Effects of Exercise With Visual Feedback in Parkinson's Disease
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Control Group, Visual Feedback Exercise Group.
- Who it may be relevant to
- Registry conditions: Parkinson Disease, Balance Impairment, Exercise Training, Postural Control. Basic parameters: 18 years — 85 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Effects of Visual Indicator Exercises for the Trunk and Lower Extremities on Activity and Participation in Parkinson's Disease
Overview
Patients with Parkinson's disease who apply to the Hasan Kalyoncu University Application and Research Center and meet the inclusion criteria will be included in the study. The included participants will be randomly assigned into either the intervention group or the control group using a sealed-envelope method. Both groups will undergo a standard exercise program, consisting of posture, strengthening, and balance training, under the supervision of a physiotherapist for 8 weeks, 3 days per week. In addition to this, the intervention group will receive an additional exercise program incorporating visual feedback using a laser pointer, targeting the trunk and lower extremities, also under the supervision of a physiotherapist for 8 weeks, 3 days per week.
Detailed description
This study aims to investigate the effects of visual feedback exercise training focused on balance, postural control, and lower extremity mobility using a laser pointer, in addition to standard rehabilitation, on activity and participation in individuals with Parkinson's disease.
Hypotheses:
H1: Incorporating visual feedback-based trunk and lower extremity exercises using a laser pointer into standard rehabilitation improves body structure and function in individuals with Parkinson's disease.
H2: Incorporating visual feedback-based trunk and lower extremity exercises using a laser pointer into standard rehabilitation enhances activity and participation in individuals with Parkinson's disease.
Interventions
- Other Control Group
The exercises will start with 6-8 repetitions and will increase by 2 repetitions each week. Cervical Region: Cervical rotation, lateral flexion, chin-tuck exercises Upper Extremity: Shoulder joint range of motion exercises with a wand, scapular adduction, shoulder retraction Lower Extremity: Bridge exercise, hip flexion, extension, abduction exercises, knee extension exercises, ankle dorsiflexion - plantar flexion exercises Balance Exercises: Perturbation exercises with eyes open and eyes closed - Other Visual Feedback Exercise Group
The visual feedback exercise will be performed using a wearable laser pointer attached to the trunk and lower extremities, along with a visual tracking screen. The exercise duration is 20 minutes. The laser placed on the trunk will be used in various exercises, including maintaining stability in a seated position, on a Swiss ball, while standing, during different movements, and on various surfaces. Additionally, trunk control exercises will involve rotational, vertical-horizontal, and circular m
Primary outcome measures
- Center of Pressure Elliptical Area [Time frame: up to 8 weeks]
- Berg Balance Scale [Time frame: up to 8 weeks]
Secondary outcome measures (11)
- L Test [Time frame: up to 8 weeks]
- Unified Parkinson's Disease Rating Scale [Time frame: up to 8 weeks]
- New York Postural Assessment Test [Time frame: up to 8 weeks]
- Visual Analog Scale [Time frame: up to 8 weeks]
- Parkinson Fatigue Scale [Time frame: up to 8 weeks]
- 10-Meter Walk Test [Time frame: up to 8 weeks]
- Activities-specific Balance Confidence Scale [Time frame: up to 8 weeks]
- Functional Reach Test [Time frame: up to 8 weeks]
- Five Times Sit-to-Stand Test [Time frame: up to 8 weeks]
- Freezing of Gait Questionnaire [Time frame: up to 8 weeks]
- Parkinson's Disease Quality of Life Questionnaire (PDQ-39) [Time frame: up to 8 weeks]
Eligibility criteria
Inclusion criteria
- Individuals diagnosed with idiopathic Parkinson's disease
- Disease severity classified as stage 1 to 3 according to the Modified Hoehn and Yahr Scale
- Patients receiving oral antiparkinsonian treatment only
Exclusion Critera
- Presence of musculoskeletal, cardiovascular, or vestibular disorders that may interfere with the completion of the assessments or treatment protocol
- Presence of additional neurological or psychiatric disorders other than Parkinson's disease
- Presence of visual impairment insufficient to perceive visual feedback
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Hasan Kalyoncu University — Gaziantep
Publications
- Kim KI, Im SC, Kim K. Effects of trunk stabilization exercises using laser pointer visual feedback in patients with chronic stroke: A randomized controlled study. Technol Health Care. 2023;31(2):471-483. doi: 10.3233/THC-220100. PMID 36120797
Identifiers
NCT: NCT07322939 · HKU/Ph/1