Investigation of the Effects of Pilates Training in Parkinson Patients
1 other identifier
interventional
34
1 country
1
Brief Summary
This study was planned to examine the effects of Pilates training in Parkinson's Patients. The study included 34 Parkinson's patients between Hoehn \& Yahr Stage 1-2.5. Pilates training was applied to the Pilates group for 8 weeks, 3 days per week. To the control group; Breathing exercises, active range of motion exercises and relaxation exercises were given as a home program 3 days per week for 8 weeks. It was concluded that Pilates training performed to Parkinson's patients 3 times a week for 8 weeks was effective on "core" stability, thickness of "core" muscles, functional exercise capacity, motor functions, freezing, fatigue and QOL.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable parkinson-disease
Started Nov 2019
Shorter than P25 for not_applicable parkinson-disease
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2020
CompletedFirst Submitted
Initial submission to the registry
April 27, 2021
CompletedFirst Posted
Study publicly available on registry
June 16, 2021
CompletedJune 16, 2021
June 1, 2021
3 months
April 27, 2021
June 9, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (11)
Evaluation of the Strength of "Core" Muscles
The strength of the trunk muscles was evaluated with 'sit-up' and modified 'push-up' tests. The number of times the subjects could perform each test for 30 seconds was recorded. Each measurement was made twice and the best measurement was used in statistical analysis.
8 weeks
Evaluation of the Endurance of "Core" Muscles
Static endurance of the "core" muscles was evaluated using the lateral bridge test defined by McGill, the trunk flexor endurance test and the "prone bridge" test. The time in which the subjects could maintain the test position was recorded in seconds using a stopwatch. Each measurement was made twice and the best measurement was used in statistical analysis. The test was terminated if it disturbed the test position.
8 weeks
Ultrasound Examination of M. Transversus Abdominus and M. Multifidus
M. transversus abdominus (TrA) and m. multifidus (MF) muscles were visualized by ultrasonography and the evaluations were performed by an experienced radiologist who was blind to the case groups. Ultrasound recordings were made using B-mode ultrasound. Each measurement was taken 3 times and the average value of 3 measurements was recorded in mm for statistical analysis.
8 weeks
Evaluation of Lower Extremity Functional Strength
Lower extremity functional strength was evaluated with the 5-Times Sit-and-Stand Test. The test was performed twice, one trial, and the last measurement was used in statistical analysis.
8 weeks
Evaluation of Balance
Balance was evaluated using the Berg Balance Scale (BBS). BBS tests were performed using the materials specified in the directive and in accordance with the instructions. The total score ranges from 0-56, with higher scores indicating better balance.
8 weeks
Evaluation of Functional Mobility
Functional mobility was evaluated using the Timed Up and Go Test (TUG). This test; The duration was recorded and applied during the single-task and dual-task (motor and cognitive). Testing for single task was carried out in accordance with the instruction. In dual-motor duty, while holding an empty tray from the case with both hands; In the dual-cognitive task, he was asked to stand up and walk, turn around and come back and sit on the chair, counting 1 each backwards from a certain number (any number from 20 to 100). The time was recorded with a stopwatch. The test was performed twice, one trial, and the last measurement was used in statistical analysis.
8 weeks
Evaluation of Functional Exercise Capacity
Functional exercise capacity was evaluated using the 6 Minute Walking Test (6-MWT). The test was performed in accordance with the American Thoracic Society criteria. Normal values of 6-MWT are calculated approximately according to age, gender, height and weight in healthy adults. In this study, using reference suggested by Gibbons et al. "Estimated 6-MWT distance" and the rate of reaching the maximal heart rate at the end of 6-MWT were calculated.
8 weeks
Activities of Daily Living and Evaluation of Motor Impairment
Activities of daily living and motor impairment were evaluated with activities of daily living (II) and motor impairment (III) sub-dimensions of the Unified Parkinson's Disease Rating Scale (UPDRS). The total score ranges from 0-108, with a higher score indicating a more serious disorder.
8 weeks
Evaluation of Freezing
The Freezing of Gait Questionnaire (FOGQ) was used to identify and evaluate the subjective perception of Parkinson's patients regarding the severity and effect of freezing on gait performance. The total score ranges from 0-24, with a higher score meaning that a person's walking performance is more affected by freezing.
8 weeks
Evaluation of Fatigue
Fatigue, one of the non-motor findings associated with Parkinson's, was evaluated with the Parkinson's Fatigue Scale-16 (PFS-16). The total score ranged from 16 to 80, and a total of 8 points or more was considered tired.
