Parkinson disease Parkinson disease Neuromuscular exercise Balance Sensorimotor integration Exercise therapy
Conditions
Interventions
The principle of exercise involves performing movements in closed kinetic chain positions, where the body is placed under weight-bearing conditions as much as possible to enhance sensorimotor control.
Experimental Other,Active Comparator Other
Neuromuscular exercise,Resistance and Flexibility Exercises
Sponsors
Faculty of Physical Therapy, Mahidol University
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1.Parkinson disease at modified Hoehn and Yahr stage 2-3 2.Age 40-70 years 3.Stable Parkinson disease medication 4.Individuals with postural abnormalities 5.Ability to stand independently and ambulate at least 10 meters without the use of an assistive device 6.Able to follow commands and instructions
Exclusion criteria
Exclusion criteria: 1.History of cognitive impairment or dementia, as assessed by the Montreal Cognitive Assessment 5 minute 2.History of neurological deficits 3.History of cardiopulmonary diseases 4.History of musculoskeletal conditions that significantly limit posture, balance, or gait 5.Individuals with severe motor symptoms or motor complications 6.Sustained depression and/or anxiety measured by Hospital Anxiety and Depression Scale 7.History of brain surgery 8.Any medical or surgical interventions 9.Visual or hearing impairments 10.Inability to safely participate in telehealth-based exercise sessions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postural stability Pre-test (baseline) and post-intervention (2 weeks) Postural stability measured by force platform recording center of pressure displacement; parameters: 95% confidence ellipse area (mm2) and path length (mm). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Range of motion 2.Postural tremor Pre-test (baseline) and post-intervention (2 weeks) 1.Range of motion measured with inertial measurement units for neck, upper back, and kyphosis angles (degrees). 2.Postural tremor measured with Arm Stability Test, total arm movement path (degrees). | — |
Countries
Thailand
Contacts
Public ContactPabtawan Warngchann
Faculty of Physical Therapy, Mahidol University
Outcome results
None listed