Effects Of Strategy Training And PNF On Balance, Gait, And Independence In Parkinson's Disease

NCT07484451 | Not Yet Recruiting DMC

• 1 other identifier: REC/RCR&AHS/B43-098
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 2

Brief Summary

This randomized controlled trial aims to compare the effects of Strategy Training and Proprioceptive Neuromuscular Facilitation (PNF) on balance, gait, and functional independence in patients with Parkinson's disease. Parkinson's disease leads to impaired motor function, reduced balance, and decreased independence. Physiotherapy interventions such as strategy-based training and PNF may help improve mobility and functional performance. Participants will be randomly assigned to two groups: one receiving Strategy Training and the other receiving PNF intervention. Outcome measures including balance tests, gait assessment, and functional independence scales will be evaluated before and after treatment. The study aims to determine which intervention is more effective in improving functional outcomes in Parkinson's disease patients.

Conditions

Parkinson's Disease (PD)

Keywords

Parkinson's disease, PNF, strategy-based training, ADLs

Outcome Measures

Primary Outcomes (6)

• 10-Meter Walk Test (10MWT)

  The 10-Meter Walk Test (10MWT) is an effective instrument that is applied to determine the walking speed and functional mobility in different populations.

  6 weeks

• Tandem Stance Test

  Tandem Stance Test is one of the essential clinical tests of balance and postural stability particularly among older adults. It involves getting a person to stand on their heels to toes and this is used to determine people who are at risk of falling.

  6 weeks

• Pastor Test (Shoulder Tug)

  Pastor Test (Shoulder Tug test) is a test used to determine the shoulder stability (especially the anterior shoulder instability). In the test, the examiner pulls the patient using his arm as he keeps the shoulder constant to reveal too much movement or pain.

  6 weeks

• 30 sec Chair Test

  30 sec Chair Test; A popular test for assessing lower body strength, balance, and functional mobility especially in older adults is the chair test. It gauges a person's capacity to carry out daily tasks on their own by timing how long it takes them to get up from a sitting position and sit down again.

  6 weeks

• Retropulsion Test

  Retropulsion Test is a clinical examination, which is mainly applied to determine the postural stability and balance in a person, particularly the people with Parkinson disease. In this test, the examiner smoothly pulls the shoulders of the patient in the standing position where the patient stands in a relaxed position, and the examiner sees whether the patient can balance or not.

  6 weeks

• Unified Parkinson's Disease Rating Scale (UPDRS)

  Unified Parkinson Disease Rating Scale (UPDRS) as one of the important assessment instruments in the study of Parkinson disease and its clinical application. (UPDRS) scale is a comprehensive tool, employed to assess treatment issues related to the treatment of the Parkinson disease, the daily life activities as well as the motor and non-motor symptoms.

  6 weeks

Study Arms (2)

Group A: PNF Technique

EXPERIMENTAL

Participants will undergo PNF techniques targeting the muscles involved in balance and gait. This may include diagonal patterns, facilitation techniques, and proprioceptive neuromuscular facilitation holds.

Other: PNF Technique

Group B: Strategy training

EXPERIMENTAL

Strategy Training Group Participants will receive training in specific cognitive strategies to improve balance and gait. This will include visual cues, verbal instructions, and mental rehearsal techniques.

Other: Strategy Training

Interventions

PNF Technique OTHER

Participants will undergo PNF techniques targeting the muscles involved in balance and gait. This may include diagonal patterns, facilitation techniques, and proprioceptive neuromuscular facilitation holds.

Group A: PNF Technique

Strategy Training OTHER

Strategy Training Group Participants will receive training in specific cognitive strategies to improve balance and gait. This will include visual cues, verbal instructions, and mental rehearsal techniques.

Group B: Strategy training

Eligibility Criteria

• Age: 40 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Global hospital and dialysis center Lahore

Lahore, Punjab Province, 54000, Pakistan

Location

Majid medical complex Lahore

Lahore, Punjab Province, 54000, 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 Officials

• Arnab Altaf, MS-PT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Arnab Altaf, MS-PT

CONTACT

+923064585776; arnab.altaf@riphah.edu.pk

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: March 16, 2026
• First Posted: March 20, 2026
• Study Start: March 1, 2026
• Primary Completion: May 1, 2026
• Study Completion: May 1, 2026
• Last Updated: March 20, 2026

Record last verified: 2026-03

Locations

PA (2)