Pilates as an Adjuvant Therapy in Parkinson Disease.

NCT03294031 | Completed

• 1 other identifier: 2015/484
• Study Type: interventional
• Target: 15
• Locations: 0 countries
• Sites: N/A

Brief Summary

Although Pilates has been proposed as a useful rehabilitation strategy in PD, research on its feasibility and potential effects on the motor symptoms and balance with this population is scarce. Some works have included Pilates as part of combined exercise session interventions, but information concerning their specific effects was not provided. Under these circumstances, this study aims at identifying the effects of adding Pilates as part of a conventional exercise rehabilitation program on the motor symptoms and static balance of PD persons. Participants (n=15) were assigned to a Pilates (PG) or to a conventional exercise group (CG) and performed one land-based and one water-based exercise session per week for 14 weeks. The MDS-UPDRS and a stabilometer were used to assess the impact of the intervention on the participant´s motor symptoms and static balance.

Conditions

Parkinson Disease

Keywords

Parkinson Disease; Neurodegenerative Disorder; Physical Activity; Pilates Method; Stabilometer

Outcome Measures

Primary Outcomes (1)

• Motor impairment.

  The Spanish adapted version of the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) was administered to assess the impact of the intervention on the motor impairment and disability related to PD. The MDS-UPDRS total score ranges from zero to 200, with higher scores indicating a greater impact of PD symptoms.

  The participants were assessed one week before starting the program (week #0).

Secondary Outcomes (8)

• Anthropometric Measurements.

  The participants were assessed one week before starting the program (week #0).

• Change from baseline Anthropometric Measurements at week 15.

  The participants were assessed one week after the programme was completed (week #15).

• Change from week 15 Anthropometric Measurements at week 18 follow-up.

  Follow-up assessment was performed four weeks after training ended (week #18).

• Static Balance at baseline.

  The participants were assessed one week before starting the program (week #0).

• Change from baseline Static Balance at 15 weeks.

  The participants were assessed one week after the programme was completed (week #15).

Study Arms (2)

Pilates

EXPERIMENTAL

The Pilates program covered a 12-week period, two weekly sessions. In one session, exercises were performed on a mat (Mat Pilates), and in the second session in standing and sitting position. The programme included warm-up exercises, the main part of the session and cooling activities.

Other: Pilates

Conventional Exercise

ACTIVE COMPARATOR

The conventional exercise programme covered a 12-week period, two weekly sessions. The programme aimed at improving aerobic capacity, muscular resistance, balance and flexibility. The program combined land-based and water-based exercise sessions.

Other: Conventional Exercise

Interventions

Pilates OTHER

Warm-up exercises included Abdominal and costal breathing and Pelvic Clock. Some exercises included in the main part of the mat session were Arm arcs, Curls up, Femur arcs, Shoulder bridge, Leg circles, among others. The main part of the sitting/standing session included in standing position exercises like Standing on one leg with support, Neck rolls, Side leg lift with support and in sitting position Spine stretch 5", Elbows back with hands behind his head, Heel/knee slides, Shoulder drops, Knee folds, among others. In mat sessions, cooling exercises included in standing position Hamstring stretch and Abdominal Breathing and Rest position and in sitting/standing session Stretching and Abdominal Breathing.

Pilates

Conventional Exercise OTHER

All sessions started with a 15-minute warm-up phase based on walking performance and joint mobility exercises. It was followed by a 35-minute second phase, which included low-impact aerobics (music tempo was set at 120 beats per minute), gross motor coordination tasks and balance activities. The final 5-minute phase focused on gentle stretching exercises.

Conventional Exercise

Eligibility Criteria

• Age: 60 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Stages 1 through 3 on the Hoehn and Yahr Staging Scale;
• Stable reaction to anti-Parkinson medication;
• Not having taken part in any physical exercise program during the month prior to the study.

You may not qualify if:

• People with PD who were not able to ambulate independently or presented any comorbidities other than PD or any acute illness that would make training inappropriate.

Sponsors & Collaborators

• University of Vigo: lead

Related Publications (30)

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  RESULT

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MeSH Terms

Conditions

Parkinson Disease; Neurodegenerative Diseases; Motor Activity

Interventions

Exercise Movement Techniques

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Officials

• José María Cancela-Carral, Ph.D.

  University of Vigo

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ph.D.

Study Record Dates

• First Submitted: September 18, 2017
• First Posted: September 26, 2017
• Study Start: January 11, 2016
• Primary Completion: May 27, 2016
• Study Completion: May 27, 2016
• Last Updated: September 26, 2017

Record last verified: 2017-09

Data Sharing

• IPD Sharing: Will not share