Effect of Sensory Electrical Stimulation on Resting Tremors in Patients with Parkinson's Disease

Обзор

Parkinson's disease is one of the most prevalent motor disorders in the world . The disease is progressive and has no known treatment. In addition to a number of psychological and autonomic issues, the disease also cause movement abnormalities which are the most challenging problem because management is still limited by medication or traditional physiotherapy the most effective way to treat symptoms is through an interprofessional new modalities as sensory stimulation , this study will be the first of its type to measure the effect of sensory stimulation on static tremors. Also, this study is the first of its type to make a continues treatment protocol for patient with static tremors. SO the purpose of these study will To investigate the effect of sensory electrical stimulation on resting tremors in Parkinson's patients.

Вмешательства

• Другое traditional exercises
  strengthening exercise for the shoulder muscles( shoulder extensors, shoulder retractors from prone position and shoulder external rotation exercise for 3 sets 10 repetition , weight bearing exercise on the hand from quadruped position and sitting position and strengthening exercise on the intrinsic muscles of the hand
• Другое sensory electrical stimulation
  The stimulated muscles included the flexor carpi radialis (FCR), extensor carpi radialis (ECR), and flexor carpi ulnaris (FCU). Rectangular surface electrodes (Ag/AgCl; 50mm \_ 50mm size) were attached on the motor point of each muscle, i.e., at four fingerbreadths from biceps tendon of FCR, at two fingerbreadths distal from lateral epicondyle for the ECR, at two fingerbreadths volar to ulna at the junction of the upper and middle thirds of the forearm for FCU.14 Portable stimulators will use wi

Первичные конечные точки

• triaxial gyrosensor (accelerator) [Срок оценки: 3 weeks]
• Fahn-tolosa- marin clinical rating scale [Срок оценки: 3 weeks]

Критерии участия

Критерии включения

• Age between 45 and 60
• Diagnosed with idiopathic Parkinson's disease with Magnetic resonance imaging of the brain
• All the patients will have mild to moderate symptoms based on (the Unified Parkinson's Disease Rating Scale UPDRS) ≥ 3
• Static tremors have been present at the hand and wrist
• Absence of other disorders that cause similar symptoms like dystonia

Критерии исключения

• History of hand trauma causes stiffness
• Presence of other neurological problems interferes with diagnosis as hemiplegic stroke
• Secondary parkinsonism (drug-induced or vascular ) which has very low tremor magnitude which can not be detected The patient has a severe visual problem that does not allow following the instructions.
• The patient educational level does not allow for following the instructions.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Outpatient clinics, Faculty of Physical Therapy, Cairo University — Giza

Идентификаторы

NCT: NCT06646510 · P.T.REC/012/005124

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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