Effects of Exercise With Visual Feedback in Parkinson's Disease

Официальное название

Effects of Visual Indicator Exercises for the Trunk and Lower Extremities on Activity and Participation in Parkinson's Disease

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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
• Другое 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

Первичные конечные точки

• Center of Pressure Elliptical Area [Срок оценки: up to 8 weeks]
• Berg Balance Scale [Срок оценки: up to 8 weeks]

Вторичные конечные точки (11)

• L Test [Срок оценки: up to 8 weeks]
• Unified Parkinson's Disease Rating Scale [Срок оценки: up to 8 weeks]
• New York Postural Assessment Test [Срок оценки: up to 8 weeks]
• Visual Analog Scale [Срок оценки: up to 8 weeks]
• Parkinson Fatigue Scale [Срок оценки: up to 8 weeks]
• 10-Meter Walk Test [Срок оценки: up to 8 weeks]
• Activities-specific Balance Confidence Scale [Срок оценки: up to 8 weeks]
• Functional Reach Test [Срок оценки: up to 8 weeks]
• Five Times Sit-to-Stand Test [Срок оценки: up to 8 weeks]
• Freezing of Gait Questionnaire [Срок оценки: up to 8 weeks]
• Parkinson's Disease Quality of Life Questionnaire (PDQ-39) [Срок оценки: up to 8 weeks]

Критерии участия

Критерии включения

• 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

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

Тройное слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Hasan Kalyoncu University — Gaziantep

Публикации

• 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

Идентификаторы

NCT: NCT07322939 · HKU/Ph/1

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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