Gait
Conditions
Interventions
This is a two-arm, double-blind, randomized controlled clinical trial. A total of 26 participants diagnosed with Parkinson&apos
s disease will be enrolled and randomly allocated into two groups, with 12 participants assigned to the active transcranial direct current stimulation plus dual-task training group and 14 participants
however, the current will be delivered only during the initial and final seconds of the session to simulate the sensation of stimulation without producing a sustained physiological effect. Simultaneou
Sponsors
Universidade do Estado do Pará
Programa de Pós-Graduação em Reabilitação e Desempenho Funcional – Universidade do Estado do Pará (PPGREAB/UEPA)
Eligibility
Age
40 Years to 75 Years
Inclusion criteria
Inclusion criteria: Clinical diagnosis of idiopathic Parkinson's disease; age between 40 and 75 years; staging between 1 and 3 on the modified Hoehn and Yahr scale; ability to ambulate independently indoors; ability to walk at least 14 meters; medication stability in the six weeks prior to the start of the study; ability to understand and follow instructions; and ability to provide free and informed consent
Exclusion criteria
Exclusion criteria: Other associated neurological diseases; significant comorbidities that compromise safety for exercise; marked rigidity or severe motor symptoms that prevent participation; use of walking aids; significant dyskinesias; cognitive impairments that make the application of the instruments impossible; metal implants or contraindications to the use of tDCS; attendance of less than 70% in the scheduled sessions; and withdrawal during the protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate dual-task performance in individuals with Parkinson's disease undergoing transcranial direct current stimulation associated with gait training. Performance will be assessed using the Timed Up and Go test in a numerical and verbal dual-task. Total execution time in seconds, number of responses given, number of correct answers, and cadence during task execution will be analyzed at baseline, after the 9th session, after the 18th session, and 30 days after the end of the intervention.;To evaluate functional balance in individuals with Parkinson's disease undergoing transcranial direct current stimulation associated with gait training. This will be verified using the Mini-Balance Evaluation Systems Test (Mini-BESTest). The total score obtained in points will be analyzed at baseline, after the 9th session, after the 18th session, and 30 days after the end of the intervention.;To evaluate gait performance in individuals with Parkinson's disease undergoing transcranial direct current stimulation associated with gait training. This will be verified using the 10-meter walk test and the simple Timed Up and Go test. The total execution time in seconds, the average gait speed in meters per second, and the cadence in steps per second will be analyzed at baseline, after the 9th session, after the 18th session, and 30 days after the end of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the cost of dual-task training in individuals with Parkinson's disease undergoing transcranial direct current stimulation combined with gait training. This will be verified by comparing performance in the single-task Timed Up and Go test with dual-task training. The percentage differences between the single-task and dual-task conditions will be analyzed for execution time, cadence, number of responses, and number of correct answers at baseline, after the 9th session, after the 18th session, and 30 days after the end of the intervention.;To evaluate gait cadence in individuals with Parkinson's disease undergoing transcranial direct current stimulation associated with gait training. This will be assessed using the 10-meter walk test, the simple Timed Up and Go test, and the dual-task Timed Up and Go test. Cadence values ??in steps per second will be analyzed at baseline, after the 9th session, after the 18th session, and 30 days after the end of the intervention.;To evaluate gait cadence in individuals with Parkinson's disease undergoing transcranial direct current stimulation associated with gait training. This will be assessed using the 10-meter walk test, the simple Timed Up and Go test, and the dual-task Timed Up and Go test. Cadence values ??in steps per second will be analyzed at baseline, after the 9th session, after the 18th session, and 30 days after the end of the intervention.;To evaluate freezing of gait in individuals with Parkinson’s disease undergoing transcranial direct current stimulation associated with gait training. Verified using the Freezing of Gait Questionnaire (FOG-Q). The total score in points will be analyzed at baseline, after the 9th session, after the 18th session, and 30 days after the end of the intervention.;To evaluate clinical motor performance in individuals with Parkinson’s disease undergoing transcranial direct current stimulation associated with gait training. Verified using the Movement Disorder Societ | — |
Countries
BR
Contacts
Public ContactLarissa Rocha
Universidade do Estado do Pará
Outcome results
None listed