Evidence map›Paper›PMID 39934473›Full record

Trial reportJournal of neurology2025

A randomized clinical trial to evaluate the efficacy of cognitive rehabilitation and music therapy in mild cognitive impairment in Huntington's disease.

Andrea Moreu-Valls, Arnau Puig-Davi, Saul Martinez-Horta, Gabriel Kulisevsky, Frederic Sampedro, Jesus Perez-Perez, Andrea Horta-Barba, Gonzalo Olmedo-Saura, Javier Pagonabarraga, Jaime Kulisevsky

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05769972 (Randomized, Single-blind Clinical Trial to Evaluate the Efficacy of Cognitive Rehabilitation Using Inmersive Virtual Reality and Computer-based Cognitive Stimulation Versus Music Therapy on Cognitive Impairment Associated With Movement Disorders), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05769972 nacompletednot on this map

Randomized, Single-blind Clinical Trial to Evaluate the Efficacy of Cognitive Rehabilitation Using Inmersive Virtual Reality and Computer-based Cognitive Stimulation Versus Music Therapy on Cognitive Impairment Associated With Movement Disorders

TypeinterventionalSponsorFundació Institut de Recerca de l'Hospital de la Santa Creu i Sant PauRan2021 to 2023Enrolled64ConditionsParkinson Disease, Huntington DiseaseArmsImmersive Virtual Reality (Parkinson's disease), Computer-based cognitive rehabilitation (Parkinson's disease), Computer-based cognitive rehabilitation (Huntington's disease), Music-therapy (Huntington's disease)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Review
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Andrea Moreu-Valls *Medicine Department, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain.
Arnau Puig-Davi *Movement Disorders Unit, Neurology Department, Hospital de La Santa Creu I Sant Pau, Mas Casanovas 90, 08041, Barcelona, Spain.ORCID http://orcid.org/0000-0001-8883-4947
Saul Martinez-HortaMovement Disorders Unit, Neurology Department, Hospital de La Santa Creu I Sant Pau, Mas Casanovas 90, 08041, Barcelona, Spain.
Gabriel KulisevskyMovement Disorders Unit, Neurology Department, Hospital de La Santa Creu I Sant Pau, Mas Casanovas 90, 08041, Barcelona, Spain.
Frederic SampedroMovement Disorders Unit, Neurology Department, Hospital de La Santa Creu I Sant Pau, Mas Casanovas 90, 08041, Barcelona, Spain.
Jesus Perez-PerezMovement Disorders Unit, Neurology Department, Hospital de La Santa Creu I Sant Pau, Mas Casanovas 90, 08041, Barcelona, Spain.
Andrea Horta-BarbaMovement Disorders Unit, Neurology Department, Hospital de La Santa Creu I Sant Pau, Mas Casanovas 90, 08041, Barcelona, Spain.
Gonzalo Olmedo-SauraMovement Disorders Unit, Neurology Department, Hospital de La Santa Creu I Sant Pau, Mas Casanovas 90, 08041, Barcelona, Spain.
Javier PagonabarragaMovement Disorders Unit, Neurology Department, Hospital de La Santa Creu I Sant Pau, Mas Casanovas 90, 08041, Barcelona, Spain.
Jaime KulisevskyMedicine Department, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain. Jaime.Kulisevsky@uab.cat.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive impairment is a core feature of Huntington's disease (HD), yet no disease-modifying or symptomatic interventions have demonstrated efficacy in addressing these deficits. Non-pharmacological interventions, particularly cognitive training (CT), are promising options for maintaining neural plasticity, enhancing cognition, and improving emotional well-being.

methodsThis 24-week, single-center, randomized, single-blind study evaluated the safety and efficacy of two cognitive rehabilitation strategies in early-to-middle-stage HD patients. Participants were randomized into a computerized cognitive training (CT; n = 13) intervention or a music therapy (MT; n = 16) intervention. A standard of care (SoC; n = 15) group with no active intervention was also involved. Weekly 45-min sessions were conducted. Baseline and endpoint assessments included measures of global cognition, functional, motor, and neuropsychiatric assessments, along with structural and functional neuroimaging.

resultsBoth CT and MT groups demonstrated significant improvements in primary and secondary cognitive endpoints, including global cognition an composite measures of disease severity. Regression analysis identified longitudinal cognitive score changes as independent predictors of the rate of atrophy in the caudate, putamen, and inferior frontal gyrus. Functional connectivity analysis showed distinct intervention-related effects: CT group exhibited increased connectivity between the central executive and sensorymotor networks, while MT group reduced aberrant connectivity between the central executive and the default-mode network.

conclusionThis is the first randomized-controlled trial to evaluate two cognitive rehabilitation strategies in HD using multimodal neuroimaging. Both interventions were effective in improving cognition and modulating structural and functional brain changes in regions critical to HD. Trial Registration ClinicalTrials.gov (ID: NCT05769972).

Indexed as

Cognitive Behavioral TherapyCognitive DysfunctionHuntington DiseaseMusic TherapyAdultCognitive TrainingFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedSingle-Blind MethodTreatment OutcomeClinical trialCognitive rehabilitationHuntington’s diseaseMusic therapyNeuroimagingNon-pharmacological treatment

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.