Parkinson Disease
Conditions
Keywords
dual task, treadmill, cognitive rehabilitation
Brief summary
The ability of performing multi-tasking procedures is impaired in patients with Parkinson's disease. In this study, our goal was to detect the effects of dual-task training with treadmill training on walking and balance and to compare its effects on quality of life, cognitive functions and risk of fall, to treadmill training alone.
Interventions
OTHERDual task
The patients in the dual task group received cognitive tasks during treadmill training sessions.
OTHERTreadmill Training
Standard treadmill training
OTHERStandard exercise programme
Standard exercise programme for Parkinson Disease
Sponsors
Istanbul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Intervention model description
In this prospective, randomized, controlled, double-blinded study the patients were randomized to three groups as; dual-task group, single-task group and control group. All of the patients were scheduled on standard exercise programme. The patients in dual-task group received treadmill training with cognitive tasks and the patients in single-task group received treadmill training alone in addition to standard exercise programme. The training was scheduled as 30 minute sessions under supervision of a specialist, three times in a week for four weeks.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
The patients with Idiopathic Parkinson Disease on medication who has * Hoehn-Yahr 1-3 * Mini Mental Test score 20 and above * Functional Ambulation Category 2 and above * No changes in medication in last 3 months * No rehabilitation programme in last 3 months
Exclusion criteria
* Diagnosis of Parkinsonism other than Idiopathic Parkinson Disease * Global aphasia * Severe cognitive dysfunction * Other neurologic/orthopedic diseases * Limiting cardiovascular or pulmonary disease * Visual impairment * Hearing loss
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 10MWT | 12 weeks | 10 Meter Walk Test on comfortable speed |
| 10MWT with cognitive tasks | 12 weeks | 10 Meter Walk Test with cognitive tasks |
| MoCA | 12 weeks | Montreal Cognitive Assessment |
| TUG | 12 weeks | Timed Up and Go Test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PDQ-39 | 12 weeks | Parkinson Disease Questionnaire 39 |
| Falls Diary | 4 weeks | Falls account |
| FES-I | 12 weeks | To evaluate fear of falling, all patients filled the Falls Efficacy Scale-International (FES-I). A series of 16 questions assesses the respondent's fear of falling for a range of ADLs. Each question was rated on a four-point scale. |
| Stroop Test | 12 weeks | Cognitive assessment for executive functions |
| FOGQ | 12 weeks | Freezing of Gait Questionnaire |
Countries
Turkey (Türkiye)
Outcome results
None listed