parkinson disease forward head parkinson disease forward head cervical manual therapy balance
Conditions
Interventions
Suboccipital myofascial release
Fingertips in the suboccipital region ( no traction), maintain for 3-5 minutes
Fingertips in the suboccipital region (traction), maintain for 3-5 minutes
Mulligan cerv
Experimental Other,Sham Comparator Other
Cervical manual therapy,Sham cervical manual therapy
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Age between 18 and 80 years old 2.Diagnosed with primary Parkinson's disease 3.Craniovertebral angle less than 50 degrees 4.Hoehn and Yahr scale less than Stage 4 5.Able to walk independently without assistive devices 6.Mini-Mental State Examination score greater than or equal to 24
Exclusion criteria
Exclusion criteria: 1.Positive vertebral artery and cervical ligament instability tests(alar ligament test, transverse ligament test) 2.Diagnosed with spinal related orthopedic diseases, acute or chronic infections, severe conditions (e.g., cancer, spondylolisthesis, rheumatoid arthritis, or ankylosing spondylitis), or history of cervical spine surgery 3.Diagnosed with other neurological or psychiatric diseases than Parkinson disease, such as stroke or vestibular system disorders 4.Any other condition that may affect participation in the study, such as visual impairments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Romberg test Pretest and after 12 time intervension Stand with feet together, eyes open for 30 seconds, then closed for 60 seconds. Repeat twice and average the time for analysis.,Sharpened Romberg test Pretest and after 12 time intervension Stand with tandem , eyes open for 30 seconds, then closed for 60 seconds. Repeat twice and average the time for analysis.,Limits of Stability Pre test and after 12 time intervension Use the Biodex Balance System to record: Directional Control (DCL %). The time required to complete the action.,Mini Balance Evaluation Systems Test Pre test and after 12 time intervension Evaluates balance control across 14 items: anticipatory adjustments, reactive control, sensory orientation, and dynamic gait, scored 0-2 each, with a maximum of 28. | — |
Secondary
| Measure | Time frame |
|---|---|
| Craniovertebral angle (CVA) Pre test and after 12 time intervension Capture the spinous process of C7 and the tragus of the ear using small balls with a smartphone, then import the data into software to analyze the craniovertebral angle., Cervical proprioception Pre test and after 12 time intervension Use a laser to evaluate the cervical spine's flexion, extension, right and left rotation, and the distance of the error value when returning to the original point,Cervical range of motion Pre test and after 12 time intervension Use a cervical range of motion instrument to measure the cervical spine's flexion, extension, and right and left rotation angles. Take three measurements and calculate the average. | — |
Countries
Taiwan
Contacts
Public ContactRay Yau wang
Professor
Outcome results
None listed