Parkinson Disease
Conditions
Keywords
Parkinson Disease, Balance training, Rehabilitation
Brief summary
Conventional balance exercises are an effective rehabilitation method applied in routine rehabilitation programs for Parkinson's patients. With technological developments, balance exercises
Detailed description
This study was planned based on the hypothesis that exercises based on visual feedback applied to patients through games will increase patient compliance and improve balance better than conventional exercise.Previous studies have shown that the Biodex balance device has positive contributions to balance in neurological and orthopedic rehabilitation applications.
Interventions
In addition to the conventional exercise program, it will be applied on a platform with the Biodex balance system for 4 weeks, 5 days a week, in a total of 20 sessions.
The conventional balance exercise program will be applied by a physiotherapist for 4 weeks, 5 days a week, in a total of 20 sessions.
Sponsors
Study design
Masking description
Investigator and Outcomes Assessor will be different persons
Intervention model description
Randomised controlled
Eligibility
Inclusion criteria
* Parkinson's diagnosis and Hoehn Yahr stage I-III * Not changing medical treatment in the last three months * Mini mental test score is over twenty-four
Exclusion criteria
* Vestibular hypofunction * Neurological disease other than Parkinson's disease (multiple sclerosis, stroke, myopathy) * History of lower extremity surgery (such as arthroplasty, anterior cruciate ligament repair) * Upper limb amputation in the participant * Impairment in cognitive functions * History of psychotic illness * Presence of stage 4 gonarthrosis history of malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale | Baseline | Berg Balance Scale was developed to measure balance performance and is used to evaluate postural control and predict fall risk. Higher scores indicate better balance |
| Biodex dynamic balance score | Baseline | The balance assessment of the participants will be made with the Biodex Balance Systems device. During the measurement, patients will try to stay balanced on the device whose platform stability is adjusted. |
| The fall efficacy scale | Baseline | The fall efficacy scale consists of 10 questions rated on a 10-point Likert scale. Getting more than 70 points from the scale indicates fear of falling. |
| Time up and go test | Baseline | Time up and go testing will be performed to determine fall risk and measure balance, sit-to-stand and walking progress. Minimal detectable change in Parkinson's patients. It is 3.5 seconds. (10.2522/ptj.20090126.) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Five Times Sit to Stand Test | 8th week | The Five Times Sit to Stand Test measures one aspect of transfer skill. The test provides a method to quantify functional lower extremity strength and/or identify movement strategies a patient uses to complete transitional movements. The patient is asked to stand up quickly and sit down 5 times and the time is recorded. |
| Beck Depression Inventory | baseline | Beck depression inventory can be self-scored. It consists of 21 questions. Higher scores indicate increased depression. |
| The 8-item version of the Parkinson's Disease Questionnaire (PDQ-8) | Baseline | The 8-item version of the Parkinson's Disease Questionnaire (PDQ-8)is a shortened version of the 39-item Parkinson's Disease Questionnaire (PDQ-39). It is a patient-reported outcome measure used to measure people's quality of life. It consists of 8 questions, each question is scored between 0-4. Higher scores indicate worse quality of life. |
Countries
Turkey (Türkiye)