Effects of Sensory Integration Training on Balance and Confidence in Patients With Parkinson's Disease

NCT05907148 | Unknown DMC

• 1 other identifier: REC-UOL-367-04-2023
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 2

Brief Summary

The Objective of this research was to study the effectiveness of sensory integration training on balance and confidence in patients with Parkinson's disease. Null Hypothesis: Sensory integration training and conventional balance training have no significant difference in improving balance and confidence of patients with Parkinson's disease. Alternative Hypothesis: Sensory integration training and conventional balance training have a significant difference in improving balance and confidence in patients with Parkinson's disease.

Conditions

Parkinson Disease

Keywords

Parkinson Disease; Sensory Integration Training; Berg Balance Scale; Balance; Activities-Specific Balance Confidence Scale

Outcome Measures

Primary Outcomes (2)

• Berg Balance Scale (BBS):

  The BBS is a 14-item validated scale that assesses static and dynamic Balance disorders in individuals with Parkinson's disease (score range, 0-56; higher=better performance). The items explore the ability to sit, stand, lean, turn, and maintain the upright position on one leg. Performance of these tasks depends on central integration processes to select specific response strategies which, in turn, depend on the characteristics of external postural displacement and goals

  the change in the ability to balance in individual at baseline, 6th and 12th week

• Activities-specific Balance Confidence Scale (ABC):

  This validated and reliable self-reported measure evaluates the patient's perceived level of balance confidence in performing various ambulatory activities without falling or experiencing a sense of instability. The overall score is calculated by adding the item scores and then dividing by the total number of items (score range, 0-100 points per activity; higher=more confident.

  the change in the ability to balance in individual at baseline, 6th and 12th week

Study Arms (2)

Routine Physical therapy along with Coordination exercises

ACTIVE COMPARATOR

The Control group training will consist of active joint mobilization, muscle stretching, motor coordination exercises and additionally will receive 30-minute general balance training. Active joint mobilization will be carried out with the patient in the supine, prone (if possible), or sitting positions. Muscle stretching will be carried out mainly in the supine, prone (if possible), and standing positions. Motor coordination exercises will be carried out in a supine position, sitting and standing positions.

Other: Routine physical therapy; Other: General coordination exercise

sensory Integration training group along with Routine physical therapy

EXPERIMENTAL

experimental group training will consist of active joint mobilization, muscle stretching, motor coordination exercises and additionally 30 minutes of sensory integration therapy.

Other: Sensory integration training; Other: Routine physical therapy

Interventions

Sensory integration training OTHER

Sitting position: 1. Sit in a chair without a backrest while the feet on firm surface. without backrest while the feet on soft surface. 2. Sit on a ball while the feet on firm surface. while feet on soft surface. 3. Sit in a chair without a backrest with the feet on firm surface and perform sit-to-stand motion. without a backrest with the feet on soft surface and perform sit-to-stand motion. 4. Sit on a ball with the feet on the firm surface and perform sit-to-stand motion. with the feet on the soft surface and perform sit-to-stand motion. 5. Perform bipedal standing on a firm surface. on a soft surface. 6. Perform a semi-tandem stance on firm surface. on soft surface. 7. Walk forward on firm surface. on soft surface. 8. Walk forward on firm surface, cross obstacle, and continue to walk. 9. Walk forward on the soft surface, cross obstacle, and continue to walk.

sensory Integration training group along with Routine physical therapy

Routine physical therapy OTHER

It consist of active joint mobilization, muscle stretching, motor coordination exercises and general balance training

Also known as: consist of active joint mobilization, muscle stretching, motor coordination exercises and additionally will receive 30-minute general balance training.

Routine Physical therapy along with Coordination exercises; sensory Integration training group along with Routine physical therapy

General coordination exercise OTHER

In supine lying: 1. Patients are told to place heel of one leg on shin or knee of the other leg, 2. Patient bends one leg and extends the other leg like bicycling motion. 3. Flexing one leg while extending other leg 4. Flexing and extending of one leg while abduction and adduction of other leg. In sitting: 1. Patient performs marching without backrest or back support, 2. Patient reaches forward and sideways with arms 3. Rotation of trunk with physioball in hand without back support. 4. Patient reaches with legs to marked point in sitting. In standing: Patient performs 10 repetitions of 1. Clock Reach 2. Side Leg Raises 3. Leg Swings and 4. Ball catch and throw

Routine Physical therapy along with Coordination exercises

Eligibility Criteria

• Age: 30 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Male and female patients diagnosed by a neurologist with Parkinson's disease.
• Patients having BBS score between 21-40
• At least 6 months post neurological Sensory/Motor deficit patient.
• Age between 30 -65 years.
• Ability to maintain standing position without aids for at least 5 minutes.
• Normal vision
• No severe systemic disorders
• An ability to understand and perform the test

You may not qualify if:

• Patients with other existing neuromuscular disorders or medical conditions that substantially influences their gait and balance performance
• Neuropathy patients
• Vestibular disorders, paroxysmal vertigo.
• Presence of orthopedic conditions involving the lower limbs.
• Patients with psychiatric disorders.
• Pregnant patients.

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (2)

ganga Raam Hopital

Lahore, Punjab Province, Pakistan

RECRUITING

the Univerity of Lahore Teaching hospital

Lahore, Punjab Province, Pakistan

RECRUITING

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

Central Study Contacts

Momna Asghar, MsPTN

CONTACT

+92336249488; momna2april@gnmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 7, 2023
• First Posted: June 18, 2023
• Study Start: November 25, 2022
• Primary Completion: October 1, 2023
• Study Completion: October 1, 2023
• Last Updated: July 18, 2023

Record last verified: 2023-07

Locations

PA (2)