8 weeks
Evaluation of Quality of Life
Quality of Life was evaluated with Parkinson's Disease Questionnaire-39 (PDQ-39). This questionnaire is the most frequently used specific health status measure in PD patients. The total score ranges from 0-100, and lower scores better reflect perceived quality of life.
8 weeks
Study Arms (12)
Pilates Group
EXPERIMENTALPilates training was carried out as group exercises for about 1 hour, 3 days a week for 8 weeks.
Control Group
ACTIVE COMPARATORBreathing exercises, active range of motion exercises and relaxation exercises were given to the control group as a home program. They were asked to do the exercises 3 days a week for 8 weeks.
Evaluation of 'Core' Stability
NO INTERVENTION"Core" stability was evaluated with two important dimensions, "core" strength and endurance tests.
Ultrasound Examination of M. Transversus Abdominus and M. Multifidus
NO INTERVENTIONM. transversus abdominus (TrA) and m. multifidus (MF) muscles were visualized by ultrasonography and the evaluations were performed by an experienced radiologist who was blind to the case groups.
Evaluation of Lower Extremity Functional Strength
NO INTERVENTIONLower extremity functional strength was evaluated with the 5-Times Sit-and-Stand Test.
Evaluation of Balance
NO INTERVENTIONBalance was evaluated using the Berg Balance Scale (BBS).
Evaluation of Functional Mobility
NO INTERVENTIONFunctional mobility was evaluated using the Timed Up and Go Test (TUG).
Evaluation of Functional Exercise Capacity
NO INTERVENTIONFunctional exercise capacity was evaluated using the 6 Minute Walking Test (6-MWT).
Activities of Daily Living and Evaluation of Motor Impairment
NO INTERVENTIONActivities of daily living and motor impairment were evaluated with activities of daily living (II) and motor impairment (III) sub-dimensions of the Unified Parkinson's Disease Rating Scale (UPDRS).
Evaluation of Freezing
NO INTERVENTIONThe Freezing of Gait Questionnaire (FOGQ) was used to identify and evaluate the subjective perception of Parkinson's patients regarding the severity and effect of freezing on gait performance.
Evaluation of Fatigue
NO INTERVENTIONFatigue, one of the non-motor findings associated with Parkinson's, was evaluated with the Parkinson's Fatigue Scale-16 (PFS-16).
Evaluation of Quality of Life
NO INTERVENTIONQuality of Life was evaluated with Parkinson's Disease Questionnaire-39 (PDQ-39).
Interventions
Pilates training was carried out as group exercises for about 1 hour, 3 days a week for 8 weeks. Before starting the exercise training, all subjects were taught the key elements of Pilates in 1 session. Pilates training started with standing exercises for warming up and centering in the supine position. Training continued with upper and lower extremity movements. The intensity of the exercises was increased using different positions and elastic bands. Stretching exercises and posture exercises were used during the cooling period. All exercises were started with 10 repetitions and then increased to 20. In order for the patients to perform the movements correctly, each movement was first demonstrated by the physiotherapist. The movements that the patients could not do were applied by modifying them in a suitable way.
Breathing exercises, active range of motion exercises and relaxation exercises were given to the control group as a home program. They were asked to do the exercises 3 days a week for 8 weeks.
Eligibility Criteria
You may qualify if:
- After providing information about the research, agreeing to participate in the research
- Being 40 years or older
- Being diagnosed with '' Idiopathic Parkinson's Disease '' by a specialist
- To be between 1-2.5 values according to Hoehn and Yahr (H\&Y) Scale
You may not qualify if:
- Standardized Mini Mental Test score is less than 24
- Presence of cardiovascular, pulmonary, orthopedic or other medical conditions that limit participation in Pilates training
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Recep Tayyip Erdogan University
Güneysu, Rize Province, 53390, Turkey (Türkiye)
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
DERYA CAGLAR, MSc
Recep Tayyip Erdogan University Vocational School of Physical Therapy and Rehabilitation
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Assistant
Study Record Dates
First Submitted
April 27, 2021
First Posted
June 16, 2021
Study Start
November 1, 2019
Primary Completion
February 1, 2020
Study Completion
May 1, 2020
Last Updated
June 16, 2021
Record last verified: 2021-06
Data Sharing
- IPD Sharing
- Will not share