in Parkinson's Disease and Atypical Parkinsonisms: Identification of Predictive Patterns of Rehabilitation Outcome and Evaluation of the Impact on Quality of Life
AI summaryWhat this study is about, in plain languageShow ▾Hide ▴
AI-written from the registry record, not the study's own wording. May contain errors or omissions. Check the registry text on this page and the original record ↗ before acting on it.
This prospective observational study follows people with Parkinson's disease (PD) or multiple system atrophy (MSA) who undergo a rehabilitation program. Investigators measure types of pain, autonomic symptoms, and quality of life at enrollment and again after about 30 days of rehabilitation. The study compares PD and MSA groups and looks for patterns that predict rehabilitation outcomes.
What it is studying. The study aims to describe how common and what kinds of pain and autonomic symptoms occur in PD and MSA, and to test whether rehabilitation is associated with changes in these symptoms and in quality of life.
What the researchers hope to learn. Evaluate the prevalence and characterize pain (using KING'S PAIN score); evaluate prevalence of autonomic symptoms (using SCOPA-AUT); assess impact of pain and autonomic symptoms on quality of life; identify patterns that predict rehabilitation outcomes; compare findings between PD and MSA and measure change after rehabilitation.
What this study is about
The study's own summary, as published on ClinicalTrials.gov. Underlined terms have a short explanation.
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.
Interventions being studied
Being studied in this trial does not mean the treatment or procedure is approved or available for this condition.
- Other
- Rehabilitation
- Administration of Clinical scales
Eligibility
The criteria exactly as listed on ClinicalTrials.gov. Only the study team can say whether they apply to you.
Inclusion criteria
- 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
Exclusion criteria
- vascular or pharmacological parkinsonism
- diabetes mellitus
- hepatic or renal dysmetabolism,
- hypothyroidism or hyperthyroidism
- assumption of potentially neurotoxic drugs
Study description and what participation involves
The study's detailed description, as published on ClinicalTrials.gov.
Show the detailed description from the registry
2% of the population over 65 is affected by Parkinson's disease (PD) or parkinsonism. This represents a significant burden on the health service in countries where the elderly represent 1/5 of the general population. In recent years there has been increased attention on the presence of non-motor disorders in PD patients. Among these, pain and autonomic symptoms are more frequently present and contribute to the worsening of disability and quality of life of the affected patient. How much the presence of pain and autonomic symptoms can affect the rehabilitation outcome and how much the rehabilitation treatment itself can improve the painful or autonomic symptomatology is not known, but rehabilitation has an important role in the management of diseases where there are no real treatments capable of cure or slow down the neurodegenerative process. In the Maugeri Clinical Scientific Institutes, patients with Parkinson's disease or parkinsonism are hospitalized or followed as outpatients and a personalized rehabilitation setting is ideal for being able to evaluate the patient in a sufficiently wide time frame to be able to appreciate significant changes in clinical parameters. The greater knowledge of the impact of the different types of pain and of the domains involved in the autonomic dysfunction will help the clinician to better manage the patient's disability and will contribute to the definition of specific rehabilitation strategies aimed to improve the patient's quality of life.
AI summaryWhat participation may involve, in plain languageShow ▾Hide ▴
AI-written from the registry record, not the study's own wording. May contain errors or omissions. Check the registry text on this page and the original record ↗ before acting on it.
Participants will have a baseline neurological exam and complete clinical scales/questionnaires about pain, autonomic symptoms, motor and non-motor function, cognition, mood, and quality of life. They will take part in a personalized rehabilitation program (strength, coordination, balance, endurance, activities of daily living) and be reassessed at the end of the rehabilitation program (about 30 days). The record lists no invasive procedures (for example, no spinal taps or biopsies); main activities are exams, rehab sessions, and clinical scales.
How the study is structured. A prospective observational cohort study. Participants receive a rehabilitation program as part of routine care and complete clinical scales and assessments at recruitment and at the end of the rehabilitation program (about 30 days). Researchers compare measurements over time and between the PD and MSA groups.
Questions you could ask
These questions are suggestions for a conversation with the study team or your own clinician, not advice.
