Effects of Otago and Frenkel's Exercises on Strengthening of Antigravity Muscles in Parkinson's Disease.

NCT07277699 | Completed DMC

• 2 other identifiers: UOL/IREB/25/09/0051uol
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Using both Otago and Frenkel's exercises offers complementary benefits building muscle strength and refining coordination in anti-gravity muscles making daily activities safer and more fluid for people with Parkinson's.

Conditions

Parkinson

Keywords

Otago,Frenkel's exercises,Parkinson's

Outcome Measures

Primary Outcomes (2)

• Antigravity muscle strenght (Manual Muscle strength).

  Strength of major antigravity muscle including Hip muscles, Knee muscles and ankle muscles. strength evaluated by using Manual Muscle Testing based on oxford Grading Scale (0-5). . Grade 0 ( No contraction). * Grade 1 (trace): slightly contraction detected but no movement occur at joint. * Grade 2 (poor): Full range of motion in a gravity eliminated position. * Grade 3(Fair): Full range of motion against gravity. * Grade4 (Good): Full range of motion against gravity moderate resistance. * Grade5 (Normal) Full Range of motion against gravity and maximum resistance. Participants tested in standardized position for each group. unit of measurement : MMT grade (0-5)

  Baseline before treatment (week 0) post -interventiom (week 4 )

• Balance and reduction in fall risk.

  Balance assessed through the Berg Balance Scale (BBS). Berg Balance Scale items: 14 Tasks (sit to stand, standing, stepping, unsupported, reaching, turning) total score (0-56) scoring:0-4 for each task Maximum score=56 41-56=low Fall risk 21-40=Medium Fall risk 0-20=High Fall risk

  baseline Before treatment (0 Week) post- intervention ( 4 week )

Study Arms (2)

Otago Exercise Program

EXPERIMENTAL

20 Participants in this arm will undergo a combined exercise program consisting of the Otago Exercise Program (OEP) and conventional Physiotherapy. The intervention is designed to strengthen antigravity muscles (hip, knee, and trunk extensors), improve balance, coordination, and functional mobility, and reduce fall risk in patients with Parkinson's disease.

Behavioral: Otago exercises

Frenkel's Exercise Program

EXPERIMENTAL

20 Participants in this arm will under go Frenkel's Exercises program and conventional physiotherapy. This intervention help Parkinsons patient by improving coordination, balance and enhance motor learning and confidence

Behavioral: Frenkels exercise

Interventions

Otago exercises BEHAVIORAL

After collecting the patient's data appropriate modalities will be applied to initiate the treatment session. This includes the use of an Electric Heating pad on the lower limb for 10 mints. Gentle walking will be performed for 1 mints along with arm swing (10 repetitions) and neck stretching focusing on upper trapezius muscle (3 repetition).After that the12 steps of Otago exercise will be performed with 10 repetition.Total session time is 40 mints.

Otago Exercise Program

Frenkels exercise BEHAVIORAL

After collecting the patient's data sessions will be delivered 3 times per week lasting for 40 mints only and than appropriate modalities will be applied to initiate the treatment session. This includes the use of an Electric Heating pad on the lower limb for 10 mints. Gentle walking will be performed for 1 mints along with arm swing (10 repetitions) and neck stretching focusing on upper trapezius muscle (3 repetition).After that the steps of Frenkels exercise program will be performed on patients with 10 repetition.

Frenkel's Exercise Program

Eligibility Criteria

• Age: Up to 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient diagnosed with parkinsons disease using the Hoehn and Yahr scale
• Patient age 55-75.
• Both male and female.
• Able to walk independently.
• Willing and ability to provide information consent to participate in study. -

You may not qualify if:

• Presence of other neurological condition(stroke, multiple sclerosis).
• severe cardiovascular disease.
• major psychiatric disorder.
• currently participating in other study.

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

University of Lahore

Gujranwala, Punjab Province, 50250, Pakistan

Location

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: August 26, 2025
• First Posted: December 11, 2025
• Study Start: August 18, 2025
• Primary Completion: August 18, 2025
• Study Completion: August 18, 2025
• Last Updated: December 11, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)