The Relationship of Trunk Position Sense and Spinal Posture With Balance in Parkinson's

NCT05233943 | Completed

• 1 other identifier: 2022-48
• Study Type: observational
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

The 4 main motor symptoms seen in Parkinson's patients are tremor, rigidity, postural instability and bradykinesia. In addition to these, another common symptom investigators encounter is balance problems. Increasing balance problems can lead to falls and fractures over time, which will further reduce the independence of Parkinson's patients who are not already active enough and reduce their quality of life. For these reasons, it is very important that balance is achieved and sustainable. It has been found in previous studies that spinal posture and body position sensation are affected in Parkinson's patients. But to our knowledge, no study has been found in the literature to address the effect these have had on balance function. In our planned study, investigators aim to investigate the effects of spinal posture and body position sensation on balance function.

Conditions

Parkinson Disease; Postural Kyphosis, Lumbosacral Region; Postural Kyphosis; Postural Lordosis, Lumbosacral Region; Balance; Distorted

Keywords

Proprioception; Parkinson Disease; Posture

Outcome Measures

Primary Outcomes (1)

• Balance function

  The balance function of the person is evaluated with the four-square step test and the one-leg stance tests. In the test with 4 squares, the person takes a step forward, sideways and backwards, both clockwise and counterclockwise, by coming into the square. While the person is on his right foot, he raises his left foot and is asked to stand on one foot as long as he can stand. Then the reverse is done. The times of these two tests are recorded with a stopwatch.

  30.02.2022

Secondary Outcomes (2)

• Spinal Posture

  30.03.2022

• Trunk Position Sense

  30.03.2022

Study Arms (2)

Parkinson's patients

The cognitive function of Parkinson's patients will be assessed using the "Standardized Mini Mental Test " . The spinal posture will be evaluated using "IDIAG M360 Spinal Mouse " . Parkinson's patients' spinal position sense will be assessed using a "repositioning error test" with J-TECH medical, Salt Lake City, USA Dual Digital Inclinometer. Dynamic and static components of the balance function will be evaluated with 'four square step tests' and 'stand on one leg' tests respectively

Device: Spinal Mouse and Digital Inclinometer

Healthy control group

The cognitive function of Parkinson's patients will be assessed using the "Standardized Mini Mental Test " . The spinal posture will be evaluated using "IDIAG M360 Spinal Mouse " . Parkinson's patients' spinal position sense will be assessed using a "repositioning error test" with J-TECH medical, Salt Lake City, USA Dual Digital Inclinometer. Dynamic and static components of the balance function will be evaluated with 'four square step tests' and 'stand on one leg' tests respectively

Device: Spinal Mouse and Digital Inclinometer

Interventions

Spinal Mouse and Digital Inclinometer DEVICE

The spinal mouse device is non-invasive and does not have any danger. The posture is evaluated by moving from top to bottom on the spine of the person. Data on the device is transferred to the computer via Bluetooth. The person's posture is evaluated in the sagittal plane by making maximum flexion, neutral stance and maximum extension positions, and in the frontal plane by lateral flexion to the right and left. Digital Inclinometer; It is a non-invasive measurement tool that investigators measure the position sense of the body, which has two parts, one fixed and one movable. The immobile part of the digital inclinometer is placed at the sacrum and the movable part is placed at the T4 spine level. The person is made 30 degrees of trunk flexion. Then, he is expected to perform 5 repetitions of 30 degrees of trunk flexion with his eyes closed. Deviation angles are recorded.

Also known as: Four Square Step Tests, One Leg Stance Test

Healthy control group; Parkinson's patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Healthy individuals with similar age and body mass index values for Parkinson's patients who were diagnosed with Parkinson's disease according to the UK Parkinson's Disease Association Brain Bank criteria, followed in the Health Sciences University Gülhane Training and Research Hospital Neurology Department Parkinson's Polyclinic, and the control group will be included in the study. After the participants are informed about the study, a signed informed consent form will be obtained.

You may qualify if:

• Being 18 years or older
• Receiving a diagnosis of Parkinson Disease made by a specialist neurologist
• Being able to walk independently
• Being between stages 1-4 on the Hoehn \& Yahr scale
• Being 18 years or older

You may not qualify if:

• Having any neurological disease other than Parkinson's
• Presence of cardiovascular, vestibular and musculoskeletal disease
• Having a score of \<24 on the Standardized Mini Mental Test
• Having any disease that may affect balance, gait, posture and respiratory functions
• Using sedative - antidepressant medication that will impair physical well-being
• Having a score of \<24 on the Standardized Mini Mental Test

Sponsors & Collaborators

• Gulhane School of Medicine: lead

Study Sites (1)

Sağlık Bilimleri Üniversitesi

Ankara, 06310, Turkey (Türkiye)

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 Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof

Study Record Dates

• First Submitted: February 1, 2022
• First Posted: February 10, 2022
• Study Start: December 1, 2021
• Primary Completion: March 30, 2022
• Study Completion: June 30, 2022
• Last Updated: July 11, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)