Posture Exercises in Parkinson's Disease

NCT06848257 | Enrolling By Invitation

• 1 other identifier: 2023/03/10
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The research was planned as a quasi-experimental study to investigate the effects of postural exercises on body image and neck and trunk position sense in Parkinson's patients. It was decided to conduct the study with Parkinson's patients over the age of 50 who applied to the neurology clinic. After the power analysis for the research, it was planned to reach 36 participants. Participants' consent to participate in the study will be obtained through the Informed Volunteer Consent Form prepared by the researchers. Demographic information of participants who consent to participate in the study will be collected. Then, the disease levels and severity of the participants will be determined using the Modified Hoehn Yahr Staging Scale and the Unified Parkinson's Disease Assessment Scale. Subjective Visual Vertical Perception, Subjective Postural Perception and Subjective Haptic Perception evaluations to evaluate the body image of patients; Clinometer application and neck and trunk proprioception evaluations will be applied as preliminary tests to evaluate neck and trunk position sense. Posture exercises planned by the researchers will be applied to the participants, whose pre-tests are completed, three days a week for eight weeks. Preliminary tests performed after eight weeks of exercise will be repeated. All data obtained will be recorded in the Participant Data Record form. Differences in changes in tests performed at eight-week intervals will be investigated with appropriate statistical methods.

Conditions

Parkinson

Keywords

Parkinson; Postural exercises; Verticality; Position sense

Outcome Measures

Primary Outcomes (4)

• Demographic characteristics of the individuals participating in the study

  Demographic information of the patients such as age(years), height (in meters) and weight (in kilograms) and education level (primary school, secondary school, high scool, etc) will be recorded. Weight and height will be used to calculate Body mass index (BMI) (kg/m\^2). BMI will be used to compare body compositions of patients. Mini Mental Test; used to evaluate cognitive performance.Those who score 24 points or above on the test (being able to understand and apply the given commands) will be included in the study.

  All evaluations will be done before and after the treatment (8 weeks)

• Evaluations about Parkinson's disease

  Disease staging of individuals will be done with the Modified Hoehn and Yahr Scale (MH\&YS). In this scale, patients are divided into 5 main categories according to their level of independence status.According to the scale, patients who can walk without support (at most stage 3) will be included in the study. And disease severity will be measured by Unified Parkinson's Disease Rating Scale(UPDRS) .The scale consists of 4 sections to evaluate different systems. These are; emotion-thought (total 16 points), motor (total 92 points), daily life (total 52 points), treatment and complications (total 23 points). Each evaluation step is scored between 0 and 4. A low total score indicates that the severity of the disease is low, while an increase in the total score indicates that the disease is severe.

  All evaluations will be done before and after the treatment (8 weeks)

• Subjective verticality perception evaluations

  Assessment of Subjective Vertical Perception:The Bucket Test evaluates subjective visual verticality by having participants align a vertical line inside a bucket without external visual cues.For Postural Vertical, an inclinometer measures deviations as participants adjust their torso to perceived verticality in 0°, 30° right, and 30° left positions.Haptic Vertical is tested by blindfolded participants aligning a rod to reference angles (0°, 45° left, 45° right).Scored by taking the absolute value of the deviations from three trials

  All evaluations will be done before and after the treatment (8 weeks)

• proprioception evaluations

  Position Sense (proprioception) is assessed by repositioning the neck (C7) and trunk (L1) to a 30° flexion target. Scored by taking the absolute value of the deviations from three trials.

  All evaluations will be done before and after the treatment (8 weeks)

Study Arms (1)

Clinic research

EXPERIMENTAL

Other: Exercise

Interventions

Exercise OTHER

postural exercises

Clinic research

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being over 50 years old,
• Being diagnosed with Parkinson's disease by a physician,
• Stage 1-4 according to the modified Hoehn-Yahr staging scale
• Having received 24≥ from the Mini Mental test

You may not qualify if:

• Presence of another accompanying neurological disease,
• Having significant musculoskeletal system problems,
• Having any known cognitive problem or having a score of ≤23 on the Mini Mental Test

Sponsors & Collaborators

• Yuksek Ihtisas Hospital: lead
• Yuksek Ihtisas University: collaborator

Study Sites (1)

Yuksek Ihtisas University

Ankara, 06530, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Exercise

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asistant Professor

Study Record Dates

• First Submitted: January 14, 2025
• First Posted: February 27, 2025
• Study Start: July 15, 2023
• Primary Completion: August 15, 2023
• Study Completion: May 15, 2025
• Last Updated: March 3, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)