Effects of Mental Practice in Gait of Individuals With Parkinson Disease: Randomized Clinical Trial

NCT02118506 | Completed

• 1 other identifier: CEP/UFRN 275.155
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to compare the effects of mental practice, associated with physical practice, on gait (cinematic parameters and mobility) in individuals with idiopathic Parkinson's disease. It is believed that familiarity with the normal gait pattern, associated with mental practice and physical practice can trigger significant changes in spatiotemporal and angular parameters that are not observed in the group not submitted to mental practice.

Conditions

Parkinson Disease

Keywords

Primary Parkinsonism.; Rehabilitation.; Biomechanics.; Neurological gait disorders.

Outcome Measures

Primary Outcomes (1)

• Change from Baseline in Step length at 10 minutes and 1 day

  Three observetions were done. At baseline, 10 minutes and 1 day after intervention.

Secondary Outcomes (1)

• Change from Baseline in Double Limb Support Time at 10 minutes and 1 day

  Three observetions were done. At baseline, 10 minutes and 1 day after intervention.

Study Arms (2)

Physical practice

ACTIVE COMPARATOR

Familiarization with gait cycle: Cards with pictures of an elderly person performing movements related to the adjustment of posture, gait initiation and gait phases were shown to the subjects. They should have organized them sequentially, showing that they learned gait phases. Physical practice: is the execution of the motor action.

Other: Physical practice

Mental and physical practice

EXPERIMENTAL

Familiarization with gait cycle: Cards with pictures of an elderly person performing movements related to the adjustment of posture, gait initiation and gait phases were shown to the subjects. They should have organized them sequentially, showing that they learned gait phases. Mental practice: is defined as motor imagery training with the aim of improving the engine performance. Is the imagination of a motor action without its physical implementation. Physical practice: is the execution of the motor action.

Other: Mental and physical practice

Interventions

Physical practice OTHER

The control group underwent familiarization of gait phases using cards with gait phases and physical gait training. Familiarization with gait cycle: Cards with pictures of an elderly person performing movements related to the adjustment of posture, gait initiation and gait phases were shown to the subjects. They should have organized them sequentially, showing that they learned gait phases. Then, they were submitted to a physical gait training. They underwent a single training session during 1 hour and 30 minutes and were reassessed 10 minutes and 1 day after the end of the session, in respect of the kinematic gait and mobility.

Physical practice

Mental and physical practice OTHER

The experimental group underwent familiarization of gait phases using cards with gait phases, mental practice of gait and physical gait training. Familiarization with gait cycle: Cards with pictures of an elderly person performing movements related to the adjustment of posture, gait initiation and gait phases were shown to the subjects. They should have organized them sequentially, showing that they learned gait phases. Then, they were submitted to a mental training of gait. They imagined the gait steps per 400 repetitions. While imagining, they verbalized the gait phases. Finally, they were submitted to a physical gait training. They executed 400 steps. They underwent a single training session during 1 hour and 30 minutes and were reassessed 10 minutes and 1 day after the end of the session, in respect of the kinematic gait and mobility.

Mental and physical practice

Eligibility Criteria

• Age: 44 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• the subjects should be in use of antiparkinsonian medication,
• be between stages 2 and 3 of the Hoehn and Yahr modified scale);
• walk without any brace or aid device, independently (scores between 3 and 5 of the Functional Ambulatory Category - FAC) for at least 10 meters
• were not undergoing stereotactic surgery.

You may not qualify if:

• We excluded those who were unable or declined to complete the training protocol.

Sponsors & Collaborators

• Universidade Federal do Rio Grande do Norte: lead

Study Sites (1)

Federal University of Rio Grande do Norte

Natal, Rio Grande do Norte, 59078-970, Brazil

Location

MeSH Terms

Conditions

Parkinson Disease

Condition Hierarchy (Ancestors)

Parkinsonian Disorders; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases

Study Officials

• Lorenna M. de Melo Santiago, Master

  Universidade Federal do Rio Grande do Norte

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Ana Raquel Rodrigues Lindquist

Study Record Dates

• First Submitted: January 20, 2014
• First Posted: April 21, 2014
• Study Start: December 1, 2012
• Primary Completion: September 1, 2013
• Study Completion: September 1, 2013
• Last Updated: April 21, 2014

Record last verified: 2014-04

Locations

BR (1)