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Идёт набор NCT07590700

Home-Based Exercise Programs for Fall Prevention in Parkinson Disease

Без фазы С лечением PARKINSON DISEASE (Disorder) Falls Prevention Exercise

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Otago Home Exercise Program, Structured Home Exercise Program.
Кому может быть актуально
Состояния в реестре: PARKINSON DISEASE (Disorder), Falls Prevention, Exercise. Базовые параметры: от 40 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Turkey (Türkiye)
Следующий шаг
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Официальное название

Effectiveness of Fall-Preventive Home Exercise Programs in Patients With Parkinson Disease: A Randomized Controlled Trial

Обзор

Falls are common in patients with Parkinson disease and may lead to reduced mobility, fear of falling, loss of independence, and injury. Exercise-based rehabilitation programs may help improve balance, gait, and physical performance in this population. This randomized controlled trial aims to compare the effectiveness of two home-based exercise programs in patients with Parkinson disease: the Otago Exercise Program and a structured home exercise program. Participants will be randomly assigned to one of two groups. Both groups will receive exercise education and will perform their assigned home exercise program for 6 weeks. Participants will be evaluated at baseline, at week 3, and at the end of week 6. The study will assess fall-related outcomes, freezing of gait, functional mobility, gait parameters, postural control, and physical performance. The results may help determine which home-based exercise approach is more effective for reducing fall risk and improving functional outcomes in patients with Parkinson disease.

Вмешательства

  • Поведенческое Otago Home Exercise Program
    nce exercises designed to improve lower extremity muscle strength, balance, functional mobility, and fall-related outcomes. Participants will perform the program 3 times per week for 6 weeks, with each session lasting approximately 40 minutes. The program will be reviewed and progressed at week 3.
  • Поведенческое Structured Home Exercise Program
    The structured home exercise program is a home-based exercise intervention including spinal stabilization exercises and stretching and strengthening exercises targeting the ankle plantar flexor and dorsiflexor muscles, quadriceps, lumbar extensor muscles, pectoral muscles, and hamstring muscles. Participants will perform the program 3 times per week for 6 weeks, with each session lasting approximately 40 minutes. The program will be reviewed and progressed at week 3.

Первичные конечные точки

  • Falls Efficacy Scale [Срок оценки: Baseline, week 3, and week 6]
Вторичные конечные точки (5)
  • Freezing of Gait Questionnaire (FOGQ) [Срок оценки: Baseline, week 3, and week 6]
  • Timed Up and Go Test [Срок оценки: Baseline, week 3, and week 6]
  • Functional Reach Test [Срок оценки: Baseline, week 3, and week 6]
  • Sit-to-Stand Test [Срок оценки: Baseline, week 3, and week 6]
  • Gait Initiation Time [Срок оценки: Baseline, week 3, and week 6]

Критерии участия

Критерии включения

  • Diagnosis of Parkinson disease confirmed by a neurologist
  • Hoehn and Yahr stage 3 or 4 Parkinson disease
  • Diagnosis of Parkinson disease for at least 5 years
  • Willingness to participate in the study and provide written informed consent
  • Ability to walk independently or with minimal assistance
  • Mini-Mental State Examination score >24

Критерии исключения

  • Balance or gait impairment due to causes other than Parkinson disease, such as severe orthopedic problems or another neurological disease
  • Red flags suggestive of Parkinson-plus syndromes, such as symmetric onset, early falls, early-onset dementia, or gaze palsy
  • History of serious fall-related injury or surgery within the last 6 months
  • Any additional health condition that would prevent participation in the exercise program during the study period

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

Turkey (Türkiye) · 1 центр
  • Hatay Mustafa Kemal University — Hatay

Идентификаторы

NCT: NCT07590700 · 2025/02-44

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