Parkinson Disease
Conditions
Keywords
Parkinson's disease, rebound therapy, task oriented training, balance and walking performance
Brief summary
Today, physiotherapy approaches in Parkinson's Disease (PD) form the basis of optimal treatment together with medical and surgical treatment. It is stated that various rehabilitation interventions may be effective in the field of physiotherapy. The frequently preferred among these rehabilitation interventions is the conventional treatment approach. In the conventional treatment, various exercises are preferred to improve balance and walking, as well as stretching and strengthening. On the other hand, rebound therapy require strong integration of the neuromuscular system and provide more active use of lower extremity muscle strength. Rebound therapy have been shown to be effective in improving balance in many neurological disease groups, but there is very little study on rebound therapy in PD. It was shown that rebound therapy improve proprioceptive sense, joint range of motion and quality of life. On the other hand, no study has been found showing its effect on balance and walking. Therefore, there is a need to investigate the effectiveness of rebound therapy on balance and walking.
Detailed description
This study is a randomized controlled study. The patients will be randomly divided into two groups as rebound and control. The rebound group will perform exercises on a trampoline, consisting of 15 minutes of trunk and extremity stretching, 10 minutes of walking, and approximately 30 minutes of task-oriented exercises, twice a week for six weeks. While the control group will follow the same program as the rebound group, they will only perform task-oriented exercises on a stable surface, unlike the rebound group. As the outcome measures, disease severity and disability, balance, and gait performance will be evaluated.
Interventions
OTHERRebound therapy
Participants will receive exercise-based training on a trampoline
OTHERExercises on a stable surface
Participants will receive exercise-based training on a stable surface
Sponsors
Gazi University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
Two groups as rebound group and control group
Eligibility
Sex/Gender
ALL
Age
40 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* 40-80 years of age * Having diagnosed with Parkinson's Disease by a specialist physician * Having between 1-3 stages according to the Hoehn and Yahr Scale * Mini-Mental Test score more than or equal 24
Exclusion criteria
\- Any orthopedic, vision, hearing, cardiovascular, or perception problems that may affect the research results
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Static Balance- Baseline | Assessment will be conducted before the intervention | Assessment will be made with the Biodex Balance System |
| Static Balance- Post intervention | Assessment will be conducted immediately after the intervention | Assessment will be made with the Biodex Balance System |
| Gait speed- Baseline | Assessment will be conducted before the intervention | Assessment will be made with the BTS G-Walk, (BTS SpA, Via della Croce Rossa, 11 Padova, Italy; SN: 0213-0378) during gait |
| Gait speed- Post intervention | Assessment will be conducted immediately after the intervention | Assessment will be made with the BTS G-Walk, (BTS SpA, Via della Croce Rossa, 11 Padova, Italy; SN: 0213-0378) during gait |
| Knee strength- Baseline | Assessment will be conducted before the intervention | Assessment will be made with an isokinetic dynamometer (Cybex Humac Norm Testing and Rehabilitation System, CSMI, USA) |
| Knee strength-Post intervention | Assessment will be conducted immediately after the intervention | Assessment will be made with an isokinetic dynamometer (Cybex Humac Norm Testing and Rehabilitation System, CSMI, USA) |
Countries
Turkey (Türkiye)
Outcome results
None listed