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Feasibility and Preliminary Efficacy of Digital Cognitive Training in Parkinson’s Disease With Mild Cognitive Impairment: A Pilot Study
Dongje Lee, Hang-Rai Kim, Yu Jeong Park, Yisuh Ahn, Daeho Lee, Jungyeun Lee, Su Jin Chung, Seung Yeon Kim, Yeji Hwang, Ji Young Yun, Jin Whan Cho, Kyum-Yil Kwon, Seong-Beom Koh, Sung Hoon Kang
J Mov Disord. 2026;19(1):76-80.   Published online August 26, 2025
DOI: https://doi.org/10.14802/jmd.25135
  • 1,126 View
  • 74 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDFSupplementary Material
Objective
Cognitive impairment is common in patients with Parkinson’s disease (PD), and few pharmacological options are available for treating this condition. We evaluated the effects of a digital cognitive training program (SUPERBRAIN), which was previously shown to be effective in populations at risk of Alzheimer’s disease, on cognitive function in individuals with PD.
Methods
Twenty-three individuals with PD and mild cognitive impairment (PD-MCI) from four clinics were randomized to the intervention (n=16) or control (n=7) groups. The intervention group completed a 12-week, home-based, tablet-based cognitive training program (25–30 min/day, 7 days/week). Cognitive outcomes were assessed using the Seoul Neuropsychological Screening Battery pre- and post-intervention.
Results
The adherence rate was 79.36%. The intervention group showed significant improvements in the Seoul Verbal Learning Test (SVLT) delayed recall and the Controlled Oral Word Association Test, while no changes were observed in the control group. Analysis of covariance confirmed greater SVLT improvement in the intervention group (F statistic=7.15, p=0.015, partial η2=0.28).
Conclusion
SUPERBRAIN is feasible and can improve cognitive function in individuals with PD-MCI.

Citations

Citations to this article as recorded by  
  • Integrated bio-cooperative robotic platform for virtual cognitive training in Parkinson's disease: design and methodology of the OPERA project
    Cristina Polito, Giulia Martinelli, Sara Della Bella, Eleonora Pavan, Ylenia Crocetto, Simona Abagnale, Cristiana Rondoni, Alfonso Voscarelli, Marco Pirini, Francesco Scotto di Luzio, Loredana Zollo, Anna Estraneo
    Frontiers in Neurology.2026;[Epub]     CrossRef
Case Report
Familial Hyperekplexia, a Potential Cause of Cautious Gait: A New Korean Case and a Systematic Review of Phenotypes
Yoonju Lee, Nan Young Kim, Sangkyoon Hong, Su Jin Chung, Seong Ho Jeong, Phil Hyu Lee, Young H. Sohn
J Mov Disord. 2017;10(1):53-58.   Published online December 27, 2016
DOI: https://doi.org/10.14802/jmd.16044
  • 15,595 View
  • 241 Download
  • 15 Web of Science
  • 14 Crossref
AbstractAbstract PDFSupplementary Material
Familial hyperekplexia, also called startle disease, is a rare neurological disorder characterized by excessive startle responses to noise or touch. It can be associated with serious injury from frequent falls, apnea spells, and aspiration pneumonia. Familial hyperekplexia has a heterogeneous genetic background with several identified causative genes; it demonstrates both dominant and recessive inheritance in the α1 subunit of the glycine receptor (GLRA1), the β subunit of the glycine receptor and the presynaptic sodium and chloride-dependent glycine transporter 2 genes. Clonazepam is an effective medical treatment for hyperekplexia. Here, we report genetically confirmed familial hyperekplexia patients presenting early adult cautious gait. Additionally, we review clinical features, mode of inheritance, ethnicity and the types and locations of mutations of previously reported hyperekplexia cases with a GLRA1 gene mutation.

