Effects of Different Physical Therapies and Dance in People With Parkinson's Disease

NCT03860649 | Unknown DMC

• 1 other identifier: LTartaruga,PPT-Parkinson
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of study is to analyze the effects of different physical therapies (Aquatic Jogging, Neurofunctional Physiotherapy, Pilates Training and Nordic Walking) and Dance and compare with unsupervised home exercises in the clinical-functional parameters, postural balance, muscular echographic quality, pendulum gait mechanism, and serum levels of BDNF in people with Parkinson's disease with camptocormia or Pisa Syndrome.

Conditions

Parkinson Disease; Parkinson Disease 10

Keywords

Mobility; Functionality; Movement disorders; Rehabilitation; Locomotion

Outcome Measures

Primary Outcomes (1)

• Test Timed Up and Go

  Test Timed Up and Go This teste evaluate the mobility functional in three meters of self-selected speed (TUGSS) or at forced speed (TUGFS).

  Change from baseline at 12 weeks.

Secondary Outcomes (7)

• Locomotor Rehabilitation Index

  Change from baseline at 12 weeks.

• Self-selected walking speed

  Change from baseline at 12 weeks.

• Optimal Walking Speed (OPT)

  Change from baseline at 12 weeks.

• Quality of life (QoL): PDQ-39

  Change from baseline at 12 weeks.

• Cognitive function - Montreal Cognitive Assessment

  Change from baseline at 12 weeks.

Other Outcomes (22)

• Motor symptoms

  Change from baseline at 12 weeks.

• Freezing of Gait

  Change from baseline at 12 weeks.

• Balance Static

  Change from baseline at 12 weeks.

Study Arms (4)

Nordic Walking

EXPERIMENTAL

The patient walk program consists of 3 moments: warm up, walk and stretch. They will do a brief free walking warm-up for 3 minutes in the Self-selected walking speed - SSWS (3 'SSWS), then walk according to the training cycle, the intensity will be between 60 to 80% of the Heart of Ratio reserve. In addition, the intensity of the classes will be measured in each phase by the Borg Scale of Perceived Exertion.

Other: Nordic Walking

Jogging

EXPERIMENTAL

This group will undergo 24 Dance sessions. Aquatic therapy patients will receive deep water running intervention with the use of flotation vests. The exercises will consist of: immersion, balance, strength, agility, and movement within the water. The intensity of the classes will be measured in each moment and by the Borg Scale of Perceived Exertion.

Other: Jogging

Dance

EXPERIMENTAL

This group will undergo 24 Dance sessions inspired by Forró dance rhythm and Samba dance rhythm. Classes will be divided into four stages: Joint warm up and stretching on the chairs; strengthening, balance and rhythm exercises with the support of the barre; exercises inspired by the Samba and Forró dance (Brazilian ballroom dance) basic steps; and Final cool down. The intensity of the classes will be measured according to the beats per minute (BPMs) of the songs used in each moment and by the Borg Scale of Perceived Exertion.

Other: Dance

Pilates Training

EXPERIMENTAL

Classes composed of three phases: Warming up, main part and back to calm. Warming up will begin with pre-Pilates training exercises for 5 minutes (eg. breathing exercises, hip joint mobilization, shoulder girdle, etc.), the main part of the lesson will be the Pilates training drill sequence for the beginner level that will be conducted for 50 minutes in which all exercises will be performed on the floor. The sequence of the eighteen exercises of the main part of the lesson is described in the table below. Back to Calm: will be carried out for 5 final minutes with standing exercises with the subject reclining on the wall to reconnect the subject with orthostatic posture. In the each of the phases of the lesson will be shown to the subject the table of BORG with the objective of measuring the intensity of perceived exertion, using the Borg Scale of Perceived Exertion.

Other: Pilates Training

Interventions

Nordic Walking OTHER

24 sessions will be held twice a week, with each session taking an average of 60 minutes.

Nordic Walking

Jogging OTHER

24 sessions will be held twice a week, with each session taking an average of 60 minutes.

Jogging

Dance OTHER

24 sessions will be held twice a week, with each session taking an average of 60 minutes.

Dance

Pilates Training OTHER

24 sessions will be held twice a week, with each session taking an average of 60 minutes.

Pilates Training

Eligibility Criteria

• Age: 40 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteers
• aged over 40 years
• both sexes
• clinical diagnosis of idiopathic PD
• PD staging between 1 and 4 in Hoehn and Yahr Scale (H\&Y).

You may not qualify if:

• performing recent surgeries, deep brain stimulation (DBS - Deep Brain Stimulations);
• severe heart diseases, uncontrolled hypertension, myocardial infarction within a period of less than one year, being a pacemaker;
• stroke or other associated neurological diseases; insanity;
• prostheses in the lower limbs;
• without ambulation conditions.

Sponsors & Collaborators

• Federal University of Rio Grande do Sul: lead
• Aline Nogueira Haas: collaborator
• Flávia Gomes Martinez: collaborator

Study Sites (1)

Federal University of Rio Grande do Sul

Porto Alegre, Rio Grande do Sul, 90690200, Brazil

Location

Related Publications (34)

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  BACKGROUND

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MeSH Terms

Conditions

Parkinson Disease; Parkinson Disease 10; Movement Disorders

Interventions

Nordic Walking; Jogging; Exercise Movement Techniques

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Walking; Locomotion; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise; Motor Activity; Running; Physical Therapy Modalities; Therapeutics

Study Officials

• Leonardo Alexandre Peyré-Tartaruga, PhD

  Federal University of Rio Grande do Sul

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: double-blind (Investigator, Outcomes Assessor)
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Adjunct Professor

Study Record Dates

• First Submitted: December 5, 2018
• First Posted: March 4, 2019
• Study Start: August 1, 2018
• Primary Completion: July 30, 2019
• Study Completion: December 30, 2022
• Last Updated: June 9, 2020

Record last verified: 2020-06

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)