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临床试验/NCT07306169
NCT07306169已完成不适用

Effect of Baduanjin Exercise on the Rehabilitation of Patients With Parkinson's Disease: A Randomized Controlled Study

Istanbul Medipol University Hospital1 个研究点 分布在 1 个国家目标入组 27 人开始时间: 2025年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
27
试验地点
1
主要终点
balance

研究概览

简要总结

This study investigates whether adding Baduanjin exercise, a gentle and easy-to-learn traditional Chinese mind-body practice, can contribute to rehabilitation in individuals with Parkinson's disease. Parkinson's disease commonly leads to impairments in balance, walking, and overall motor function, which may affect independence and quality of life.

In this randomized controlled study, participants living in a nursing home were assigned to one of two groups:

a control group receiving standard physiotherapy, and an experimental group receiving Baduanjin exercise in addition to standard physiotherapy for 12 weeks.

Throughout the study, participants were assessed on balance, mobility, walking endurance, and motor symptoms using validated clinical tools.

详细描述

This randomized controlled study is designed to evaluate the effects of incorporating Baduanjin exercise, a traditional low-intensity mind-body practice, into a standard physiotherapy program for individuals with Parkinson's disease residing in a long-term care facility. Parkinson's disease frequently results in motor impairments such as postural instability, reduced gait speed, decreased walking endurance, and limitations in functional mobility, creating a need for accessible rehabilitative approaches.

Participants who met the inclusion criteria were randomly assigned to one of two groups: (1) a control group receiving conventional physiotherapy alone, or (2) an experimental group receiving Baduanjin exercise in addition to conventional physiotherapy. The intervention lasted 12 weeks. The Baduanjin program consisted of eight simplified movements emphasizing balance, postural control, coordinated breathing, and gentle whole-body mobility. Both groups participated in supervised sessions three times per week.

Outcome measures included standardized clinical assessments of balance, functional mobility, walking endurance, and motor symptom severity. These assessments were conducted at baseline and following completion of the 12-week intervention period to record changes over time.

The purpose of this study is to determine whether integrating Baduanjin into routine physiotherapy is feasible and appropriate as a complementary rehabilitative strategy for individuals with Parkinson's disease living in long-term care settings.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Participant)

盲法说明

Participant blinding was applied, as individuals did not know which intervention group they belonged to.

入排标准

年龄范围
65 Years 至 —(Older Adult)
性别
All
接受健康志愿者

入选标准

  • Individuals aged 65 years and older residing in a nursing home
  • A diagnosis of Parkinson's disease classified as Hoehn & Yahr Stages 1-3
  • Sufficient cognitive ability to follow exercise instructions
  • Willingness to voluntarily participate in the study

排除标准

  • Severe dementia or cognitive impairment
  • Unstable cardiovascular disease
  • Significant visual or hearing loss
  • Severe osteoarthritis, recent fractures, or movement limitations
  • Inability to follow instructions in Turkish
  • Inability to continue the exercise program during the study period or withdrawal of informed consent

结局指标

主要结局

balance

时间窗: through study completion, an average of 6 months

The Berg Balance Scale is one of the most commonly used tests to assess an individual's balance status. It consists of 14 items, each scored from 0 to 4. Total scores between 0-20 indicate a high risk of falling, 21-40 indicate a moderate fall risk, and 41-56 indicate a low fall risk.

mobility

时间窗: through study completion, an average of 6 months

The Timed Up and Go (TUG) Test is used to assess fall risk and mobility in older adults. The test requires a chair and a stopwatch. The patient is asked to stand up from the chair, walk 3 meters, turn, walk back, and sit down again. The time taken to complete the task is recorded as the test result. A completion time greater than 12 seconds indicates an increased risk of falling.

walking capasity

时间窗: through study completion, an average of 6 months.

The Six-Minute Walk Test (6MWT) is used to assess functional capacity, which is an important predictor of morbidity and mortality. The distance an individual walks in six minutes is recorded in meters. Reference values include approximately 380 m for individuals with COPD (\<160 m indicates increased mortality risk), 590-640 m for adults aged 20-50 years, 540-570 m for those aged 60-70 years, and 470-530 m for individuals aged 70-80 years.

parkinson degree

时间窗: through study completion, an average of 6 months.

The Unified Parkinson's Disease Rating Scale (UPDRS), Part III, assesses the motor examination of individuals with Parkinson's disease. During the assessment, the examiner demonstrates each movement while providing instructions and then evaluates the patient's performance. Each item is scored on a scale from 0 to 4, and all motor functions are assessed separately.

次要结局

未报告次要终点

研究者

发起方
Istanbul Medipol University Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

gulay karacaoglu

Head of Physiotherapy and Rehabilitation

Istanbul Medipol University Hospital

研究点 (1)

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