Design And Analysis of The Effectiveness of CVRE VS Non-Immersive VR in the Rehabilitation of Parkinson

NCT07129304 | Active Not Recruiting DMC

• 1 other identifier: PhDRSW/Batch-Fall23/2227
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 2

Brief Summary

This study is being conducted to investigate the effect of Collaborative Virtual Reality Environments versus non-immersive Virtual reality-based rehabilitation in addition to the conventional Physical Therapy for patients with Parkinson's Disease to improve the motor, cognitive function, and overall quality of life.

Conditions

Parkinson Disease

Outcome Measures

Primary Outcomes (3)

• Unified Parkinson's disease Rating Scale Part III

  The UPDRS Part III is a tool frequently employed in clinical settings to assess the motor functions of individuals with Parkinson's Disease. It encompasses a series of 31 items, which specifically evaluate motor symptoms such as tremor, rigidity, bradykinesia (slowness of movement), postural instability, and other related motor impairments. • Scoring: Total score range: 0 to 199. Higher scores indicate more severe motor dysfunction and greater disability.

  24 Months

• Timed Up and Go Test

  The TUG test is a simple and effective measure of physical mobility, balance, and the risk of falls in individuals, especially those with Parkinson's Disease. It involves timing how long it takes a person to rise from a chair, walk 3 meters, turn around, walk back, and sit down again. The total time taken to complete the test is recorded in seconds. • Longer times suggest greater difficulty with mobility, balance, and overall motor function, which may indicate a higher fall risk and greater disability.

  24 Months

• Parkinson's Disease Fatigue Scale (PFS-16)

  The PFS-16 is a self-reported tool that helps to assess the level of fatigue experienced by individuals with Parkinson's Disease. It consists of 16 questions that cover the frequency and impact of fatigue on daily life. • Scoring: Each item is rated on a scale from 1 to 5, where 1 = never and 5 = always. Total score range: 16 to 80

  24 Months

Study Arms (2)

Collaborative Virtual Reality with Routine Physical Therapy

EXPERIMENTAL

Combination Product: Collaborative Virtual Reality with Routine Physical Therapy

Non-Immersive Virtual Reality with Routine Physical Therapy

EXPERIMENTAL

Combination Product: Non-Immersive Virtual Reality with Routine Physical Therapy

Interventions

Collaborative Virtual Reality with Routine Physical Therapy COMBINATION_PRODUCT

patients will receive routine Physiotherapy treatment and additional treatment in a Collaborative Virtual Reality Environment for 30 minutes per session 3 times /week for minimum of 8 weeks. There will be a real time interaction in this group between patients and Physiotherapist in the virtual environment. The tasks in the CVE will focus on motor control, balance, coordination, and social engagement while routine Physical Therapy session will consist of performing exercises based on similar goals of improving motor skills, enhanced coordination, functional mobility, muscle strength and stretching exercises.

Collaborative Virtual Reality with Routine Physical Therapy

Non-Immersive Virtual Reality with Routine Physical Therapy COMBINATION_PRODUCT

Patients will receive routine physiotherapy treatment along with the engagement with computer-based virtual rehabilitation content displayed on a standard computer monitor/ LED screen. There will be no real time interaction in this group between patients and Physiotherapist in the virtual environment. Patients will be viewing pre-recorded videos of therapeutic exercises, demonstration, and / or on-screen instructions and cues for performing exercises. This group's patients will be treated with non- immersive virtual reality along with routine physical therapy for 30 minutes session 3 times /week for 8 weeks. Routine Physical Therapy session will consist of performing exercise based on the goal of improving motor skills, enhanced coordination, posture correction, gait efficiency, functional mobility, muscle strength and endurance training, stretching exercises where required.

Non-Immersive Virtual Reality with Routine Physical Therapy

Eligibility Criteria

• Age: 40 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Gender: Both Male and Female genders patients
• Age Range: 40 years -80 Years
• Diagnosis: Clinically diagnosed patients of idiopathic Parkinson Disease classified as mild to moderate severity according to the modified Hoehn \& Yahr stages I-III.
• Cognitive Function: Adequate cognitive function as assessed by Mini Mental State Examination (score ≥ 24)
• Functional Ability: can walk independently, must have sufficient physical and cognitive ability to engage in virtual rehabilitation sessions.

You may not qualify if:

• History of any neurological conditions other than Parkinson's disease.
• History of visual auditory, or motor impairments unrelated to Parkinson's Disease.
• History of orthopedic injury leading to complications like any deformity.
• Diagnosed phobia of virtual environment.
• Comorbidities that hinder participation in the treatment (e.g., advanced dementia).
• Patient taking another medication affecting neurological condition.

Sponsors & Collaborators

• Superior University: lead

Study Sites (2)

Chaudary Muhammad Akram Teaching Hospital, Azra Naheed Medical College, Superior University

Lahore, Punjab Province, Pakistan

Location

Superior University CRC

Lahore, Punjab Province, Pakistan

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: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 12, 2025
• First Posted: August 19, 2025
• Study Start: April 17, 2025
• Primary Completion: April 1, 2026
• Study Completion (Estimated): March 1, 2027
• Last Updated: August 19, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)