ID

39325

Descrição

Study of Adherence and Effects of Balance Exercices (SIEL BLEU Associatio); ODM derived from: https://clinicaltrials.gov/show/NCT01314638

Link

https://clinicaltrials.gov/show/NCT01314638

Palavras-chave

Versões (1)
  1. 20/12/2019 20/12/2019 -
Titular dos direitos

See clinicaltrials.gov

Transferido a

20 de dezembro de 2019

DOI

Para um pedido faça login.

Licença

Creative Commons BY 4.0
Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Voltar para os comentários do modelo
Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Eligibility Gait Apraxia NCT01314638

Inglês

Eligibility Gait Apraxia NCT01314638

1 Formulários  
Inclusion Criteria
Descrição

Inclusion Criteria

Alias
UMLS CUI
C1512693
diagnosis of alzheimer's disease (ad) (dsm-iv/nincds-adrda criteria)
Descrição

Alzheimer's Disease

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0002395
age ≥ 65 years old
Descrição

Age

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0001779
mild ad (mini-mental state examination score between 21 and 25), moderate ad (mini-mental state examination score between 10 and 20) and severe ad (mini-mental state examination score between 3 and 9)
Descrição

Alzheimer's Disease Mild Mini-mental state examination | Alzheimer's Disease Moderate Mini-mental state examination | Alzheimer's Disease Severe Mini-mental state examination

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0002395
UMLS CUI [1,2]
C2945599
UMLS CUI [1,3]
C0451306
UMLS CUI [2,1]
C0002395
UMLS CUI [2,2]
C0205081
UMLS CUI [2,3]
C0451306
UMLS CUI [3,1]
C0002395
UMLS CUI [3,2]
C0205082
UMLS CUI [3,3]
C0451306
able to walk without any aid on 15 meters.
Descrição

Able to walk Without Help Meter Quantity

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C2712089
UMLS CUI [1,2]
C3827452
UMLS CUI [1,3]
C0475209
UMLS CUI [1,4]
C1265611
near visual acuity ≥ 2
Descrição

Near visual acuity

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0429541
absence of severe depression (score of the 15-item geriatric depression scale ≤ 10)
Descrição

Severe depression Absent Geriatric depression scale

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0588008
UMLS CUI [1,2]
C0332197
UMLS CUI [1,3]
C0451184
written consent form to participate in the study (or trustworthy person or legal representative for severe ad)
Descrição

Informed Consent | Informed Consent Patient Representative

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0021430
UMLS CUI [2,1]
C0021430
UMLS CUI [2,2]
C0030701
being affiliated to a social security regime
Descrição

Patient Affiliated Social Security Program

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1510826
UMLS CUI [1,3]
C0037435
Exclusion Criteria
Descrição

Exclusion Criteria

Alias
UMLS CUI
C0680251
musculoskeletal disorders not related to alzheimer's disease
Descrição

Musculoskeletal Disease | Relationship Absent Alzheimer's Disease

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0026857
UMLS CUI [2,1]
C0439849
UMLS CUI [2,2]
C0332197
UMLS CUI [2,3]
C0002395
near visual acuity < 2
Descrição

Near visual acuity

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0429541
history of cerebrovascular accident or other cerebro-spinal pathology
Descrição

Cerebrovascular accident | CNS disorder

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0038454
UMLS CUI [2]
C0007682
poor workmanship of the written or oral french language
Descrição

Lacking Able to write French language | Lacking Able to speak French language

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0332268
UMLS CUI [1,2]
C0584993
UMLS CUI [1,3]
C0376246
UMLS CUI [2,1]
C0332268
UMLS CUI [2,2]
C0564215
UMLS CUI [2,3]
C0376246
refusal to be informed on possible hanging bare anomaly during study
Descrição

Patient Information Refused

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C1955348
UMLS CUI [1,2]
C1705116
score of mini-mental state examination < 3
Descrição

Mini-mental state examination

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0451306
presence of severe depression (score of the 15-item geriatric depression scale > 10)
Descrição

Severe depression Geriatric depression scale

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0588008
UMLS CUI [1,2]
C0451184
use of walking aid
Descrição

Walking aid use

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0429987
subject suffering from pre-existing impellent disturbances
Descrição

Psychomotor Disorders Pre-existing

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0033922
UMLS CUI [1,2]
C2347662
refusal to participate (or trustworthy person or legal representative)
Descrição

Participation Refused | Participation Refused Patient Representative

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0679823
UMLS CUI [1,2]
C1705116
UMLS CUI [2,1]
C0679823
UMLS CUI [2,2]
C1705116
UMLS CUI [2,3]
C0030701
Voltar ao início da página