- This is an observational study, so the study itself gives no treatment. What would taking part involve for me, and would it change my usual care?
- The listed sites are in Italy. Is any of them reachable for me, and does the study help with travel?
- Which of the eligibility criteria would need to be checked with tests before I could join?
More on multiple system atrophy
Important dates
- Study start
- Jun 15, 2019
- Primary completion
- Sep 30, 2026 (estimated)
- Study completion
- Dec 30, 2026 (estimated)
- Target enrollment
- 280 participants (estimated)
- Last updated on registry
- Apr 17, 2026
- Data verified
- Oct 10, 2026
Sponsor and research team
The lead sponsor funds and oversees the trial. A pharmaceutical or biotech company sponsor typically means the study is testing that company's drug or device; a hospital, university, or government agency usually indicates investigator-initiated or publicly funded research.
- Lead sponsor
- Istituti Clinici Scientifici Maugeri SpA
Central study contact
If you're interested in participating, the central contact can answer general questions about the study — including eligibility requirements and how to find a recruiting site near you. Actual eligibility is determined by the site's medical team.
- Maria Nolano, MD, PhD 📞 +390824909257 ✉ maria.nolano@icsmaugeri.it
- Giuseppe Caporaso 📞 +390824909645 ✉ giuseppe.caporaso@icsmaugeri.it
Participating sites (9)
- ICS Maugeri - IRCCS of Telese TermeRecruiting
Telese Terme, Benevento, 82037 · Italy
- Vincenzo Provitera, MD · +390824909257 · vincenzo.provitera@icsmaugeri.it
- ICS Maugeri - LumezzaneRecruiting
Lumezzane, Brescia, 25065 · Italy
- Diego Ghianda, MD · 0308253186 · diego.ghianda@icsmaugeri.it
- ICS Maugeri - CastelgoffredoRecruiting
Castel Goffredo, Mantova, 46042 · Italy
- Giuliana Vezzadini, MD · 037677471 · giuliana.vezzadini@icsmaugeri.it
- ICS Maugeri - MistrettaRecruiting
Mistretta, Messina, 98073 · Italy
- Paolo Volanti, MD · 0921389574 · paolo.volanti@icsmaugeri.it
- ICS Maugeri - VerunoRecruiting
Veruno, Novara, 28010 · Italy
- Giorgio Maggioni, MD · 0322884711 · giorgio.maggioni@icsmaugeri.it
- ICS Maugeri - MontescanoRecruiting
Montescano, Pavia, 27040 · Italy
- Cira Fundarò, MD · 0385247268 · cira.fundaro@icsmaugeri.it
- ICS Maugeri - MilanoRecruiting
Milan, 20138 · Italy
- Beatrice De Maria, Eng · 0250725260 · beatrice.demaria@icsmaugeri.it
- ICS Maugeri - Pavia BoezioRecruiting
Pavia, 27100 · Italy
- Marianna Loi, MD · +3903825931 · marianna.loi@icsmaugeri.it
- ICS Maugeri - PaviaRecruiting
Pavia, 27100 · Italy
- Isabella Springhetti, MD · +390382592621 · isabella.springhetti@icsmaugeri.it
Terms used on this page · explanations by MedicalUpdates.ai
- Inclusion Criteria
- The conditions a person must meet to be considered for the study, for example a confirmed diagnosis, an age range or a test result.
- Exclusion Criteria
- The conditions that rule a person out even if they meet the inclusion criteria, for example other illnesses, certain medicines or pregnancy.
- time frame
- The period over which an outcome is measured, for example 'at 12 weeks'. It is not necessarily the total length of the study.
The study record on this page is reproduced from ClinicalTrials.gov, a database of the U.S. National Library of Medicine, where it was submitted by the study sponsor. MedicalUpdates.ai does not own this content, is not affiliated with or endorsed by ClinicalTrials.gov, NIH, or the U.S. Government, and does not verify the record. Plain-language notes, the glossary and the questions above are added by this site; text in the boxes marked "AI summary" was written by an AI model and may contain errors. Registry records change over time. Check the original record for the current version and discuss eligibility or participation with a qualified healthcare professional.
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