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The Effect of Exercise in Water on Functional Fitness in People With Parkinson's Disease

Not Applicable
Completed
Conditions
Parkinson
Parkinson Disease
Neurologic Disorder
Interventions
Other: Exercise in water
Registration Number
NCT05737992
Lead Sponsor
Pardis Specialized Wellness Institute
Brief Summary

The goal of this clinical trial study is to learn about the effect of aquatic exercise in parkinson's patients. The main questions it aims to answer are:

* What is the effect of exercise in water on balance in parkinson's patients?

* What is the effect of exercise in water on muscle strength in parkinson's patients?

* What is the effect of exercise in water on flexibility in parkinson's patients? Parkinson's patients in this study will do some functional tests. One group of them will do exercises in water 3 times weekly for 8 weeks.

Detailed Description

Parkinson's disease (PD) is a progressive, neurodegenerative movement disorder characterised by the motor symptoms bradykinesia, tremor, rigidity, and postural instability. These are commonly associated with non-motor disturbances, neurobehavioural symptoms and reduced quality of life.

Exercise is currently recommended as an additional strategy to manage PD-induced disability and is a key component of rehabilitation programs for people with PD.

Aquatic exercise is another form of non-conventional exercise that has been growing in popularity in the context of neurorehabilitation.16 The aquatic setting offers specific mechanical advantages due to the hydrostatic and hydrodynamic principles of buoyancy, viscosity and drag.

Due to its ability to enhance functional mobility whilst also being enjoyable,aquatic exercise has become a very popular form of physical training in the management of neurodegenerative disorders.

Recent studies suggest that high-intensity interval training (HIIT) is promising for promoting neuroplasticity in human PD, with short training time and reduced burden. Biomarkers for neuroplasticity such as brain-derived neurotrophic factor (BDNF) and neurodegeneration (including neurofilament light chain ((NfL) and α-synuclein) may play a role, but their response to HIIT is not well-investigated.

The aims of this study are to investigate the effects of HIIT exercises in water on balance, muscle strength, flexibility and gait speed in PD patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
42
Inclusion Criteria
  • clinical diagnosis of idiopathic PD, from mild to moderate stages (severity from 1 to 4), according to the original version of the Hoehn & Yahr scale (HY)17, assessed by the neurologist
  • Having medical certificate for performing physical activities and attending heated pools
Exclusion Criteria
  • Having another neurological pathology
  • Having limiting orthopedic or heart associated conditions
  • changing physical activities or L-dopa-based drug intake parameters

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Exercise groupExercise in waterPatients in the intervention group will do high intensity interval training (HIIT) in water. In this study, HIIT training will be short intervals (30 seconds) of movements and 15 seconds of rest.Exercises will be done in a floating position in the deep part. The intervention will be done 3 sessions weekly. The length will be 8 weeks.
Primary Outcome Measures
NameTimeMethod
Rate of changes of BalancePre test and posttest (after 8 weeks)

Balance will be assessed by Berg Balance Scale test

Rate of changes of FlexibilityPre test and posttest (after 8 weeks)

Balance will be assessed by Sit \& Reach test

Rate of changes of Muscle StrengthPre test and posttest (after 8 weeks)

Balance will be assessed by 30 s Sit to Stand test and Arm Curl test

Rate of changes of Gait SpeedPre test and posttest (after 8 weeks)

Balance will be assessed by 4-meters gait speed test

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Pardis specialized wellness institute

🇮🇷

Isfahan, Iran, Islamic Republic of

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