Similar models

Eligibility Gait Apraxia NCT01314638

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
C1512693 (UMLS CUI)
Alzheimer's Disease
Item
diagnosis of alzheimer's disease (ad) (dsm-iv/nincds-adrda criteria)
boolean
C0002395 (UMLS CUI [1])
Age
Item
age ≥ 65 years old
boolean
C0001779 (UMLS CUI [1])
Alzheimer's Disease Mild Mini-mental state examination | Alzheimer's Disease Moderate Mini-mental state examination | Alzheimer's Disease Severe Mini-mental state examination
Item
mild ad (mini-mental state examination score between 21 and 25), moderate ad (mini-mental state examination score between 10 and 20) and severe ad (mini-mental state examination score between 3 and 9)
boolean
C0002395 (UMLS CUI [1,1])
C2945599 (UMLS CUI [1,2])
C0451306 (UMLS CUI [1,3])
C0002395 (UMLS CUI [2,1])
C0205081 (UMLS CUI [2,2])
C0451306 (UMLS CUI [2,3])
C0002395 (UMLS CUI [3,1])
C0205082 (UMLS CUI [3,2])
C0451306 (UMLS CUI [3,3])
Able to walk Without Help Meter Quantity
Item
able to walk without any aid on 15 meters.
boolean
C2712089 (UMLS CUI [1,1])
C3827452 (UMLS CUI [1,2])
C0475209 (UMLS CUI [1,3])
C1265611 (UMLS CUI [1,4])
Near visual acuity
Item
near visual acuity ≥ 2
boolean
C0429541 (UMLS CUI [1])
Severe depression Absent Geriatric depression scale
Item
absence of severe depression (score of the 15-item geriatric depression scale ≤ 10)
boolean
C0588008 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0451184 (UMLS CUI [1,3])
Informed Consent | Informed Consent Patient Representative
Item
written consent form to participate in the study (or trustworthy person or legal representative for severe ad)
boolean
C0021430 (UMLS CUI [1])
C0021430 (UMLS CUI [2,1])
C0030701 (UMLS CUI [2,2])
Patient Affiliated Social Security Program
Item
being affiliated to a social security regime
boolean
C0030705 (UMLS CUI [1,1])
C1510826 (UMLS CUI [1,2])
C0037435 (UMLS CUI [1,3])
Item Group
C0680251 (UMLS CUI)
Musculoskeletal Disease | Relationship Absent Alzheimer's Disease
Item
musculoskeletal disorders not related to alzheimer's disease
boolean
C0026857 (UMLS CUI [1])
C0439849 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C0002395 (UMLS CUI [2,3])
Near visual acuity
Item
near visual acuity < 2
boolean
C0429541 (UMLS CUI [1])
Cerebrovascular accident | CNS disorder
Item
history of cerebrovascular accident or other cerebro-spinal pathology
boolean
C0038454 (UMLS CUI [1])
C0007682 (UMLS CUI [2])
Lacking Able to write French language | Lacking Able to speak French language
Item
poor workmanship of the written or oral french language
boolean
C0332268 (UMLS CUI [1,1])
C0584993 (UMLS CUI [1,2])
C0376246 (UMLS CUI [1,3])
C0332268 (UMLS CUI [2,1])
C0564215 (UMLS CUI [2,2])
C0376246 (UMLS CUI [2,3])
Patient Information Refused
Item
refusal to be informed on possible hanging bare anomaly during study
boolean
C1955348 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
Mini-mental state examination
Item
score of mini-mental state examination < 3
boolean
C0451306 (UMLS CUI [1])
Severe depression Geriatric depression scale
Item
presence of severe depression (score of the 15-item geriatric depression scale > 10)
boolean
C0588008 (UMLS CUI [1,1])
C0451184 (UMLS CUI [1,2])
Walking aid use
Item
use of walking aid
boolean
C0429987 (UMLS CUI [1])
Psychomotor Disorders Pre-existing
Item
subject suffering from pre-existing impellent disturbances
boolean
C0033922 (UMLS CUI [1,1])
C2347662 (UMLS CUI [1,2])
Participation Refused | Participation Refused Patient Representative
Item
refusal to participate (or trustworthy person or legal representative)
boolean
C0679823 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
C0679823 (UMLS CUI [2,1])
C1705116 (UMLS CUI [2,2])
C0030701 (UMLS CUI [2,3])
Voltar ao início da página 

Contacto

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Ajuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial