Stepwise balance and mobility exercise on gait, balance, confidence, and quality of life compared with the education in patients with idiopathic normal pressure hydrocephalus Idiopathic normal pressure hydrocephalus Exercise Gait Balance Confidence Quality of life
Conditions
Interventions
Participants in the experimental group receive a stepwise balance and mobility exercise program designed to improve gait and balance impairments associated with idiopathic normal pressure hydrocephalu
Experimental Other,Active Comparator Other
Balance and mobility exercise,Education
Sponsors
Faculty of Physical Therapy, Mahidol University
Eligibility
Sex/Gender
All
Age
60 Years to 85 Years
Inclusion criteria
Inclusion criteria: - Diagnosed with idiopathic normal-pressure hydrocephalus by a neurologist/neurosurgeon - Underwent cerebrospinal fluid drainage surgery - No vision or hearing problems after receiving assistive devices such as glasses or hearing aids - Able to walk at least 10 meters with or without a walking aid and with assistance - No complications after cerebrospinal fluid drainage surgery prior to participation in the study within 1 month, as assessed by the neurosurgeon
Exclusion criteria
Exclusion criteria: - Unresponsive to cerebrospinal fluid drainage surgery, assessed by the surgeon. - Unstable vital signs (blood pressure > 160/90 mmHg, heart rate < 40 beats per minute or > 90 beats per minute). - Severe musculoskeletal problems (e.g., osteomyelitis, deformity, or joint stiffness with moderate to severe pain or pain (Numeric rating scale: NRS 6-10 out of 10)). - Patients with spinal cord injury, multiple sclerosis, or motor neuron disease. - Severe cognitive problems (Montreal Cognitive Assessment: MoCA < 10/30 points). - Inability to participate in an exercise program, assessed by surveying the patient and family regarding their readiness to comply with the program. - Refusal to participate in research projects.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gait at before and after 4 weeks of intervention Inertial Measurement Units (kinematics), Force Distribution Measurement Platform (spatiotemporal),Balance at before and after 4 weeks of intervention Force Distribution Measurement Platform | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional mobility at before and after 4 weeks of intervention Timed Up and Go,Physical activity at before and after 4 weeks of intervention International Physical Activity Questionnnaire ,Efficacy at before and after 4 weeks of intervention Short form of Falls Efficacy Scale-International ,Quality of life at before and after 4 weeks of intervention EuroQoL 5 Dimensions 5-Level ,Rating of change at before and after 4 weeks of intervention Global of rating of changes | — |
Countries
Thailand
Contacts
Public ContactSunee Bovonsunthonchai
Faculty of Physical Therapy, Mahidol University
Outcome results
None listed