Citations

Citations to this article as recorded by  
  • The implications of hyperekplexia on children’s quality of life: a report on two cases
    Beatriz Salimon Carlos dos Santos, João Pedro Garcia de Mattos, Laura Souza Juliano, Rodrigo Rigoleto de Souza, César Antônio Franco Marinho
    Revista Paulista de Pediatria.2025;[Epub]     CrossRef
  • STARDEV Study: Neurodevelopmental Trajectory and Long‐Term Outcomes of Patients with Startle Disease/Hyperekplexia
    Diane Pina, Agathe Roubertie, Marie‐Aude Spitz, Claudia Ravelli, Nadia Bahi‐Buisson, Farha Gheurbi, Marion Buchy, Thomas Loppinet, Nicole Chemaly‐Perin, Marie‐Christine Nougues, Benedicte Heron, Regis Lopez, Mathieu Anheim, Mélanie Fradin, Claude Cances,
    Movement Disorders Clinical Practice.2025; 12(9): 1367.     CrossRef
  • Hyperekplexia: A Single-Center Experience
    Merve Hilal Dolu, Gökçen Öz Tunçer, Ünal Akça, Seren Aydın, Oğuzhan Bahadir, Özlem Sezer, Ayşe Aksoy, Haydar Ali Taşdemir
    Journal of Child Neurology.2024; 39(7-8): 260.     CrossRef
  • Hereditary hyperekplexia: a new family and a systematic review of GLRA1 gene-related phenotypes
    Elisabetta Ferraroli, Marco Perulli, Chiara Veredice, Ilaria Contaldo, Michela Quintiliani, Martina Ricci, Ilaria Venezia, Luigi Citrigno, Antonio Qualtieri, Patrizia Spadafora, Francesca Cavalcanti, Domenica Immacolata Battaglia
    Pediatric Neurology.2022;[Epub]     CrossRef
  • Paroxysmal Nonepileptic Events in Children
    Ilaria Lagorio, Lorenzo Brunelli, Pasquale Striano
    Neurology Clinical Practice.2022; 12(4): 320.     CrossRef
  • Four Turkish families with hyperekplexia: A missense mutation and the exon 1–7 deletion in the GLRA1 gene
    Didem Tezen, Gülşah Şimşir, Özlem Çokar, Veysi Demirbilek, A. Nazlı Başak, Zuhal Yapıcı
    Parkinsonism & Related Disorders.2022; 105: 128.     CrossRef
  • Advances in hyperekplexia and other startle syndromes
    Fei-xia Zhan, Shi-Ge Wang, Li Cao
    Neurological Sciences.2021; 42(10): 4095.     CrossRef
  • A Case of Hyperekplexia That Started From Childhood: Clinical Diagnosis With Negative Genetic Investigations
    Annibale Antonioni, Giovanni Peschi, Enrico Granieri
    Frontiers in Neurology.2020;[Epub]     CrossRef
  • Excessive Startle with Novel GLRA1 Mutations in 4 Chinese Patients and a Literature Review of GLRA1-Related Hyperekplexia
    Feixia Zhan, Chao Zhang, Shige Wang, Zeyu Zhu, Guang Chen, Mingliang Zhao, Li Cao
    Journal of Clinical Neurology.2020; 16(2): 230.     CrossRef
  • C.292G>A, a novel glycine receptor alpha 1 subunit gene (GLRA1) mutation found in a Chinese patient with hyperekplexia
    Yan Zhang, Ling-Ling Wu, Xiao-Lan Zheng, Cai-Mei Lin
    Medicine.2020; 99(17): e19968.     CrossRef
  • Hyperekplexia and other startle syndromes
    Arushi Gahlot Saini, Sanjay Pandey
    Journal of the Neurological Sciences.2020; 416: 117051.     CrossRef
  • Clinical features and genetic analysis of two siblings with startle disease in an Italian family: a case report
    Teresa Sprovieri, Carmine Ungaro, Serena Sivo, Michela Quintiliani, Ilaria Contaldo, Chiara Veredice, Luigi Citrigno, Maria Muglia, Francesca Cavalcanti, Sebastiano Cavallaro, Eugenio Mercuri, Domenica Battaglia
    BMC Medical Genetics.2019;[Epub]     CrossRef
  • Weird Laughing in Hyperekplexia: A new phenotype associated with a novel mutation in the GLRA1 gene?
    Zhi Huang, Yajun Lian, Hongliang Xu, Haifeng Zhang
    Seizure.2018; 58: 6.     CrossRef
  • A novel compound mutation in GLRA1 cause hyperekplexia in a Chinese boy- a case report and review of the literature
    Zhiliang Yang, Guilian Sun, Fang Yao, Dongying Tao, Binlu Zhu
    BMC Medical Genetics.2017;[Epub]     CrossRef

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