Parkinson Disease
Conditions
Keywords
Alexander techniques, balance, Feldenkrais method, fear of fall, quality of life, Parkinson's disease
Brief summary
Parkinson's disease (PD) is a neurodegenerative disorder characterized by tremors, rigidity, and postural instability. These symptoms significantly impact balance and increase the risk of falls, which subsequently lead to a heightened fear of falling and a diminished quality of life. Alexander Technique and the Feldenkrais Method have shown effects in improving overall well-being. The study is randomized clinical trial will be carried at General hospital. 46 participants meeting the inclusion criteria will be included in this study. Participants will be randomly assigned into 2 groups, Group A and Group B participants will receive Alexander techniques and Feldenkrais method, respectively. All the groups will receive interventions for three days a week for 8 weeks.
Detailed description
Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by motor symptoms such as tremors, rigidity, bradykinesia, and postural instability. These symptoms significantly impact balance and increase the risk of falls, which subsequently lead to a heightened fear of falling and a diminished quality of life. Alexander Technique and the Feldenkrais Method have shown promise in improving motor function and overall well-being. The primary objective of this study is to compare the effects of the Alexander Technique and the Feldenkrais Method on balance, fear of falling, and quality of life in patients with Parkinson's disease. This randomized clinical trial will be carried at General hospital after the approval of permission letter. Total number of 46 participants meeting the inclusion criteria will be included in this study through a non-probability convenient sampling technique. Participants will be randomly assigned into 2 groups using computer generated randomization method. Group A and Group B participants will receive Alexander techniques and Feldenkrais method, respectively. All the groups will receive interventions for three days a week for 8 weeks. Total treatment time will be 40 minutes. The outcome measuring scales used will be Berg balance scale and time-up and go to measure balance, fall efficacy scale-international to measure fear of fall, and the Parkinson's disease questionnaire (PDQ-39) to measure quality of life. The data will be collected at baseline and after 8 weeks of therapy, to measure the outcome measures.
Interventions
OTHERAlexander technique
24 sessions for 8 weeks, per week 3 sessions will be given
OTHERFeldenkrais method
The method is divided into eight lessons according to 'Awareness Through Movement'. Each lesson will be given three times for one week.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* The age group of 50 to 70 years will be included. * Both genders (male and female) * Patients diagnosed with Parkinson's disease of Hoehn and Yahr stage (1-3). * Patient should be able to stand 10 minutes at least without assistance. * Patients should be able to walk with or without assistance. * MMSE (score higher than 24).
Exclusion criteria
* Recent surgery or any fracture * Visual and hearing impairments. * CVS impairments that interfered with therapy * Joint pain or musculoskeletal problem that interfered with therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fall efficacy scale-international (FES-I) | 8 weeks | It is a 16-item questionnaire, with a score ranging from minimum 16 (no concern about falling) to maximum 64 (severe concern about falling). |
| Quality of life questionnaire for Parkinson's PDQ-39 | 8 weeks | PDQ-39 comprises 39 questions from 8 dimensions which include mobility, activities of daily of living, emotional well-being, stigma, social support, cognition, communication, and bodily discomfort. |
| Berg balance scale | 8 weeks | It is a 14-item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function and takes approximately 20 minutes to complete. It does not include the assessment of gait. A score of 56 indicates functional balance. A score of \<45 indicates individuals may be at greater risk of falling. A score of ≤49 indicates a risk of falls in individuals with stroke. |
| Time up and go (TUG) | 8 weeks | The patient starts in a seated position. The patient stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. An older adult who takes ≥12 seconds to complete the TUG is at risk for falling. In Parkinson's, the patient is at high risk of fall if he takes more than 11.5 seconds. |
Countries
Pakistan
Outcome results
None listed