Parkinson Disease (PD), Proprioceptive Neuromuscular Facilitation
Conditions
Keywords
PNF, PD, BWSTT, ADLs
Brief summary
Proprioceptive Neuromuscular Facilitation (PNF) and gait training exercises are specifically used to treat balance, gait and functional activities in Parkinson s patients. PNF has been compared with gait training and balance training in other conditions like stroke and multiple sclerosis but limited literatures are present in which PNF has been compared with gait training in Parkinson patients.
Interventions
OTHERPNF exercises and Body weight supported treadmill gait training
PNF Exercises: .Proprioceptive neuromuscular facilitation exercises include D1 Flexion and D1 Extension of lower limb ,D2 flexion D2 extension of lower limb .rhythmic initiation ,hold relax ,pelvic pattern and contract relax technique . subjects will perform each exercise for 30sec with resting interval of 30 to 60 seconds Will be provided after completion of each exercise. 3 sessions will be held per week, For 8 weeks Gait training: Body weight supported treadmill gait training for 20 minutes 3 sessions per week. In total all PNF exercises with gait training will be held for 40-45 minutes.
OTHERBody weight supported treadmill gait training and Routine physical therapy
Body Weight Supported Treadmill Training (BWSTT): This will include body weight supported treadmill gait training. 10 % BWSTT or 20% BWSTT. The session will of 20 minutes .3 sessions will be Held per week. Routine physical therapy: Stretching and strengthening of lower extremities In total all BWSTT along with routine physical therapy protocol will be held for 40-45minutes .3 sessions will be held per week.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Parkinson's patients. * Patients from both gender around the age of 45-65. * Patient with a score of 42 above on the Berg Balance Scale. * Patients with shuffling gait * Patient with good cognitive function minimum score of 20 or more on Mini-mental Status Examination MMSE scale *
Exclusion criteria
* Patients with a history of CVA. * Patient with peripheral vascular disease. * Patient with fracture or dislocation of lower limb. * Patient with peripheral nerve injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg balance scale | 4 weeks | The Berg Balance Scale (BBS) is a test that measures a person's balance abilities by asking them to perform 14 simple tasks, such as standing, sitting, reaching, and turning. The test is scored on a scale from 0 to 56, with higher scores indicating better balance. The BBS is used to assess people who have balance impairments due to various conditions, such as stroke, Parkinson's disease, osteoarthritis, or inner ear problems. The BBS has been shown to have good reliability and validity for measuring balance in Ho The reliability and validity of this test is 0.95 or 95% |
| Time up and go Test | 4 weeks | from baseline :The Time Up and Go (TUG) test is a simple and quick test that measures a person's functional mobility and fall risk. The test involves standing up from a chair, walking 10 feet, turning around, walking back, and sitting down again, while timing how long it takes to complete the task. The TUG test is used to evaluate people who have balance impairments due to various conditions, such as aging, stroke, Parkinson's disease, or vestibular disorders. The TUG test also has some limitations. The reliability of this test is 0.97 to o.99. |
| Modified Barthel index | 4 weeks | The Barthel Index is a scale used to measure an individual's ability to perform activities of daily living. The Reliability of MBI is 0.73 to 0.77. It is often employed in healthcare settings to evaluate functional independence, guide rehabilitation plans, and monitor progress in patients. there are 10 items, each scored from 0 to 2 or 3 points, The total score ranges from 0 to 20 or 25, with higher scores indicating greater independence. The 10 items are: Bowel control Bladder control Grooming Toilet using Feeding Transfer (bed to chair and back) Mobility Dressing Stairs Bathing |
Countries
Pakistan
Outcome results
None listed