Parkinson Disease.
Conditions
Interventions
24 individuals will be recruited. The intervention is physical therapy including task-specific walking training associated with transcranial direct current stimulation (tDCS), 30 min per day, three da
Other
E02.779
E02.331.800
E01.370.600.250
Sponsors
Universidade Federal do Espírito Santo
Universidade Federal do Espírito Santo
Eligibility
Age
40 Years to 100 Years
Inclusion criteria
Inclusion criteria: Participants will be individuals with Parkinson’s Disease, who will be eligible, if they: are over 40 years of age; are able to walk at least 14 meters, independently, with or without assistive devices; walk at speeds lower than 1.1 m/s; have experienced freezing episodes over the past month, according to the Part I of the New Freezing of Gait Questionnaire (Nieuwboer et al 2009); have adapted to their current anti-Parkinsonian medication for at least 2 weeks; provide written consent.
Exclusion criteria
Exclusion criteria: They will be excluded, if they: have cognitive deficits, which will be screened by the Mini-Mental State Examination. The cut-off scores are 26 for people with high levels of education, 18 for people with elementary and middle levels, and 13 for illiterate people (Bertolucci et al 1994);suffer from unstable cardiovascular disease or other uncontrolled chronic conditions that would interfere with the safety and conduct of the training and testing protocol or interpretation of the results; over 100 years of age.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is comfortable walking speed, measured by the 10-m Walk Test, and reported in m/s. | — |
Secondary
| Measure | Time frame |
|---|---|
| Walking step length and cadence will be measured using the 10-m Walk Test. Step length will be calculated by dividing the covered distance, i.e., 10m, by the number of steps to cover the distance, and reported in meters. Walking cadence will be calculated by dividing the number of steps by the time to cover the distance, i.e., 10m, and reported in steps/min.;Walking confidence will be measured using the Brazilian version of the modified Gait Efficacy Scale, and reported as scores ranging from 10 to 100. ;Mobility will be measured by the Timed-up and Go Test (TUG) and reported as seconds. ;Freezing of gait will be measured using Parts II and III of the New Freezing of Gait Questionnaire, and reported as scores ranging from 0 to 28, where higher scores indicate worse episodes of freezing.;Fear of falling will be measured using the Brazilian version of the Falls Efficacy Scale – International (FES-I Brazil), and reported as scores ranging from 16 to 64, where higher scores indicate greater fear of falling. ;The number of falls will be recorded by the use of a “falls diary” , and the proportion of fallers in each group will also be compared. | — |
Countries
Brazil
Contacts
Public ContactFernando Âreas
Universidade Federal do Espírito Santo
Outcome results
None listed